云南基层医护人员对妊娠糖尿病的认知及管理现状调查  

Investigation on the Cognitive and Management Status of Gestational Diabetes Mellitus in Primary Healthcare Workers in Yunnan Province

作　　者：朱文卓[1] 业秀林[2] ZHU Wen-zhuo;YE Xiu-lin(Dept.of Endocrinology,The 1st Affiliated Hospital of Kunming medical University,Kunming Yunnan 650032;Dept.of Respiratory,The 1st Affiliated Hospital of Kunming medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学第一附属医院内分泌二科,云南昆明650032 [2]昆明医科大学第一附属医院呼吸科,云南昆明650032

出　　处：《昆明医科大学学报》2020年第3期67-71,共5页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目[2018FE001(-028)]。

摘　　要：目的了解云南省基层医护人员对妊娠糖尿病(gestational diabetes mellitus,GDM)相关知识的认知水平及管理现状,为开展GDM继续教育和推动GDM筛查提供依据。方法采取不记名闭卷笔试的方法,随机抽取云南省昭通市彝良县2家县级医院及彝良县17个卫生院的214名医护人员进行GDM相关知识问卷调查。结果被调查者对GDM的知晓率最高,达到95.54%;有52.48%的被调查者知道所有孕妇都需要筛查GDM,知晓GDM诊断标准的只有20.30%;县级医院医生对GDM患者血糖控制目标的知晓率要高于卫生院医生(P<0.05);92.08%的被调查者知晓GDM孕妇远期患糖尿病风险增加,但对于GDM孕妇分娩后的复查及随访的知晓率只有40.10%;有95.05%的被调查者认为将GDM列入产前管理是有必要的,只有59.40%的被调查者认为其所在的医疗机构能够管理好GDM患者,主要因素是患者依从性差(65.35%)和设备不完善(50.99%);在GDM的专业教育培训方面,60.40%的被调查者没有接受过专业的知识培训。结论绝大部分基层医务工作者知道GDM管理的重要性,也愿意加强对GDM患者的管理,但由于基层专业知识的欠缺、设备、人力不足及患者依从性差等原因,目前还不能很好地开展GDM患者管理工作。迫切需要加强对基层医务工作者相关知识培训,提高认知及管理水平。Objective To explore the cognitive and management status of gestational diabetes mellitus(GDM)among primary healthcare workers in Yunnan Province,and to provide evidence for continuing GDM education and promoting GDM screening.Methods A total of 214 healthcare workers from 2 county-level hospitals and 17 health centers in Yiliang County,Zhaotong City,Yunnan Province were randomly selected to finish GDM-related knowledge questionnaire anonymously.Results Awareness rate of GDM was 95.54%.There was52.48%of the respondents knowing that every pregnant woman needed to be screened for GDM,and only 20.30%of the respondents knew the diagnostic criteria of GDM.For the target of blood glucose control in the patients with GDM,the awareness rate of healthcare workers in county-level hospitals was higher than that of the healthcare workers in health centers(P<0.05).Although 92.08%of the respondents knew that pregnant women with GDM had an increased risk of developing diabetes in the long run,the awareness rate of post-delivery re-examination and follow-up for the GDM patients was only 40.10%.Although 95.05%of the respondents believed that it was necessary to include GDM in prenatal management,only 59.40%of the respondents thought their medical institutions could manage GDM patients well and the main factors were poor patient compliance(65.35%)and shortage of equipment(50.99%).There was 60.40%of the respondents who did not receive specialized GDM training.Conclusions Most primary healthcare workers are aware of the importance of GDM management and are willing to strengthen the management on GDM patients.However,lack of professional knowledge,shortage of equipment and manpower and poor patient compliance pose challenges to the management of GDM patients.There is an urgent need to strengthen the training for primary healthcare workers and improve their cognition and management ability.

关 键 词：妊娠糖尿病 认知 管理 基层医务工作者 

分 类 号：R587.1[医药卫生—内分泌]