设置睡眠中心对医务人员认识阻塞性睡眠呼吸暂停的影响

The effect of setting sleep center on understanding obstructive sleep apnea

目的调查中国多地区各专业医务人员对阻塞性睡眠呼吸暂停(OSA)的认识和态度,了解睡眠中心的设置对医务人员认识OSA的影响。方法借鉴美国OSAKA问卷自行设计一份问卷。调查国内多地区不同级别的7家医院的医务人员共计630人。根据调查对象所在医院是否有睡眠中心(包括睡眠监测室)将其分为有睡眠中心(Y)组和无睡眠中心(N)组两组。统一整理调查数据并进行统计分析。结果一共发出630份问卷,最终有效问卷590份,有效回复率为93.65%。约有一半的调查对象(312人,52.89%)所工作的医院有睡眠中心。三个态度问题,两组间均无显著性差异(P>0.05)。对于减肥、戒烟酒、避免过度劳累以及药物,N组更倾向于选择减肥(估计参数=0.513,P=0.046),戒烟酒(估计参数=0.472,P=0.040),避免过度劳累(估计参数=0.933,P=0.000)和药物(估计参数=0.802,P=0.000)。对于持续气道正压通气和手术治疗的选择,两组间比较,差异无统计学意义(P>0.05)。关于OSA知识的平均总正确率为45.59%±20.68%。对于治疗措施回答正确率最高,其他知识点正确率都差。其中Y组的平均总正确率、症状以及靶器官损害平均正确率更高,差异有统计学意义(P=0.001,P=0.012,P=0.000)。所有调查对象对于OSA知识的了解与他们对于OSA的认识、治疗和深入了解意愿三方面态度之间存在正向相关性(r=0.247,P=0.000)。结论 OSA尚需加强宣教,睡眠中心的设置更有利于医务人员更多地认识OSA,更有利于睡眠医学的发展。

Objective To investigate the knowledge and attitude of medical professionals in various regions of China on obstructive sleep apnea(OSA)and to find out the influence of sleep center setting on the above results.Methods A self-designed questionnaire based on OSAKA questionnaire was designed.A total of 630 medical staff were investigated in7 hospitals at different levels in various regions in China.The subjects were divided into two groups according to whether they had sleep center(including sleep monitoring room)or not.Survey data were analyzed.Results A total of630 questionnaires were sent out,and 590 valid questionnaires were received,and the effective response rate was 93.65%.About half of those surveyed had sleep centers in the hospitals where they worked.There was no significant difference in three attitude problems and the choice of continuous positive airway pressure and surgical treatment between the two groups(all P>0.05).Subjects whose hospital had no sleep center were more prone to select weight loss(estimated parameters=0.513,P=0.046),no smoking and wine(estimated parameter=0.472,P=0.040),avoidance of overwork(estimated parameter=0.933,P=0.000),and drug(estimated parameter=0.802,P=0.000).The average correct rate of OSA knowledge was 45.59%±20.68%.Among them,the correct rate of response to treatment measures was the highest,and the correct rate of other knowledge points was poor.The average correct rate of total accuracy,symptoms and target organ damage in subjects whose hospital had sleep center was higher than that in subjects whose hospital had no sleep center,and there were significant differences(P=0.001,P=0.012,P=0.000).There was a positive correlation between the knowledge of OSA and their attitude towards OSA,treatment and further understanding of the knowledge(r=0.247,P=0.000).Conclusion It is necessary to strengthen propaganda and education of OSA,and the establishment of sleep center is helpful for medical personnel to know more about OSA and to develop sleep medicine.