上海市奉贤区基层全科医生对心房颤动的临床认知情况的调查研究

Investigation on the clinical cognition of basic general practitioners on atrial fibrillation in Fengxian District,Shanghai

目的调查上海市奉贤区基层全科医生对心房颤动的临床认知现状,分析提升全科医生对心房颤动临床认知的方法。方法随机抽取上海奉贤区基层全科医生524名。使用问卷星调查全科医生对房颤的临床认知情况,问卷内容包含基线调查和房颤临床认知相关题目,包括房颤的危险因素、房颤的症状与体征、房颤的诊断方式、房颤的分类、房颤的最大危害。并比较全科医生对房颤临床认知的合格率。结果共回收问卷524份。其中有“5+3”规培经历的全科医生合格率为78.33%,有“3+2”规培经历的全科医生合格率为62.07%,未有规培经历的全科医生合格率为72.13%,此三种规培类型情况对房颤的临床认知合格率比较,差异有统计学意义(χ^(2)=6.19,P<0.05);无职称的全科医生合格率为63.33%,初级职称的全科医生合格率为63.69%,中级职称全科医生合格率为74.70%,高级职称全科医生合格率为79.63%,此四种职称的全科医生对房颤临床认知的合格率比较,差异有统计学意义(χ^(2)=9.30,P<0.05)。结论上海市奉贤区基层全科医生对房颤的临床认知掌握不足,基层全科医生有必要采取多种培训措施来提升能力。

Objective To investigate the current situation of clinical cognition of basic general practitioners on atrial fibrillation in Fengxian District,Shanghai,and discuss the methods to improve the clinical cognition of general practitio⁃ners on atrial fibrillation.Methods Totally 524 grassroots general practitioners in Fengxian District of Shanghai were randomly selected.A questionnaire was used to investigate the general practitioners'clinical cognition of atrial fibrillation.The questionnaire contents included the baseline data and related topics of clinical cognition of atrial fibrillation includ⁃ing the risk factors of atrial fibrillation,symptoms and signs of atrial fibrillation,diagnostic methods of atrial fibrillation,classification of atrial fibrillation,and the greatest harm of atrial fibrillation.The results of qualifed rate of general practi⁃tioners'clinical cognition of atrial fibrillation were compared.Results A total of 524 questionnaires were collected.Among them,the qualified rate of general practitioners with"5+3"training experience is 78.33%,the qualified rate of general practitioners with"3+2"training experience is 62.07%,and the qualified rate of general practitio⁃ners without training experience is 72.13%.These three types of training have statistical significance on the qualified rate of clinical cognition of atrial fi⁃brillation(χ^(2)=6.19,P<0.05).The qualified rate of general practitioners with no professional title was 63.33%,the qualified rate of general practitioners with primary professional title was 63.69%,the qual⁃ified rate of general practitioners with intermediate professional title was 74.70%,and the qualified rate of general practitioners with senior professional title was 79.63%.There was a statistically significant difference in the qualified rate of general practitioners with four profes⁃sional titles in their clinical cognition of atrial fibrillation(χ^(2)=9.30,P<0.05).Conclusion The basic level general practitioners in Fengxian District of Shanghai have insufficient knowledge of the clinical cognition of atrial fibrillation.It is necessary for the basic level general practitioners to take various training measures to improve their ability.