北京市东城区全科医生对系统性红斑狼疮疾病认知的在线问卷调查  

Online questionnaire survey on knowledge of systemic lupus erythematosus among general practitioners in Beijing Dongcheng district

作　　者：王军霞 沙悦[1] 陈嘉林[1] Wang Junxia;Sha Yue;Chen Jialin(Department of General Internal Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院普通内科,100730

出　　处：《中华全科医师杂志》2019年第9期832-836,共5页Chinese Journal of General Practitioners

摘　　要：目的调查北京市东城区全科医生对系统性红斑狼疮(SLE)疾病知识掌握情况,为制定针对性地培训计划提供参考依据。方法2017年11月,采用方便抽样法选取北京市东城区7个社区卫生服务中心及其下属44个社区卫生服务站的226名全科医生进行网络问卷调查。调查问卷包括三部分:全科医生的基本情况、SLE疾病相关知识和SLE继续教育需求。结果回收有效问卷225份,有效应答率99.6%。参与调查的225名全科医生对SLE疾病相关知识的总体回答正确率为47.0%(1269/2700),涉及SLE诊断、治疗和管理三方面知识的回答正确率分别为28.3%(191/675)、58.4%(526/900)和49.0%(551/1125)。学历、职称及工作年限对SLE疾病相关知识水平有一定影响。不同学历、工作年限的全科医生,在SLE治疗目标的回答正确率上的差异有统计学意义(χ^2=6.054、4.296,P<0.05);职称越高、工作年限越长,对糖皮质激素不良反应的知识掌握越好(χ^2=6.048、5.499,P<0.05)。其中有5个社区卫生服务中心和15个社区卫生服务站管辖社区内有SLE患者,且社区药品中包括糖皮质激素和免疫抑制剂等药物。研究显示,79.6%(179/225)的全科医生认为学习SLE患者的社区管理很有必要,但是接诊SLE患者少(89.3%,201/225)、缺乏相应的学习途径(82.2%,185/225)是影响社区全科医生对SLE疾病认知及患者管理的主要因素。76.4%(172/275)医生认为开展培训班和讲座是最为社区全科医生接受的SLE继续教育方式。结论社区全科医生对SLE疾病相关知识的认知程度普遍不高,尤其是SLE早期识别、长期管理等方面知识相对欠缺,与接诊SLE患者较少、缺乏相应学习途径等有关。Objective To survey knowledge of systemic lupus erythematosus (SLE) among general practitioners in Beijing Dongcheng district. Methods In November 2017, an online questionnaire survey on knowledge of SLE was conducted among 226 general practitioners from 7 community health service centers and 44 community health service stations in Beijing Dongcheng district. The questionnaire included three parts: the basic information of participants, SLE-related knowledge and the demand of continuing education for SLE. Results Total 225 valid questionnaires were received with a retrieval rate of 99.6%. The overall accuracy rate was 47.0%(1 269/2 700). And the rates of correct answer for SLE diagnosis, treatment and management were 28.3%(191/675), 58.4%(526/900) and 49.0%(551/1 125), respectively. Educational background, professional titles and working years had a certain impact on the level of SLE disease-related knowledge. Higher educational level and longer working years were associated with the higher knowledge level of SLE treatment goals (χ^2=6.054, 4.296;P<0.05). Knowledge scores regarding side effects of glucocorticoid were slightly higher in GPs who were working for a longer time and in senior positions (χ^2=6.048,5.499;P<0.05). In addition, the study also identified SLE patients in 5 community health centers and 15 community health service stations, who were given medications of glucocorticoids and immunosuppressants. Fewer SLE patients presented to the community health service and lack of learning resources mainly affected the GPs′ perception of SLE, as well as patient management. Besides, 79.6%(179/225) of GPs perceived that community management of SLE patients is necessary and they would be interested in receiving further training on SLE. The most preferred method of training delivery was short courses and lectures. Conclusion The knowledge and practice of SLE need improvement among GPS, especially early identification and long-term management. Fewer patients and lack of learning resources are the primary barri

关 键 词：系统性红斑狼疮 全科医生 问卷调查 

分 类 号：R593.241[医药卫生—内科学]