眼科医务人员对青光眼连续性健康管理认知的问卷调查  

Understanding of glaucoma continuous health management: ophthalmic medical staff questionnaire survey

作　　者：何梦 廖晋英[1] 曾继红[1] 张鑫[1] 史吟雯 张懿[1] 张洋洋[1] 张瑶 唐莉[1] He Meng;Liao Jinying;Zeng Jihong;Zhang Xin;Shi Yinwen;Zhang Yi;Zhang Yangyang;Zhang Yao;Tang Li(Department of Ophthalmology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院眼科,成都610041

出　　处：《眼科》2022年第4期281-286,共6页Ophthalmology in China

基　　金：教育部赛尔网络下一代互联网技术创新项目(NGII20190705);成都市科技局技术创新研发项目(2021-YF05-01526-SN)。

摘　　要：目的了解眼科医务人员对青光眼连续性健康管理认知的现状。设计横断面调查。研究对象通过微信平台的网络问卷1329份。方法“问卷星”平台问卷调查眼科医务人员对青光眼连续性健康管理的认识及实际工作中青光眼连续性健康管理现状。主要指标眼科医务人员对青光眼连续性健康管理的认知情况和满意度。结果1329份问卷中98.42%认为对青光眼患者进行连续性健康管理非常重要,但对青光眼管理现状满意者仅占17%,调查对象已开展青光眼疾病管理者占26.94%。66.37%有开展青光眼连续性健康管理的想法但面临各种困难。57.56%支持原发性开角型青光眼最应优先纳入连续性健康管理。52.82%认为慢病信息监测系统模式是最佳模式。年青光眼门诊患者数量大于3000人次的医院已开展了青光眼管理的比例(62.07%)较高(P<0.05);三级医院已开展青光眼管理的比例(31.1%)明显高于二级医院(14.8%)(P<0.05)。结论大多数眼科医务人员认识到青光眼连续性健康管理的重要性,并有积极开展青光眼连续性健康管理的愿望。然而目前开展的现状不容乐观,亟待规范化全面推广。Objective To survey the current opinions of the ophthalmic medical staffs on glaucoma continuous health management.Design Cross-sectional survey.Participants A total of 1329 questionnaires(WeChat customers)were collected from 31 provinces.Methods An online questionnaire survey was conducted to collect information on current opinions and the actual status of clinical practice regarding glaucoma continuous health management.Main Outcome Measures Ophthalmologists’opinions and satisfaction degree with glaucoma continuous health management.Results Among the 1329 questionnaires,98.42%believed that it is very important to carry out continuous health management for glaucoma patients,but only 17%were satisfied with the status of glaucoma management,and 26.94%of the participants had developed glaucoma management.66.37%had the plan to carry out continuous health management of glaucoma but faced various difficulties.57.56%participants supported that primary open-angle glaucoma should be included in continuous health management as the most priority.52.82%considered that the chronic non-communicable disease surveillance information system model was the best mode.Hospitals with more than 3000 glaucoma outpatients per year had a higher proportion(62.07%)for glaucoma management(P<0.05).The proportion of tertiary hospitals(31.1%)that had carried out glaucoma management was significantly higher than that of secondary hospitals(14.8%)(P<0.05).Conclusions Most ophthalmologists have realized that continuous health management is important for glaucoma patients and wanted to carry it out actively.However,the current status of implementation is not promising and needs to be standardized and fully promoted.

关 键 词：青光眼 连续性健康管理 问卷调查 

分 类 号：R775[医药卫生—眼科] R193[医药卫生—临床医学]