基层医务人员对阻塞性睡眠呼吸暂停的认知现状

Current cognitive status of obstructive sleep apnea in primary medical staff

目的了解四川绵阳地区基层医务人员对阻塞性睡眠呼吸暂停(OSA)的认知,分析睡眠呼吸疾病基层培训班对提高基层医务人员对OSA认知的意义。方法自制睡眠呼吸暂停知识问卷调查表(0SAKA),向参加2019年四川省绵阳市中心医院睡眠呼吸疾病面授培训班的基层医务人员在培训前后发放该问卷,内容包括调查对象的基本信息、对OSA的态度及对OSA的知识掌握等,通过开展睡眠呼吸暂停疾病相关知识讲座培训,分析培训前后基层医务人员对OSA认识的提高程度。结果一共发放问卷250份,回收236份,有效回收率为94.4%。调查对象在培训前对OSA发病危险因素、临床症状及靶器官损害方面的正确率均较低,分别为:53.97%±8.11%,46.82%±13.11%,55.58%±13.88%,经过培训后正确率明显提高(P<0.05)。县级及以上医院与县级以下医院的不同职称医务人员在培训前对OSA的5个知识点的认知度无明显差异(P>0.05)。对于首选检查手段及治疗方式的选择,正确率较低,经培训后有明显提高,差异具有统计学意义(P<0.05)。在对于OSA的态度问题方面,愿意选择从事专业睡眠医学的医务人员较少,但经培训后兴趣度有所提高(P<0.05)。结论四川绵阳地区基层医务人员对OSA认识不足,有必要加强对基层医务人员对OSA的培训,可通过开展睡眠呼吸暂停疾病面授培训班的方式,提高基层医务人员对OSA的认知。

Objective To understand the cognition of obstructive sleep apnea(OSA)among grassroots medical workers in Mianyang,Sichuan province,and to analyze the significance of grassroots training class on sleep respiratory diseases in order to improve the cognition of OSA among grassroots medical workers.Methods A self-made sleep apnea knowledge questionnaire(OSAKA)was performed on medical personnel at the grass-roots participating Sichuan Mianyang Central Hospital sleep respiratory diseases face-to-face training in 2019,including the basic information of the respondents,attitude to OSA and mastery of the knowledge of OSA.Through developing sleep apnea disease related knowledge training,the improvement of OSA recognition before and after the training was analyzed.Results A total of 250 questionnaires were issued,236 were collected,and the effective recovery rate was 94.4%.The correct rates of risk factors,clinical symptoms and target organ damage of OSA were low 53.97%±8.11%,46.82%±13.11%,and 55.58%±13.88%,respectively before the training,and the correct rates were significantly improved after the training(P<0.05).There was no significant difference in the recognition of five knowledge points of OSA between medical staff with different professional titles in hospitals at and above the county level and hospitals below the county level before training(P>0.05).The accuracy of selecting the preferred examination method and treatment method was low,but it was significantly improved after training,and the difference was statistically significant(P<0.05).In terms of OSA attitude,fewer medical personnel were willing to choose professional sleep medicine,but their interest increased after training(P<0.05).Conclusion There is a lack of understanding of OSA among grassroots medical workers in Mianyang,Sichuan province.It is necessary to strengthen the training of grassroots medical workers on OSA,and the cognition of grassroots medical workers on OSA can be improved by carrying out face-to-face training courses on sleep apnea disease.