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目的调查基层医生及糖尿病患者掌握糖尿病知识的现状,探索提高基层糖尿病患者防治能力的方法。方法 2013年1月—2014年6月成都市新都区辖区内的15家乡镇卫生院及2家社区卫生服务中心内科医生及全科医师共328人,其中慢病管理人员43人;村卫生室医生共152人。其辖区内糖尿病患者共575例。设置医生问卷,对乡镇卫生院/社区卫生服务中心及村卫生室医生进行调查;设置患者问卷,调查2型糖尿病患者对糖尿病知识的了解情况及血糖控制情况。根据调查结果对基层医生进行规范化培训。结果发放乡镇医生问卷328份,回收有效问卷319份,有效问卷回收率为97.3%;发放乡村医生问卷152份,回收有效问卷149份,有效问卷回收率为98.0%;发放糖尿病患者问卷575份,回收有效问卷539份,有效问卷回收率为93.7%。基层医院药品品种不齐。乡镇医生本科学历占7.8%,大专学历占53.6%,中专学历占38.6%;乡村医生大多未受医学专业教育,其中89.9%取得乡村医师资格证,10.1%取得助理医师资格证;基层医生糖尿病知识问卷调查得分低,其中慢病管理人员得分相对较高(P<0.05)。糖尿病患者整体医疗投入不足,治疗率低,就医频次低,缺乏糖尿病常识,糖化血红蛋白控制达标仅13.5%。结论基层糖尿病患者病情控制现状不佳,可能与基层医生宣教不足有关。对各级基层医生开展糖尿病培训是必要的。提倡由慢病管理人员对基层的糖尿病患者进行规范诊治,但有待接受系统、长期的培训。
Objective To investigate the status quo of grasping diabetes knowledge among grassroots physicians and diabetics and exploring ways to improve their prevention and treatment ability. METHODS: From January 2013 to June 2014, a total of 328 internists and general practitioners of 15 township hospitals and 2 community health service centers in the Xindu District of Chengdu were enrolled. Among them, there were 43 chronic disease management personnel and village health workers A total of 152 room doctors. In its jurisdiction a total of 575 cases of diabetic patients. Set up a questionnaire for doctors, investigate township hospitals / community health centers and village clinic doctors; set up questionnaires for patients with type 2 diabetes to investigate their knowledge of diabetes and their glycemic control. Based on the survey results, we conducted standardized training for primary doctors. Results A total of 328 questionnaires were distributed to township doctors and 319 valid questionnaires were returned. The effective questionnaire recovery rate was 97.3%. 152 rural doctors questionnaires were issued and 149 valid questionnaires were recovered. The effective questionnaire recovery rate was 98.0%. 575 diabetes questionnaires were issued, 539 valid questionnaires were collected, and the effective questionnaire recovery rate was 93.7%. Primary hospital drug varieties missing. Rural doctors accounted for 7.8% of the bachelor’s degree, tertiary education accounted for 53.6%, tertiary education accounted for 38.6%; mostly rural doctors are not medical professional education, of which 89.9% obtained the qualification of rural doctors, 10.1% obtained the qualification of assistant physician; primary doctor diabetes Knowledge questionnaire scores low, including chronic disease management staff scores relatively high (P <0.05). Patients with diabetes overall lack of input, treatment rate is low, low frequency of medical treatment, the lack of common sense diabetes, glycosylated hemoglobin control compliance of only 13.5%. Conclusion The status quo of patients with primary diabetes is poor, which may be related to the lack of education of primary doctors. It is necessary to carry out diabetes training for grassroots doctors at all levels. Advocate by the chronic disease management personnel to standardize the diagnosis and treatment of diabetes at the grassroots level, but awaiting systematic and long-term training.