住院医师对阻塞性睡眠呼吸暂停低通气综合征的认知及态度

Residents’cognition and attitude towards obstructive sleep apnea hypopnea syndrome

目的:阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)可引起机体多脏器的损伤,有潜在致死性,对患者身体健康和生活质量产生严重影响。住院医师在OSAHS的筛查中起着重要的作用。本研究旨在评估住院医师对OSAHS的认知和态度水平,为疾病的干预和诊疗提供依据。方法:于2021年12月1日至2022年12月1日对某教学医院的住院医师进行横断面调查。采用阻塞性睡眠呼吸暂停知识及态度问卷(Obstructive Sleep Apnea Knowledge and Attitudes Questionnaire,OSAKA)评估住院医师在处理OSAHS患者方面的知识、态度和信心。结果:在接受问卷的200名住院医师中,183名(91.5%)完成了问卷调查。所有住院医师的OSAKA问卷的知识量表得分为13.12±2.46。内科住院医师知识得分高于其他科住院医师(13.46±2.22 vs 12.33±2.83,P<0.05),有过呼吸科轮转经历的住院医师知识得分高于没有在呼吸科轮转经历的住院医师(13.46±2.35 vs 12.69±2.56,P<0.05)。所有住院医师的OSAKA问卷的态度/信心量表得分为3.64±0.62。60.7%的住院医师认为OSAHS作为一种临床疾病是极其重要的。72.7%的住院医师有信心识别OSAHS患者,但只有50.3%的对管理OSAHS患者有信心,仅42.6%的住院医师有信心管理持续正压通气治疗的患者。知识与态度、信心水平之间呈弱正相关关系。结论:多数住院医师意识到OSAHS的临床重要性,但对OSAHS的诊断和管理知识、信心水平仍存在不足,需要加强对其管理OSAHS患者的培训。

Objective:Obstructive sleep apnea hypopnea syndrome(OSAHS)may cause damage to many organs of the body and is a potentially fatal disease,which has a serious impact on health and quality of life for patients.Residents play an important role in the screening of OSAHS.This study aims to evaluate the cognition and attitude level of residents towards OSAHS,and to provide evidence for the intervention and diagnosis of the disease.Methods:A cross-sectional survey of residents at a teaching hospital was conducted from December 1,2021 to December 1,2022.A questionnaire was used to assess residents’knowledge,attitudes,and confidence in dealing with OSAHS patients.Results:Of the 200 residents who responded to the questionnaire,183(91.5%)completed it.The average score on the knowledge scale of Obstructive Sleep Apnea Knowledge and Attitudes Questionnaire(OSAKA)for all residents in this study was 13.12±2.46.The knowledge score of internal medicine residents was higher than that of non-internal medicine residents(13.46±2.22 vs 12.33±2.83,P<0.05),and the mean knowledge score of residents with respiratory rotation experience was higher than that of residents without respiratory rotation experience(13.46±2.35 vs 12.69±2.56,P<0.05).The average score of the attitude/confidence scale on the OSAKA questionnaire for all residents in this study was 3.64±0.62.Of the 183 residents,60.7%of residents considered OSAHS to be extremely important as a clinical disorder,72.7%of residents were confident in the identification of OSAHS patients,but only 50.3%were confident in the management of OSAHS patients,and only 42.6%were confident in the management of patients treated with continuous positive pressure ventilation.There was a weak positive correlation among levels of knowledge,attitude,and confidence.Conclusion:Most residents are aware of the clinical importance of OSAHS,but their knowledge and confidence for OSAHS diagnosis and management are still insufficient,and they need to be trained to manage OSAHS patients.