CAJ | 학술논문

对成都部分社区医生心力衰竭(心衰)相关知识的掌握情况等进行问卷调查,完成有效调查问卷110份.结果显示,社区医生学历层次和工作年限较低,接受继续教育的机会少；约77.3％(85/110)的医生对心衰相关防治知识严重缺乏,对心衰治疗指南知晓率仅21.8％(24/110),对心衰患者的诊断正确率仅为51.3％(40/78),规范化治疗药物使用率、达靶剂量率均低,约(99/110)90％社区医生缺乏对心衰患者的教育和管理.提示社区医生对心衰相关知识的掌握、对心衰患者的诊治和教育管理情况较差,急需系统培训相关知识,提高其对心衰患者的管理能力.
대성도부분사구의생심력쇠갈(심쇠)상관지식적장악정황등진행문권조사,완성유효조사문권110빈.결과현시,사구의생학력층차화공작년한교저,접수계속교육적궤회소；약77.3％(85/110)적의생대심쇠상관방치지식엄중결핍,대심쇠치료지남지효솔부21.8％(24/110),대심쇠환자적진단정학솔부위51.3％(40/78),규범화치료약물사용솔、체파제량솔균저,약(99/110)90％사구의생결핍대심쇠환자적교육화관리.제시사구의생대심쇠상관지식적장악、대심쇠환자적진치화교육관리정황교차,급수계통배훈상관지식,제고기대심쇠환자적관리능력.
A questionnaire survey on chronic heart failure management was conducted in 110 physicians from Xindu,Supo,Jiajiang and Xinhua community hospital in Chengdu from January 2007 to June 2010.Results showed that 77.3％ (85/110) of community physicians lacked knowledge about prevention,diagnosis and treatment of chronic heart failure,and the diagnostic accuracy rate was only 51.3％ (40/78) in these community hospitals.There was lack of awareness of the guideline of chronic heart failure:the rate of β blockers use was 15.0％ (6/40) and only 5.0％ (2/40) used the target dose; the rate of angiotensin converting enzyme inhibitor use was 17.5％ (7/40) and only 7.50％ (3/40) used the target dose.In addition,90％ (99/110) of community doctors lacked the education and management for patients with heart failure.The survey suggests that the current situation of chronic heart failure management in community physicians in Chengdu is unsatisfactory.It is necessary to strengthen the training of community physicians.