临床脑血管病医生对脑梗死和短暂性脑缺血发作二级预防药物干预知识的知晓程度的横断面调查

A Cross-sectional Investigation on Knowledge and Awareness of Secondary Prevention among the Physicians with Medical Intervenes on Cerebral Infarction and/or Transient Ischemic Attacks

目的调查临床脑血管病医生对脑梗死和短暂性脑缺血发作(transient ischemic attack,TIA)二级预防药物干预知识的知晓程度。方法在二级预防持续质量改进协作组所在的北京8家医院,进行临床脑血管病医生对脑梗死和TIA二级预防药物干预知识的知晓程度的横断面调查。结果总计调查140人,各职称级别人员问卷平均得分最低0分,最高56分,平均25.76分(满分100分)。其中三级医院共4家,89人,平均得分27.18分;二级医院共4家,51人,平均得分23.28分,两组差异无统计学意义(P=0.096)。住院医师平均26.27分,主治医师平均26.51分,主任医师平均23.21分,差异无统计学意义(P=0.465)。结论在不同级别,不同职称的临床脑血管病医生对脑梗死和TIA二级预防药物干预知识的知晓程度均差,需要采取有力措施进行相关培训。

Objective To investigate the degree of knowledge and awareness towards the secondary preventions among the physicians with medical intervenes on cerebral infarction and/or transient ischemic attacks. Methods The collaborate team of continuous quality improvement on secondary preventions carry out a cross-sectional investigation on the patients with brain infarction and/or TIA in 8 hospitals of Beijing. Results There were totally 140 physicians having taken the questionnaires. The mean score of the knowledge is 25.76 score （0-56 score, full 100 score）. In this study, the mean score was 27.18 score from 4 regional （high rank） hospital with 89 physicians and 23.28 score from 4 community （low rank） hospital with 51 physicians. It has no statistical significance （t=0.096）. The mean score was 26.27 score, 26.51 score and 23.21 score for the residents, attending and chief physician, respectively, which showed no statistical significance （t=0.465）. Conclusion Although the hospital＇s rank or doctor＇s rank is different, the physician now all has poor knowledge and awareness of secondary prevention with medical intervenes on cerebral infarction and/or transient ischemic attacks. Great effort should be taken to carry out the education programs.