北京市某三甲医院及社区全科医师炎症性肠病知晓情况和培训需求调查  

A survey on the cognition and training needs for inflammatory bowel disease among general practitioners in a general practice teaching base of a Grade-A tertiary hospital

作　　者：李灿 李俊霞[2] 韩晓宁[1] 董爱梅[1] 迟春花[1] Li Can;Li Junxia;Han Xiaoning;Dong Aimei;Chi Chunhua(Department of General Practice,Peking University First Hospital,Beijing 100034,China;Department of Gastroenterology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院全科医学科,100034 [2]北京大学第一医院消化内科,100034

出　　处：《中华全科医师杂志》2021年第2期194-198,共5页Chinese Journal of General Practitioners

摘　　要：目的调查北京市某三甲医院及其社区全科医学教学基地的全科医师对炎症性肠病(IBD)的知晓情况,了解其培训需求。方法采用横断面研究方法,于2019年2—3月通过问卷调查方式对自愿参与调查的北京市某三甲医院及其全科医学教学基地的55名全科医师开展调查,问卷包含IBD知晓情况测评试卷和IBD培训需求问卷2个部分。共回收有效问卷55份。对试卷成绩分布情况、全科医师的IBD知晓情况、对溃疡性结肠炎(UC)及克罗恩病(CD)的知晓情况差异,以及全科医师对IBD培训需求情况进行分析。结果55名全科医师的IBD试卷及格率为30.9%(17/55),总得分(52.2±12.0)分。将IBD病因、诊断、治疗和病例分析各部分试题的分数标化为百分制后,55名全科医师得分分别为(83.6±37.0)、(60.2±18.3)、(54.9±14.1)和(31.8±20.7)分。全科医师对UC和CD的诊断知识知晓情况差异无统计学意义[60.0%(99/165)比60.4%(166/275),χ^(2)=0.006,P=0.94],对UC的治疗知识知晓情况高于对CD的治疗知晓情况[72.1%(119/165)比27.7%(61/220)χ^(2)=74.643,P<0.01]。全科医师培训需求最高的内容是IBD的药物、外科及营养支持治疗(90.9%,50/55),其次是临床表现(80.0%,44/55)。结论参与调查的全科医师整体对IBD知晓水平不佳,尤其对IBD诊断、治疗知识的知晓明显不足,对CD的治疗知识掌握情况更加不足。全科医师对IBD的治疗和临床表现相关知识的培训需求很高。Objective To survey the cognition and training needs for inflammatory bowel disease(IBD)among general practitioners(GPs)in a grade-A tertiary hospital and its general practice teaching base.Methods A cross-sectional study was conducted to investigate the cognition and training needs for IBD among 55 GPs from Peking University First Hospital and its general practice teaching base in Beijing from February to March 2019.The questionnaire consists of two parts:the IBD awareness test paper and the IBD training needs questionnaire.A total of 55 valid questionnaires were collected.The distribution of IBD test scores,the knowledge of IBD,the differences in knowledge ulcerative colitis(UC)and Crohn′s disease(CD),and the training needs of GPs for IBD were analyzed.Results The passing rate of questions1 of 55 participants was 30.9%(17/55),with an average score of(52.2±12.0).The mean scores for knowledge of etiology,diagnosis,treatment and case analysis were(83.6±37.0),(60.2±18.3),(54.9±14.1)and(31.8±20.7)respectively.There was no significant difference in the diagnostic knowledge between UC and CD among 55 general practitioners[60.0%(99/165)vs.60.4%(166/275),χ^(2)=0.006,P=0.94],but the knowledge of UC treatment was higher than that of CD[72.1%(119/165)vs.27.7%(61/220),χ^(2)=74.643,P<0.01].The most needed training content was drug,surgical and nutritional treatment for IBD(90.9%,50/55),followed by clinical presentation(80.0%,44/55).Conclusion The general practitioners who participated in the survey show poor cognition of IBD,especially the knowledge of diagnosis and treatment of IBD.Compared with UC,the knowledge of CD treatment is more insufficient.General practitioners have a high training needs for the treatment and clinical manifestations of IBD.

关 键 词：问卷调查 炎症性肠病 全科医师 培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]