北京全科医生冠心病管理临床相关知识情况调查  

Survey on clinical knowledge of coronary artery disease management in general practitioners in Beijing

作　　者：尹朝霞[1] 黄凯[1] 陈瑒[1] 佟秀梅[1] 杜雪平[1] 

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心,北京100045

出　　处：《中华全科医师杂志》2014年第7期572-574,共3页Chinese Journal of General Practitioners

基　　金：北京市西城区优秀人才培养资助

摘　　要：于2013年3—9月对北京16个区县参加继续教育培训的全科医生进行问卷调查，以了解其冠心病管理临床相关知识掌握情况。问卷设计稳定型心绞痛、经皮冠状动脉介入治疗术后、急性前壁心肌梗死、急性下壁心肌梗死病例各一份，下设相关临床问题。共发放问卷500份，回收合格问卷471份，回收率94．2％。结果显示，全科医生对急性前壁心肌梗死所致的急性事件病情判断、处理原则的回答正确率较高，分别达87．3％和61．8％，但其他相关问题回答正确率仅在23．4％～40．6％；有5／11的题目回答正确率随着学历的升高而增高（P〈0．01）；3／11的题目回答正确率随着职称的升高而增高（P〈0．01）；是否参加过培训及不同培训次数者对问题的回答正确率差异无统计学意义。提示，北京全科医生对冠心病管理临床知识仍有待提高，应改进目前培训方式以达到提高其临床能力的目的。A survey on clinical knowledge of coronary artery disease （CAD） management in general practitioners （GPs） in Beijing was conducted from March to September, 2013. The questionnaire contained 4 cases （stable angina pectoris, post-percutaneous coronary intervention, acute anterior myocardial infarction and acute inferior myocardial infarction） and related clinical questions. Five hundred questionnaires were distributed and 471 valid questionnaires were returned with a recovery rate of 94. 2%. The correct rate was 87.3% and 61.8% for diagnosis and treatment of emergent events in acute anterior myocardial infarction; however, the correct rate for other knowledge was ranged between 23.4% and 40. 6%. The correct rate increased with the educational levels in 5/11 items（ P 〈 0. 01 ） and increased with the professional titles（ P 〈 0. 001）in 3/11 items, which was not associated with the attendance of training or frequency of training attendance. The results indicate that clinical knowledge of CAD management for GPs in Beijing should be improved and the training methods should be focused on the clinical capacity.

关 键 词：全科医生 疾病管理 

分 类 号：R192.3[医药卫生—卫生事业管理]