山西基层医生对心血管疾病相关指南的掌握情况的研究

A study on knowledge level of guidelines on cardiovascular diseases among primary care physicians in Shanxi Province, China

目的研究基层内科医师对心血管疾病相关指南的掌握情况。方法以调查问卷的形式调查各医师对心血管相关指南的学习、掌握情况。结果在208名基层医师中,129名(62%右左)的医师知晓高血压控制目标,并且能根据高血压危险因素分层确定高血压患者目标值。在心内科医师88名和全科医师120名中,学习过2010版《高血压防治指南》的心内科医师75名,占85.2%,全科医师84名,占70.0%;在学习2007版《中国成人血脂异常防治指南》、2010版《中国2型糖尿病防治指南》方面,心内科医师分别为45名、38名,全科医师分别为41名、63名。结论山西地区基层医师不能全面掌握及监测心血管疾病患者的危险因素相关因素指标,也不能对其相关患者进行全面指导;心内科医师作为心血管专业医师,与全科临床医师相比,在管理心血管疾病患者方面,并没有明显优势。

Objective To assess the level of knowledge of the guidelines on cardiovascular diseases among primary care physicians in Shanxi Province, China. Methods A questionnaire survey was conducted among 208 primary care physicians in Shanxi to assess their knowledge of the guidelines on cardiovascular diseases. Results Among the 208 physicians, 129 （around 62%） knew the objective of hypertension control, and could determine the target value of blood pressure according to the stratification of risk factors for hypertension; 75 cardiologists （85.2%） （75/88） and 84 general practitioners （70%）（84/120） had studied China Hypertension Prevention and Treatment Guideline （2010 Edition）; 45 cardiologists and 41 general practitioners had studied China Adult Dyslipidemia Prevention Guide （2007 Edition）, and 38 cardiologists and 63 general practitioners had studied Chinese Guideline of Type 2 Diabetes Prevention and Treatment （2010 Edition）. Conclusion The primary care physicians in Shanxi do not fully grasp and monitor indicators related to risk factors for cardiovascular diseases, and cannot provide comprehensive guidance for the patients. As the cardiovascular physicians, the cardiologists do not perform better in terms of managing patients with cardiovascular diseases than the general physicians.