浦东远郊地区社区医生痛风诊疗认知现状的初步调查

中华养生保健 ›› 2024, Vol. 42 ›› Issue (13): 96-99.

浦东远郊地区社区医生痛风诊疗认知现状的初步调查

左必军¹, 夏琳^1,*, 沈丽²

1.上海市浦东新区泥城社区卫生服务中心,上海,201306;
2.上海市浦东医院中医科,上海,201399

出版日期:2024-07-01 发布日期:2024-06-25
通讯作者: ^*夏琳,E-mail：52880317@qq.com。
作者简介:左必军（1984—）,男,汉族,籍贯：江苏省盐城市,本科,主管药师,研究方向：社区临床药学。
基金资助:
浦东新区科技发展基金事业单位民生科研专项医疗卫生项目（PKJ2022-Y82）; 浦东新区卫生健康委员会优秀青年医学人才培养项目（PWRq2020-37）

Preliminary Investigation on the Cognitive Status of Gout Diagnosis and Treatment Among Community Doctors in the Duburban Areas of Pudong

ZUO Bi-jun¹, XIA Lin^1,*, SHEN Li²

1. Nicheng Community Health Service Center, Pudong New Area, Shanghai 201306, China;
2. Department of Traditional Chinese Medicine, Shanghai Pudong Hospital, Shanghai 201399, China

Online:2024-07-01 Published:2024-06-25

摘要/Abstract

摘要： 目的研究浦东远郊地区医生痛风诊疗的认知现状,提供针对性的痛风管理模式和再教育内容。方法对浦东远郊12家社区医院全科医生发放痛风诊治相关问卷调查,通过职称、学历等因素分析医生对痛风概念、治疗方案、诊疗规范上的差异性。结果在调查的远郊地区全科医生中,本科及以上学历占比84.28%,中级及以上职称占比85.53%,年龄在41~50岁阶段的占比51.57%,30岁以下医生仅占3.78%,人才梯队建设应引起重视。不同职称的医生对痛风的概念没有差异性,不同学历在诊疗规范方面差异有统计学意义（P<0.05）。远郊农村地区病例较丰富,但50.31%的接诊医生建议高尿酸患者选择长期进行降尿酸治疗,由于医疗设施、药品配备的差异,对治疗方案的规范化存在短板。结论目前浦东远郊地区全科医生对痛风的基本概念、诊疗规范了解程度较高,但在药物治疗痛风方面存在不足,有必要对社区临床药师予以药学服务干预,提高患者服药依从性,进一步改善预后效果及生活质量。

关键词: 痛风, 全科医生, 血尿酸水平, 药学服务

Abstract: Objective Study on the cognition status of doctors' diagnosis and treatment of gout in the outer suburbs of Pudong,Provide targeted gout management mode and re education content. Methods General practitioners in 12 community hospitals in the outer suburbs of Pudong were surveyed with questionnaires about gout diagnosis and treatment,The differences of doctors on gout concept, treatment plan and diagnosis and treatment norms were analyzed by factors such as professional title and education background. Results Among the general practitioners surveyed in the suburban areas,84.28% had bachelor degree or above, 85.53% had intermediate professional title or above, 51.57% were 41-50 years old, and only 3.78% were doctors under 30 years old. Attention should be paid to the construction of talent echelon.There is no difference in the concept of gout among doctors with different professional titles, but there are differences in the diagnosis and treatment norms among doctors with different educational backgrounds (P<0.05). The cases in the outer suburbs and rural areas are rich, but 50.31% of the doctors recommended that hyperuricemia patients choose long-term uric acid lowering treatment.Due to the differences in medical facilities and drug allocation,there are shortcomings in the standardization of treatment scheme. Conclusion At present,general practitioners in the outer suburbs of Pudong have a high understanding of the basic concepts and diagnosis and treatment norms of gout, but there are deficiencies in the drug treatment of gout. It is necessary for community clinical pharmacists to give pharmaceutical care intervention to improve the medication compliance of patients, and further improve the prognosis and quality of life.

Key words: gout, general practitioners, blood uric acid level, pharmaceutical care

中图分类号:

R593

左必军, 夏琳, 沈丽. 浦东远郊地区社区医生痛风诊疗认知现状的初步调查[J]. 中华养生保健, 2024, 42(13): 96-99.

ZUO Bi-jun, XIA Lin, SHEN Li. Preliminary Investigation on the Cognitive Status of Gout Diagnosis and Treatment Among Community Doctors in the Duburban Areas of Pudong[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(13): 96-99.

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