北京市西城区社区全科医生对稳定性冠心病社区心脏康复认知现状的调查研究  

Community General Practitioners'Perception of Community-based Cardiac Rehabilitation for Stable Coronary Artery Disease:a Survey in Beijing's Xicheng District

作　　者：董玉明[1] 杨玲[1] 董建琴[1] 杜雪平[1] DONG Yuming;YANG Ling;DONG Jianqin;DU Xueping(Department of General Practice,Yuetan Community Health Center,Fuxing Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心全科医学科,北京市100045

出　　处：《中国全科医学》2021年第34期4356-4363,共8页Chinese General Practice

基　　金：首都卫生发展科研专项(首发2018-3-7023)——急性冠脉综合征患者社区心脏康复适宜技术的研究与应用。

摘　　要：背景在我国冠心病发病率逐年增加的背景下,心脏康复作为心血管事件预防和治疗的重要手段,可以提高冠心病患者生活质量,降低其再住院率及死亡率。目前,社区心脏康复开展较少,且社区全科医生为稳定性冠心病(SCAD)患者提供的睡眠指导、心理疏导、运动风险信息等仍不充分。目的调查社区全科医生对SCAD社区心脏康复的认知情况,旨在为开展社区心脏康复工作提供科学依据。方法于2020年11月,采用整群抽样法,抽取北京市西城区5家社区卫生服务中心(月坛、广外、展览路、陶然亭、德胜)从事临床一线工作的全科医生212例进行问卷调查。由课题组自行研制问卷,内容包括社区全科医生基本情况、对SCAD社区心脏康复的看法与态度、SCAD心脏康复基本知识与实践。问卷通过"问卷星"网站发布,于2020-11-26至2020-12-31通过微信或纸质二维码向参与调查的社区全科医生进行推送。调查对象通过手机/电脑"问卷星"在线填写的方式完成调研。完成调研数据收集后,建立数据库,对社区全科医生SCAD社区心脏康复认知情况进行分析。比较不同特征社区全科医生为SCAD患者提供社区心脏康复服务的意愿及对SCAD心脏康复相关知识的掌握情况,采用二元Logistic回归分析探讨影响社区全科医生为SCAD患者提供心脏康复服务意愿的因素。结果共发放问卷212份,回收有效问卷208份,有效问卷回收率为98.1%。190例(91.3%)社区全科医生认为SCAD患者需要进行社区心脏康复;188例(90.4%)认为SCAD患者进行社区心脏康复是安全的;154例(74.0%)愿意为SCAD患者提供社区心脏康复。参加过冠心病患者心脏康复相关培训、认为SCAD患者需要进行社区心脏康复及认为SCAD患者进行社区心脏康复是安全的社区全科医生更愿意为SCAD患者提供社区心脏康复服务(P<0.05)。二元Logistic回归分析结果显示,是否参加过冠心病心�Background The number of patients with coronary heart disease(CHD)is increasing year by year in China.As an important means of prevention and treatment,cardiac rehabilitation can improve the quality of life,reduce the readmission rate and mortality of CHD patients.However,community-based cardiac rehabilitation is less developed at present,and CHD patients have gained less merits from sleeping guidance,psychological counseling and cardiac risk assessment in exercise.Objective To explore community general practitioners'(GPs')perception of community-based cardiac rehabilitation for stable coronary artery disease(SCAD)providing a scientific basis for the development of community-based cardiac rehabilitation.Methods By use of cluster sampling,we selected frontline general practitioners(GPs)(n=212)from 5 community health centers(Yuetan,Guangwai,Zhanzhan Road,Taoranting,Desheng)in November 2020.Then we conducted a survey on wjx.cn(an online questionnaire survey platform)using a self-administered questionnaire(consisting of basic demographics,attitudes and perceptions regarding community-based cardiac rehabilitation for SCAD,essential knowledge and practice of cardiac rehabilitation)developed by us,and invited the GPs to anonymously complete the survey via scanning the WeChat QR code or printed QR code using a mobile phone or computer between November 26 and December 31,2020.The survey data were collected to input into a database,and analyzed for understanding GPs'perceptions of community-based cardiac rehabilitation for SCAD.Willingness of community GPs'to provide community-based cardiac rehabilitation services for patient swith SCAD and scores of GPs obtained by answering the questions about community-based cardiac rehabilitation for SCAD by demographic factors were compared.Binary Logistic regression was used to identify potential factors associated with community GPs'willingness to provide community-based cardiac rehabilitation services for SCAD patients.Results A survey response rate of 98.1%(208/212)was obtained.In

关 键 词：心脏康复 稳定性冠心病 全科医生 社区卫生服务 北京 

分 类 号：R473.5[医药卫生—护理学]