少数民族地区临床医生糖尿病防治知识水平调查  

Research on the knowledge level of diabetes prevention in the minority areas clinicians

作　　者：傅松波[1] 汤旭磊[1] 甄东户[1] 吴晓燕[1] 牛滢 索南东智 桑吉扎西 卓玛草 安永东 杨英 张国莲 

机构地区：[1]兰州大学第一医院内分泌科,甘肃兰州730000 [2]夏河县人民医院内科,甘肃甘南747100 [3]临夏回族自治州人民医院内分泌科,甘肃临夏731100 [4]临夏市人民医院内分泌科,甘肃临夏731100

出　　处：《甘肃医药》2014年第11期806-809,共4页Gansu Medical Journal

基　　金：中华医学会临床医学科研专项基金项目(编号:10020120234);甘肃省卫生行业科研计划项目(编号:GSWST2010-03)

摘　　要：目的:评价甘肃省少数民族地区临床医生对糖尿病防治知识的掌握程度,分析存在原因,制定培训计划和对策。方法:以甘肃省甘南藏族自治州和临夏回族自治州为中心,抽取该地区临床内科和全科医生321人进行问卷调查,用不记名笔试的方法,在规定时间内完成答题,调查问卷当场收回,调查后集中审查、整理。结果:少数民族地区基层医务人员对糖尿病发病机理及诊断掌握情况糖尿病诊断标准掌握率41.7%,对1型及2型糖尿病鉴别要点的掌握57.6%,对Hb A1c检测意义的知晓率42.8%,对糖尿病急性并发症诊断知晓率56.9%;对糖尿病慢性并发症治疗原则了解率仅47.9%,对眼底视网膜病变分期准确率34.8%,糖尿病肾病分期知晓率43.6%,糖尿病神经病变知晓率42.6%,低血糖临床表现认知率62.8%;对糖尿病饮食计算方法掌握率仅47.6%;糖尿病患者如何进行运动治疗知晓率61.4%;对糖尿病降糖药物了解率低,使用知识欠缺。结论:结果表明:甘肃省少数民族基层医务人员糖尿病防控知识欠缺,尤其是在民族地区糖尿病防治技术亟待普及与提高,糖尿病防治整体状况堪忧。Objective： Evaluation the clinici ans on diabetes prevention and control knowledge levels in minority areas of province Gansu. Methods： There are 321 extractions of clinical medicine and general practitioners to carry out the surveyin in Gannan Tibetan Autonomous Prefecture and Linxia Hui Autonomous Prefecture in Gansu Province, with secret written examination, completed within the specified time answer the questionnaire on the spot to recover,the surveycentralized review collate. Results： Grassroots medical staff of the ethnic minority areas to grasp the situation of diabetes pathogenesis and diagnosis diagnostic criteria for diabetes the master the rate of 41.7%,Acquire 57.6% of type 1 and type 2 diabetes differential points,meaning awareness of HbA1c 42.8 percent,56.9 percent,diagnosis of acute complications of diabetes awareness; chronic complications of diabetes treatment principles understood only 47.9% of the fundusretinopathy staging accuracy rate of 34.8%, diabetic nephropathy staging awareness rate of 43.6%,42.6% of diabetic neuropathy awareness, clinical manifestations of hypoglycemia awareness rate was 62.8%;master the rate of only 47.6%of the diabetic diet calculated;diabeticsThe exercise treatment awareness rate of 61.4%; understand the low rate of hypoglycemic drugs for diabetes. Conclusion：The results show that：Minorities in Gansu Province grassroots medical personnel diabetes prevention and control knowledge lacking urgent need to popularize and improve diabetes prevention technology especially in ethnic minority areas.Tthe the Diabetes overall worrying.

关 键 词：少数民族地区 糖尿病 临床医生 

分 类 号：R587.1[医药卫生—内分泌]