CAJ | 학술논문

目的了解上海地区全科医师对于痴呆及其相关问题的态度和信心.方法 2012年9月25日以问卷方式对上海地区部分全科医师(GP)进行调查,内容涉及其对痴呆及其相关问题的态度和信心.结果来自73家医院的287名GP参加了调查.大多数(78.4％) GP认为平时接触的痴呆患者较少,较少(24.7％)参加过相关知识的培训.高年资GP缺乏积极性,更倾向于痴呆由专家来诊断(87.1％对74.8％,OR=2.28,95％ CI:1.14～4.57,P=0.02)、没必要主动提出转诊(22.0％对10.1％,OR=2.52,95％ CI:1.24～5.14,P=0.01)及认为GP对痴呆的管理没有什么作用(9.7％对0.7％,OR=15.59,95％CI:1.96 ～ 123.81,P=0.00).结论上海地区的GP缺少痴呆相关知识的培训、对痴呆管理的态度相对消极,有必要对之开展良好的相关知识培训以提高其处理患者的自信和积极性.
목적 료해상해지구전과의사대우치태급기상관문제적태도화신심.방법 2012년9월25일이문권방식대상해지구부분전과의사(GP)진행조사,내용섭급기대치태급기상관문제적태도화신심.결과 래자73가의원적287명GP삼가료조사.대다수(78.4％) GP인위평시접촉적치태환자교소,교소(24.7％)삼가과상관지식적배훈.고년자GP결핍적겁성,경경향우치태유전가래진단(87.1％대74.8％,OR=2.28,95％ CI:1.14～4.57,P=0.02)、몰필요주동제출전진(22.0％대10.1％,OR=2.52,95％ CI:1.24～5.14,P=0.01)급인위GP대치태적관리몰유십요작용(9.7％대0.7％,OR=15.59,95％CI:1.96 ～ 123.81,P=0.00).결론 상해지구적GP결소치태상관지식적배훈、대치태관리적태도상대소겁,유필요대지개전량호적상관지식배훈이제고기처리환자적자신화적겁성.
Objective To explore the attitudes and confidence of general practitioners (GPs) in handling dementia and its related problems.Method A questionnaire survey was conducted among 287 GPs from 73 hospitals in Shanghai on September 25,2012.It included basic practicing information and their attitudes and confidence in handling dementia and its related problems.Results Among all participants,78.4％ of them responded that they encountered few demented patients during their clinical practices and only 24.7％ of them had attended some dementia-related knowledge training courses.Senior GPs were less enthusiastic than junior GPs in handling dementia and its related problems as they were more likely to think that dementia should be diagnosed by a specialist (87.1％ vs 74.8％,OR =2.28,95％ CI:1.14-4.57),less likely to actively refer patients (22.0％ vs 10.1％,OR =2.52,95％ CI:1.24-5.14) and more likely to form an opinion that GPs had a very limited role in the care of demented patients (9.7％ vs 0.7％,OR =15.59,95％ CI:1.96-123.81).Conclusion Most Shanghai GPs lack trainings about dementia and its related knowledge and their attitudes toward the care of dementia are pessimistic.Thus it is necessary to provide them more training to enhance their confidence and enthusiasm in the care of dementia.