CAJ | 학술논문

目的了解社区医生对血管性认知功能障碍(VCI)知识的知晓情况.方法 2012年10月至12月,对北京朝阳区劲松、南磨房、潘家园及豆各庄4所社区卫生服务中心的87名社区医生进行自制VCI知识问卷调查,其中男性27名、女性60名,平均年龄(39±11)岁;大学、大专学历者占85％ (74/87),初、中级职称者占90％ (78/87),内科医师占41％ (36/87).结果 87名社区医生均完成调查.对轻微及显著的神经认知障碍知晓率为39％(60/87),对各种痴呆病因的知晓率为51％(44/87) ～ 100％(87/87),对记忆下降等认知障碍症状知晓率为79％(69/87) ～99％(86/87),而对卒中首发症状为认知障碍的知晓率为54％(47/87).在痴呆的主要诊断依据中,相关知识知晓率为57％(50/87) ～97％(84/87).对VCI患者治疗知识知晓率80％(70/87) ～ 100％(87/87),但阿尔茨海默病和路易体痴呆早期干预不可逆转的知晓率为46％(40/87)和37％(32/87),只有36％(31/87)社区医生认为掌握认知障碍专科理论知识及诊疗技能.对血管危险因素相关知识的知晓率为20％(17/87) ～ 100％(87/87),而对多种健康宣教方式知晓率达52％(45/87) ～ 95％(83/87).结论社区医生对VCI相关病因、诊疗及预防等部分知识知晓率高,但客观分析表明其VCI理论知识与诊疗经验有待完善与提高.
목적 료해사구의생대혈관성인지공능장애(VCI)지식적지효정황.방법 2012년10월지12월,대북경조양구경송、남마방、반가완급두각장4소사구위생복무중심적87명사구의생진행자제VCI지식문권조사,기중남성27명、녀성60명,평균년령(39±11)세;대학、대전학력자점85％ (74/87),초、중급직칭자점90％ (78/87),내과의사점41％ (36/87).결과 87명사구의생균완성조사.대경미급현저적신경인지장애지효솔위39％(60/87),대각충치태병인적지효솔위51％(44/87) ～ 100％(87/87),대기억하강등인지장애증상지효솔위79％(69/87) ～99％(86/87),이대졸중수발증상위인지장애적지효솔위54％(47/87).재치태적주요진단의거중,상관지식지효솔위57％(50/87) ～97％(84/87).대VCI환자치료지식지효솔80％(70/87) ～ 100％(87/87),단아이자해묵병화로역체치태조기간예불가역전적지효솔위46％(40/87)화37％(32/87),지유36％(31/87)사구의생인위장악인지장애전과이론지식급진료기능.대혈관위험인소상관지식적지효솔위20％(17/87) ～ 100％(87/87),이대다충건강선교방식지효솔체52％(45/87) ～ 95％(83/87).결론 사구의생대VCI상관병인、진료급예방등부분지식지효솔고,단객관분석표명기VCI이론지식여진료경험유대완선여제고.
Objective To survey the awareness rate of knowledge about vascular cognitive impairment (VCI) in community physicians.Methods A questionnaire survey on the awareness of knowledge about VCI was conducted in 87 community physicians from 4 community hospitals in Beijing Chaoyang District from October to December 2012.Among all participants there were 27 males and 60 females with an average age of (39 ± 11) years,85％ (74/87)had college or university degrees,90％ (78/87) held primary or middle-level professional titles,41％ (36/87),of them were internists.Results All participants completed the questionnaire.The awareness rate about minor and major neurocognitive disorder was 39％ (60/87) ; the rates of various causes of dementia were 51％ (44/87)-100％ (87/87) and various symptoms of cognitive impairment were 79％ (69/87)-99 ％ (86/87),respectively.The awareness rate of cognitive impairment as initial symptom displayed in stroke was 54 ％ (47/87).The awareness rates of knowledge related to diagnosis and treatment of dementia were 57％ (50/87)-97％ (84/87) and 80％ (70/87)-100％ (87/87),respectively.The awareness rates about that Alzheimer's disease and dementia with Lewy bodies were not reversed by early treatment were 46％ (40/87)and 37％ (32/87),respectively.The awareness rates of vascular risk factors were 20％ (17/87)-100％ (87/87)and those about the mode of health education were 52％ (45/87)-95 ％ (83/87).There was 36％ (31/87) community physicians who thought that they possessed VCI-related knowledge.Conclusions The results of survey suggest that community physicians shall upgrade their knowledge of diagnosis and treatment for vascular cognitive impairment.