重庆主城区社区医护人员对脑卒中防治管理能力-第三军医大学学报.DOC

重庆市主城区社区医护人员对脑卒中防治管理能力的调查研究 张杰，杨娟，王健（400010重庆，重庆医科大学附属第二医院神经内科） [摘要] 目的 调查重庆市市区社区医护人员对脑卒中防治的管理能力。方法 采用自行设计的调查表，以自填闭卷方式对500名服务于重庆8个主城区的社区医护人员进行调查。结果 有效问卷共331份，有效回收率为66.2%。40.7%的社区医生和 34.1%的社区护士知晓脑血管病防治指南；51.9%的社区医生和37.5%的社区护士认为自己有管理脑卒中的能力。对于调查表中有关脑卒中院前识别及处理，脑卒中二级预防知识，回答正确率仅分别为24.4%和37.5%。对于脑卒中防治的总得分，从事社区卫生服务工作之前的不同专业是否全科医师培训）；调查Prevention and treatment capabilities for stroke in general practitioners and nurses in urban communities in Chongqing Zhang Jie, Yang Juan, Wang Jian (Department of Neurology, Second Affiliated Hospital, Chongqing Medical University, Chongqing, 400010, China) [Abstract] Objective To investigate the prevention and treatment capabilities of stroke among general practitioners and nurses in urban communities, Chongqing. Methods Self-designed questionnaire was carried out with a close-exam in 500 general practitioners and nurses working in the community health service in Chongqing. Results There were 331 valid questionnaires and the valid returned rate was 66.2%. Of the 331 respondents, 40.7% of general practitioners and 37.5% general nurses knew the clinical guidelines for acute stroke management and secondary stroke prevention, 51.9% of general practitioners and 37.5% of general nurses reported that they had the capability of managing patient with stroke. The correct rate of answering questions about stroke assessment and management was 24.4%, and the correct rate of secondary stroke prevention was 37.5%. For the total score of stroke prevention and treatment, there were significant differences among the community medical staffs with different specialty before working in the community health service and whether they had received the general practitioner training (P0.05). Conclusion The knowledge level of stroke of Chongqing general practitioners and nurses are low, which needs to be improved. [Key words] stroke; general practitioner; general nurse; investigation _________________________________- [通信作者] 王健，E-mail: jian.wx@163.com 目前，脑血管疾病已成为世