北京市全科医生骨性关节炎社区康复治疗现状及影响因素分析  

The status and its influencing factors of community rehabilitation treatment for osteoarthritis among general practitioners in Beijing

作　　者：曹雨 马丽 何续芳[3] 赵亚利 王佳欣 CAO Yu;MA Li;HE Xufang;ZHAO Yali;WANG Jiaxin(Tongzhou District Yongledian Community Health Service Center,Beijing 101105,China;不详)

机构地区：[1]北京市通州区永乐店社区卫生服务中心,北京101105 [2]首都医科大学全科医学与继续教育学院,北京100069 [3]首都医科大学附属复兴医院全科,北京100038

出　　处：《中华全科医学》2024年第5期820-823,共4页Chinese Journal of General Practice

基　　金：首都全科医学研究专项(22QK11)。

摘　　要：目的了解全科医生骨性关节炎(OA)社区康复知识知晓情况,参与社区康复治疗现状及影响因素,为促进全面开展社区康复提供对策。方法采取分层整群抽样方法,选取北京市城六区及郊区社区卫生服务中心全科门诊的全科医生作为研究对象,于2022年10—12月进行问卷调查。采用χ^(2)检验和logistic回归分析对全科医生参与OA社区康复治疗影响因素进行分析。结果200名全科医生中,男性占29.5%(59/200),女性占70.5%(141/200),年龄为(38.10±9.11)岁。对OA临床症状知晓的全科医生占99.5%(199/200),社区康复设备知晓者占48.5%(97/200)。参与OA社区康复治疗的全科医生占22.5%(45/200)。性别、年龄、日门诊量、工作年限、参加康复培训、知晓康复评估、知晓康复设备均是全科医生参与OA社区康复治疗的影响因素(P<0.05)。女性、工作年限30年及以上、年龄40岁及以上、知晓康复疗效评估方法、知晓康复设备和参加过康复培训是全科医生参与OA社区康复治疗的有利因素。根据OR值,是否参加康复培训是影响作用最大的因素。结论全科医生对OA社区康复知识知晓率较低,社区康复培训率低,应加强相关培训及宣传,增强全科医生康复服务意识及能力,利于全科医生开展OA社区康复治疗。Objective To understand the knowledge and awareness of community rehabilitation for osteoarthritis(OA)among general practitioners,the current situation and influencing factors of their participation in community rehabilitation treatment,and to provide strategies for promoting comprehensive community rehabilitation.Methods A stratified cluster sampling method was used to select general practitioners from the general clinics of community health service centers in the six districts and suburbs of Beijing as the research subjects.A questionnaire survey was conducted from October to December 2022.Chi square test and logistic regression were used to analyze the influencing factors of general practitioners participating in OA community rehabilitation treatment.Results Among the 200 general practitioners,males accounted for 29.5%(59/200)and females accounted for 70.5%(141/200).The average age was(38.10±9.11)years old.99.5%(199/200)of general practitioners were aware of the clinical symptoms of OA,48.5%(97/200)were aware of community rehabilitation equipment,and 22.5%(45/200)of general practitioners participated in OA community rehabilitation treatment.Gender,age,daily outpatient volume,years of work,participation in rehabilitation training,awareness of rehabilitation assessment,and awareness of rehabilitation equipment were the influencing factors for general practitioners to participate in OA community rehabilitation treatment(P<0.05).Women,working experience of 30 years or more,age of 40 years or more,knowledge of rehabilitation efficacy evaluation methods,knowledge of rehabilitation equipment,and participation in rehabilitation training were favorable factors for general practitioners to participate in OA community rehabilitation treatment.According to the OR value,whether to participate in rehabilitation training was the most influential factor.Conclusion General practitioners have a low awareness rate of OA community rehabilitation knowledge and a low rate of community rehabilitation training.Relevant training and

关 键 词：骨性关节炎 全科医生 社区康复 参与 影响因素 

分 类 号：R684.3[医药卫生—骨科学] R493[医药卫生—外科学]