新疆维吾尔自治区医师高血压防治知识掌握情况调查

Acknowledgement Status of General Practitioner in Xinjiang in Prevention and Treatment of Hypertension

目的了解新疆维吾尔自治区医师对高血压知识的掌握情况,为高血压的防治工作提供依据。方法分别对来自新疆维吾尔自治区和田、库尔勒、伊犁等7个主要地区不同级别医院的782名医生,采用闭卷笔试形式进行高血压知识水平问卷调查,根据问卷的答对率观察新疆医师对高血压知识的掌握情况。结果除高血压诊断标准和降压治疗的最终目标外,南疆医师对高血压靶器官损害、危险因素、不同人群降压目标答对率均明显低于北疆(P=0.000)。和田地区对高血压心、肾、血管损害、高血压危险因素(缺乏运动一项)答对率最低,均明显低于其他地区(P<0.05),而对老年高血压人群降压目标一项,库尔勒地区答对率最低,仅50.8%。三级医院对高血压一般知识认知情况明显优于二级和一级医院,二级医院医师对老年高血压人群降压目标答对率仅为70.4%。男性医师对高血压血管损害(93.2%vs 85.4%,P=0.001)、过量饮酒(92.9%vs 86.7%,P=0.006)及合并糖尿病或肾病人群降压目标(93.5%vs 87.7%,P=0.008)的答对率均明显高于女性医师。"不同人群降压目标"1项,主治医师答对率最低(P=0.019)。结论新疆地区基层医务人员对高血压病防治的基础知识掌握仍有欠缺,尤以南疆地区、一级和二级医院以及女性医师为甚,故而应以加强此地区医师高血压防治工作、强化全面正确掌握高血压防治知识为重点。

Objective To investigate the acknowledgement status of general practitioner in Xinjiang on primary knowledge in preven-tion and treatment of hypertension and provide a reference for further training.Methods Closed book written survey on hypertension knowledge was assessed in 782 general practitioners from different levels of hospitals in the seven major regions of Xinjiang, including He-tian, Kurle, Ili and etc.Results （1）The rate of correct answer to target organ damages, risk factors of hypertension and aim of blood pressure control in different subgroups was significantly lower in practitioners from South Xinjiang than that from North Xinjiang （ P=0.000）, except for the diagnostic criteria of hypertension;（2）The correct answer rates to the heart, kidney, vascular damage caused by hypertension, risk factors of hypertension （ lack of physical exercises） found in practitioners from Hetian were significantly lower than in＆amp;nbsp;other regions （ P〈0.05） .Only 50.8%of general practitioners in Kurle correctly answer the aim of blood pressure in elderly population. （3） The acknowledge status were the best in practitioners from third-grade hospital, only 70.4%practitioners from second-grade hospi-tal knew the final aim of blood pressure control in elderly hypertensive patients.（4）More male practitioners than female practitioners gave the correct answers to vascular damage （93.2%vs 85.4%, P=0.001）, excessive alcohol intake （92.9%vs 86.7%, P=0.006） and the final aim of blood pressure control in hypertensive patients combined with diabetes or renal damages （93.5%vs 87.7%,P=0.008）. （5）The attending physicians had the lowest rate on the items of “aim of blood pressure control in different sub-populations” （P=0.019） .Conclusion Training on prevention and treatment of hypertension in general practitioner must focus on south Xinjiang.First-and second -grade hospitals, and women practitioners, strengthening to know the hypertension knowledge comprehensively and correctly.