社区医师对良性前列腺增生症认知现状及培训效果分析  

Cognitive Status Quo of Benign Prostatic Hyperplasia in Community Doctors and Training Effectiveness Analysis

作　　者：达骏[1] 徐明曦[1] 张克[1] 姚海军[1] 陈其[1] 陈慧瑛[1] 蔡志康[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院泌尿外科,上海市200011

出　　处：《中国全科医学》2015年第15期1800-1804,共5页Chinese General Practice

基　　金：上海浦东新区卫生和计划生育委员会(PW2013D-3);上海浦东新区卫生和计划生育委员会(PWZxq2014-11)

摘　　要：背景随着社会老龄化,良性前列腺增生症(BPH)人群日益增多。社区医院BPH诊治有待规范。目的了解上海市社区医师对BPH的认知现状,并比较不同培训策略的效果,为BPH社区规范治疗提供依据。方法2011年2月—2013年2月抽取上海市中心城区6家社区卫生服务中心的日常工作中经常接触BPH患者的全科医师、外科医师或其他各科医师119人,采用随机数字表法将6家社区卫生服务中心分为3组:第一组不进行任何形式的BPH相关知识培训,第二组每半年进行1次BPH相关知识培训,第三组每季度进行1次BPH相关知识培训。调查社区医师对BPH、BPH诊断、国际前列腺症状评分(IPSS)及中国BPH指南的认知情况。结果 3组社区医师对BPH的疾病名称、症状、不是前列腺癌癌前病变的认知率比较,差异均无统计学意义(P>0.05)。第二组和第三组社区医师对前列腺体积分度、前列腺特异抗原(PSA)检测目的、尿流率检测目的、IPSS、IPSS具体项目、IPSS总分、治疗方案临界值、指南推荐的治疗方法、手术适应证的认知率高于第一组(P<0.05)。结论目前社区医师对BPH的诊治有初步认识,但对该病的规范化诊断治疗掌握不够,每半年进行1次BPH相关知识的培训可以显著提高社区医师对于一些关键指标的把握,规范BPH的诊治活动。Background With the aging process of our society,more and more elderly men are affected by benign prostate hyperplasia （ BPH ） . The diagnosis and treatment protocols of BPH in community hospitals need more guidance. Objectjve To investigate the cognitive status quo of BPH in community doctors in Shanghai,compare the efficacy of different training programs and provide evidences for standardized treatment of BPH in community. Methods From February 2011 to February 2013,119 doctors（including general practitioners,surgeons,and other practitioners）in six community hospitals in Shanghai who usually encountered BPH patients,were selected as study subjects. Then the six hospitals were randomly divided into three groups：doctors in Group 1 did not receive any training about BPH - related knowledge. Doctors in Group 2 received training about BPH - related knowledge every 6 months. Doctors in Group 3 received training about BPH - related knowledge every 3 months. The recognition degree of BPH,the knowledge about BPH diagnosis,international prostate symptom score（IPSS）and Chinese guidelines of BPH among the community doctors were studied. Results There was no significant difference in knowledge about BPH name,BPH symptom,and 〞 BPH is not a kind of precancerous lesion of prostate cancer〞 among three groups of community doctors（P 〉 0. 05）. Doctors in Group 2 and Group 3 knew better than Group 1 about degrees of prostate volume, significance of PSA and urine flow rate,IPSS,each item in IPSS,total score of IPSS,critical value of BPH treatment protocols, guideline - recommended treatment and operative indications（P 〈 0. 05）. Conclusjon Doctors in community hospitals know preliminary knowledge about BPH,but they are not familiar with details in diagnosis and treatment. A BPH related training every 6 months can significantly increase their knowledge about some important indicators,which could standardize BPH treatment in community hospitals.

关 键 词：前列腺增生 医务人员 医院 社区卫生服务 认知 在职培训 

分 类 号：R697.3[医药卫生—泌尿科学]