闵行区社区全科医生对房颤及抗凝相关知识的现状调查  

Survey on the knowledge of atrial fibrillation and anticoagulation among community general practitioners in Minhang District

作　　者：罗权平 何立浩 徐迎佳 Luo Quanping;He Lihao;Xu Yingjia(Wujing Community Health Service Center,Minhang District,Shanghai 200241,China;Shanghai Fifth People’s Hospital,Shanghai 200241,China)

机构地区：[1]上海市闵行区吴泾社区卫生服务中心,上海200241 [2]上海市第五人民医院,上海200241

出　　处：《首都食品与医药》2025年第2期108-110,共3页Capital Food Medicine

摘　　要：目的分析上海市闵行区社区全科医生对房颤及抗凝相关知识的知晓情况,为后续的医师培训提供有力依据。方法于2021年1月-2022年3月采用整群抽样的方法对上海市闵行区13家社区卫生服务中心的504名在职全科医生进行问卷调查。结果100.00%的社区全科医师有强烈的接受房颤及抗凝相关知识的培训意愿,62.70%的社区全科医师认为抗凝治疗前有必要使用三种评分对患者进行评估,65.67%的社区全科医师认为非常有必要对房颤患者进行房颤相关知识健康教育,77.58%的社区全科医师认为了解患者对抗凝治疗风险及获准的看法是很有必要的,79.76%的社区全科医师认为坚持对抗凝患者服药依从性及生活质量进行随访是很有必要的;100.00%的社区全科医师认为房颤是临床上最常见的心律失常,87.50%的社区全科医师认为房颤与脑卒中相关,仅有26.39%的社区全科医师认为抗凝药物应作为房颤患者治疗的首选药物,18.45%的社区全科医师对CHADS2≥2分中高危房颤患者治疗中的药物禁忌不清楚,17.06%的社区全科医师对抗凝药物华法林使用中的局限性不清楚,100.00%的社区全科医师能准确说出理想抗凝药物应具备的特点,100.00%的社区全科医师完全掌握CHA2DS2VASc评分系统,86.51%的社区全科医师掌握NOACs的适应证,91.47%的社区全科医师能正确说出优化VKA的剂量调整方案,100.00%的社区全科医师能正确说出需长期接受抗凝治疗的CHA2DS2-VASC评分范围,88.69%的社区全科医师熟悉2020年ESC房颤指南心室率控制的推荐意见。结论总体来说,我辖区内社区全科医师对房颤抗凝的防治态度较积极,房颤及抗凝相关知识掌握较好,但仍有小部分医师存在思想上不重视及知识缺乏问题,后续应做好社区全科医师培训工作。Objective To analyze the knowledge of atrial fibrillation and anticoagulation among community general practitioners in Minhang District,Shanghai,and to provide powerful ideas for subsequent physician training.Methods A questionnaire survey was conducted among 504 general practitioners in 13 community health service centers in Minhang District,Shanghai from January 2021 to March 2022 using cluster sampling method.Results 100.00% of the doctors had received strong training on AF and anticoagulation related knowledge,62.70% of the doctors believed that it was necessary to use three kinds of scores to evaluate patients before anticoagulation treatment,and 65.67% of the doctors believed that it was very necessary to carry out AF related knowledge health education for AF patients.77.58% of the physicians believed that it was necessary to understand the patients’views on the risks and approval of anticoagulation therapy,and 79.76% of the physicians believed that it was necessary to follow up the medication compliance and quality of life of anticoagulation patients.100.00% of physicians believed that AF was the most common arrhythmia in clinical practice,87.50% of community general practitioners believed that AF was related to stroke,and only 26.39% of physicians believed that anticoagulant drugs should be the first choice for the treatment of AF patients.18.45% of the physicians were not clear about the contraindications of drugs in the treatment of medium-high risk AF patients with CHADS2≥2,17.06% of the physicians were not clear about the limitations of the use of anticoagulant warfarin,and 100.00% of the physicians could accurately tell the characteristics of ideal anticoagulant drugs.100.00% of the physicians fully mastered CHA2DS2VASc scoring system,86.51% of the physicians mastered the indications of NOACs,and 91.47% of the physicians could correctly say the dose adjustment plan to optimize VKA.100.00% of the physicians could correctly name the CHA2DS2-VASC score range for long-term anticoagulant therapy,and 8

关 键 词：基层 医师 心房颤动 抗凝 调查 

分 类 号：R544.1[医药卫生—心血管疾病]