摘要
目的调查新疆维吾尔自治区乌鲁木齐、克拉玛依和塔城地区的医护人员对甲状腺疾病规范化诊疗认知程度,探讨甲状腺疾病诊疗防控培训和宣教工作策略的优化。方法纳入2019年新疆维吾尔自治区甲状腺疾病诊疗新进展学习班的来自乌鲁木齐、克拉玛依地区和塔城参会学员79名,均为医院临床医疗科室和社区医疗机构在岗医护人员,通过大会会场登记和扫描问卷二维码完成在线网络调查。现况调查问卷内容包括:医护学员基本情况、甲状腺疾病基本知识、对最新诊疗指南了解程度和甲状腺疾病的诊疗规范化程度自我评价及学习后测评共5部分。结果发放问卷79份,回收有效问卷79份。79名完成问卷的医务人员中医生53名(男性29名,女性24名),护士26名(男性1名,女性25名);初级职称者31名,中级职称者40名,高级职称者8名。来自三级医院7名(8.86%)二级医院68名(86.08%),来自社区医生4名(5.06%)。内分泌代谢专科医护人员28名(35.44%),非专科医护人员51名(64.56%)。医护人员年龄分布:30岁以下青年医生和护士一共28名(35.45%),30-39岁的医护人员24名(30.38%),40-49岁的医护人员23名(29.11%),50岁以上的医护人员4名(5.06%)。关于甲状腺功能亢进症规范化诊疗、甲状腺结节和甲状腺癌疾病知识问答的及格率依次是98.73%、91.14%、63.29%。对于Graves病、Graves眼病,甲状腺炎、原发性甲状腺功能减退症、甲状腺结节,甲状腺癌以及妊娠期及产后甲状腺相关疾病治疗规范化程度的自我评分平均分别为5.19,4.51,5.04,5.34,6.0,4.91和4.57(总分10分)。结论医务人员对甲状腺疾病基本知识了解有所差异,对于妊娠期甲状腺毒症和妊娠期甲状腺功能减退或亚临床甲状腺功能减退症不够熟悉,对于甲状腺结节的诊疗规范化程度还有待加强。加强基层医护人员的内分泌代谢相关疾病规范化诊疗的培训学习,有助于甲状腺疾病的防控和规范化诊疗。
Objective To investigate the cognition level of medical staff in Urumqi,Karamay and Tacheng areas on standardized diagnosis and treatment of thyroid diseases,and to explore the optimization of working strategies such as thyroid disease diagnosis and treatment training and education.Methods A total of 79 participants from Urumqi,Karamay region and Tacheng were enrolled in the 2019 Xinjiang Thyroid Disease Diagnosis and Treatment New Progress Class.All of whom were medical staff from hospital clinical medical departments and community medical institutions.Participants complete the online survey by registering at the conference venue and scanning the QR code of the questionnaire.The current status survey questionnaire includes five parts:basic information of medical staff,basic knowledge of thyroid disease,understanding of the latest diagnosis and treatment of guidelines,self-evaluation of the standardization of diagnosis and treatment of thyroid disease,and post-learning evaluation.Results 79 questionnaires were distributed and 79 valid questionnaires were returned.Among the 79 medical staff who completed the questionnaire,53 were doctors(29 males,24 females),26 nurses(1 male,25 females).There were 7(8.86%)from tertiary hospitals,68(86.08%)from secondary hospitals,and 4(5.06%)from community clinic.There were 28(35.44%)medical workers specialized in endocrinology and metabolism,51 medical workers(64.56%)non-specialized.Age distribution of medical staff:28 young doctors and nurses under 30 years old(35.45%),24 medical staff between 30-39 years old(30.38%),23 participants between 40-49 years old(29.11%),and 4 participants(5.06%)were over 50 years old.The passing rates of standardized diagnosis and treatment of hyperthyroidism,thyroid nodules and thyroid cancer knowledge questions were98.73%,91.14%,and 63.29%.For Graves disease,Graves ophthalmopathy,thyroiditis,primary hypothyroidism,thyroid nodules,thyroid cancer,and thyroid-related diseases during pregnancy and postpartum,the average self-scores of treatment normalization degree are respectively 5.19,4.51,5.04,5.34,6.0,4.91 and 4.57(total score of 10 points).Conclusion The understanding of basic knowledge of thyroid diseases among medical staff is different.They are not familiar enough to thyrotoxicosis during pregnancy and hypothyroidism during pregnancy or subclinical hypothyroidism,the standardization of diagnosis and treatment of thyroid nodules is maintained to be improved.Strengthening the training and learning of standardized diagnosis and treatment of endocrine and metabolism-related diseases for primary medical staff will help prevent and control thyroid diseases and standardize diagnosis and treatment.
作者
谭惠文
付煊
向蔚婷
阿米娜·克力木
李农
王敏哲
谢爱霞
TAN Huiwen;FU Xuan;XIANG Weiting;Amina Kelimu;LI Nong;WANG Minzhe;XIE Aixia(West China Hospital of Sichuan University,Chengdu 610041,China;Karamay People's Hospital,Karamay 834000,Xinjiang,China;The Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)
出处
《新疆医学》
2021年第8期937-939,946,共4页
Xinjiang Medical Journal
基金
克拉玛依市创新人才工程项目(项目编号:2017RC001A-11)
关键词
甲状腺
规范化诊疗
妊娠期甲状腺毒症
GRAVES病
继续教育
thyroid
standardized diagnosis and treatment
thyrotoxicosis during pregnancy
Graves disease
continuing education
