关于社区全科医师对咽喉反流性疾病认识现状的调查(1)
【摘要】 目的：了解社区全科医师对咽喉反流性疾病(laryngopharyngeal reflux disease，LPRD)的认知现状。方法：2018年6月抽取福州市中心城区10家社区卫生服务中心50名从事全科医学专业工作的执业医师，分别从LPRD疾病名称、临床表现、反流症状指数(reflux symptom index，RSI)评分量表、质子泵抑制剂(proton pump Inhibitor，PPI)使用、生活饮食指导的意义等5个方面，采取问卷调查形式进行LPRD认知现状的横断面调查。并针对调查对象开展LPRD相关诊疗知识培训，并于培训结束时对以上对象再次进行调查评估培训效果。结果：培训前，共回收有效问卷45份，97.8%(44/45)的医师了解LPRD疾病名称，66.7%(30/45)的医师掌握LPRD的临床表现，28.9%(13/45)的医师掌握RSI评分量表，33.3%(15/45)的医师掌握LPRD诊治过程中PPI的正确使用方法，60.0%(27/45)的医师了解生活饮食指导意义。培训后，共回收有效问卷47份，100%(47/47)的医师了解了LPRD疾病名称，对LPRD临床表现(89.4% vs 66.7%)、RSI评分量表(63.8% vs 28.9%)、PPI正確使用方法(74.5% vs 33.3%)和生活饮食指导意义(85.1% vs 60.0%)的知晓率均较培训前显著提高，差异均有统计学意义(P<0.05)。结论：当前，社区全科医师对LPRD的认识仍不足。今后，应加强该领域继续医学教育以提高对该病的认识水平。
, http://www.100md.com
【关键词】 社区； 全科医师； 咽喉反流性疾病
【Abstract】 Objective：To investigate the knowledge status of community general practitioner about laryngopharyngeal reflux disease(LPRD).Method：In June 2018，50 practitioners of general medicine in 10 community health service centers in Fuzhou City were selected.A cross-sectional survey of LPRD cognition status was conducted by questionnaire.A questionnaire regarding LPRD，the clinical manifestation，the reflux symptom index(RSI)，the use of proton pump inhibitor(PPI)，and the significance of living diet guidance was supplied to those practitioners. LPRD-related knowledge training was carried out for the respondents.At the end of the training，the respondents were investigated and evaluated again.Result：Before training，45 valid questionnaires were collected.97.8%(44/45) of the doctors knew the name of LPRD，66.7%(30/45) of the doctors knew the clinical manifestations of LPRD，28.9%(13/45) of the doctors mastered the RSI scale，33.3%(15/45) of the doctors mastered the correct use of PPI in the diagnosis and treatment of LPRD，and 60.0%(27/45) of the doctors understand the meaning of life diet guidance.After training， 47 valid questionnaires were retrieved.100%(47/47) of the doctors knew the name of LPRD.The awareness rate of LPRD clinical manifestation，RSI score，correct use of PPI and the significance of life and diet guidance were significantly improved(P<0.05).Conclusion：The knowledge of community general practitioners about LPRD is still insufficient.In the future，continuing medical education in this field should be strengthened to raise awareness of the disease.
【Key words】 Community； General practitioner； Laryngopharyngeal reflux disease
First-author’s address：Fuzhou General Hospital of PLA，Fuzhou 350025，China
doi：10.3969/j.issn.1674-4985.2018.33.017, 百拇医药(龚宏勋 陈十燕 陈贤明)
, http://www.100md.com
【关键词】 社区； 全科医师； 咽喉反流性疾病
【Abstract】 Objective：To investigate the knowledge status of community general practitioner about laryngopharyngeal reflux disease(LPRD).Method：In June 2018，50 practitioners of general medicine in 10 community health service centers in Fuzhou City were selected.A cross-sectional survey of LPRD cognition status was conducted by questionnaire.A questionnaire regarding LPRD，the clinical manifestation，the reflux symptom index(RSI)，the use of proton pump inhibitor(PPI)，and the significance of living diet guidance was supplied to those practitioners. LPRD-related knowledge training was carried out for the respondents.At the end of the training，the respondents were investigated and evaluated again.Result：Before training，45 valid questionnaires were collected.97.8%(44/45) of the doctors knew the name of LPRD，66.7%(30/45) of the doctors knew the clinical manifestations of LPRD，28.9%(13/45) of the doctors mastered the RSI scale，33.3%(15/45) of the doctors mastered the correct use of PPI in the diagnosis and treatment of LPRD，and 60.0%(27/45) of the doctors understand the meaning of life diet guidance.After training， 47 valid questionnaires were retrieved.100%(47/47) of the doctors knew the name of LPRD.The awareness rate of LPRD clinical manifestation，RSI score，correct use of PPI and the significance of life and diet guidance were significantly improved(P<0.05).Conclusion：The knowledge of community general practitioners about LPRD is still insufficient.In the future，continuing medical education in this field should be strengthened to raise awareness of the disease.
【Key words】 Community； General practitioner； Laryngopharyngeal reflux disease
First-author’s address：Fuzhou General Hospital of PLA，Fuzhou 350025，China
doi：10.3969/j.issn.1674-4985.2018.33.017, 百拇医药(龚宏勋 陈十燕 陈贤明)
参见：首页 > 医疗版 > 疾病专题 > 中医疾病