摘要
目的 了解新疆乌鲁木齐地区临床医师对骨质疏松症高危人群筛查及规范化诊疗现况,为针对性推广该项目提供有效依据。方法 自行设计电子调查问卷,采用方便抽样法抽取354名乌鲁木齐地区各级医疗机构从事临床的医疗工作者,进行现况调查研究,使用SPSS23.0软件进行统计学分析。结果 (1)骨质疏松症高危人群筛查的现况分析:对骨质疏松高危人群筛查的关注度调查显示,高级职称关注高于初级职称(91.3%&.71.4%,P<0.05);内分泌与代谢病科关注度高于内科学(93.1%&.77.6%,P<0.05);工作年限5-10(年)、10-15(年)关注低于>20(年)(71.1%&.92.0%、76.7%&.92.0%,P<0.05)。(2)骨质疏松症诊疗的现况分析:骨质疏松症患者的规范化治疗是否存在困难的调查显示,二级医院存在的困难低于一级医院(92.8%&.100%,P<0.05);大专及以下、本科存在的困难高于硕士、博士(83.8%&.65.9%、83.8%&.65.9%、83.8%&.0.0%、83.6%&.0.0%,P<0.05);内科学存在的困难高于内分泌与代谢病科(89.6%&.76.20%,P<0.05)。(3)在骨质疏松防治中存在的问题以及对本推广项目的意见及建议分析:88.70%(314/354)的调查对象认为大众对疾病知识缺乏了解为骨质疏松防治上存在的问题,认为患者对于骨质疏松防治认可度低,依从性差的占68.08%(241/354)。结论 基层医院及初级职称医师在骨质疏松症高危人群筛查及规范化诊疗方面存在较大困难,大众对疾病知识缺乏了解及患者对于骨质疏松防治认可度低,依从性差是临床医师认为在骨质疏松防治中存在最大的问题。
Objective To understand the status of screening and standardized diagnosis and treatment of osteoporosis high-risk population by clinicians in Urumqi region,and to provide effective basis for targeted promotion of this project.Methods An electronic questionnaire was designed by ourselves.A total of 354 clinical medical workers in medical institutions at all levels in Urumqi region were selected by convenience sampling method to conduct a status investigation and study.SPSS23.0 software was used for statistical analysis.Results Analysis of the current situation of the screening of high-risk groups for osteoporosis:The investigation on the screening of high-risk groups for osteoporosis showed that the attention of senior titles was higher than that of primary titles(91.3%&.71.4%,P<0.05);The department of endocrinology and metabolic diseases paid more attention than internal medicine(93.1%&.77.6%,P<0.05).Working years 5-10(years),10-15(years) attention is lower than> 20(years)(71.1 %&.92.0%,76.7%&.92.0%,P<0.0 5).Analysis of the current situation of the diagnosis and treatment of osteoporosis:The investigation on whether there are difficulties in the standardized treatment of osteoporosis patients shows that the difficulties in level Ⅱ hospitals are lower than those in Level Ⅰ hospitals(92.8%& 100%,P<0.05).College and the difficulties,the undergraduate course is higher than master,doctor(.83.8% & 65.9%,83.8% and 65.9%,83.8%.&.0.0%,83.6% & 0.0%,P<0.05);The difficulty in internal medicine was higher than that in endocrine and metabolic diseases(89.6% &.76.20%,P<0.05).(3) Analysis of the problems in the prevention and control of osteoporosis as well as the opinions and Suggestions of the promotion project:8 8.70%(314/3 54) of the respondents believed that the lack of understanding of disease knowledge was a problem in the prevention and control of osteoporosis,and 68.08%(241/3 54) of the respondents believed that the recognition degree of the patients for the prevention and control of osteoporosis was low,with poor compliance.Conclusion There are great difficulties in screening and standardized diagnosis and treatment of osteoporosis high-risk population in primary hospitals and physicians with junior professional titles,lack of understanding of disease knowledge among the public,low recognition degree of patients for osteoporosis prevention and treatment,and poor compliance are the biggest problems that clinicians believe exist in the prevention and treatment of osteoporosis.
作者
张凯迪
衡燕
王新玲
玛依努·玉素甫
郭艳英
ZHANG Kaidi;HENG Yan;WANG Xinling;Ma Inu Yu Su-Fu;GUO Yanying(Department of Endocrinology,Xinjiang Uygur Autonomous Region People's Hospital,Urumqi 830001,China; Xinjiang Medical University,Urumqi 830054,China)
出处
《新疆医学》
2022年第7期805-809,共5页
Xinjiang Medical Journal
基金
新疆维吾尔自治区卫生与健康适宜技术推广项目(项目编号:SYTG-202002)
