耳鼻喉科临床医师对阻塞性睡眠呼吸暂停低通气综合征的认知度调查

发布时间：2018-03-16 18:25

本文选题：睡眠呼吸暂停　切入点：阻塞性　出处：《山东大学耳鼻喉眼学报》2012年02期 　论文类型：期刊论文

【摘要】：目的归纳分析耳鼻喉科临床医师掌握阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的知识水平程度,及评价他们的自我从业态度。方法采用美国OSAHS知识及态度问卷(OSAKA)作为基本模式,以邮寄方式对山东省41所公立医院的耳鼻喉科临床医师进行问卷调查。结果回收有效问卷334份(占95.70%),全部知识条目的平均正确率为78%(74%±15%)。334位被调查的临床医师中,61.38%错误的认为"悬雍垂腭咽成型术可以治愈大多数OSAHS患者";41.02%(0.41±0.49)能够正确回答"女性OSAHS患者可以仅仅只表现为疲乏";50.90%(0.51±0.50)了解"成人睡眠中每小时呼吸暂停和/或低通气小于5次是正常的";95%以上的被调查者认为OSAHS作为一类临床疾病、鉴别诊断患者是否有OSAHS风险,二者都具有重要意义;70%表示对OSAHS的诊断有信心,但仅有不足60%表示对OSAHS的治疗有信心;OSAHS相关知识总得分随着医师年龄及执业年限的增加而增高;随着耳鼻喉科临床医师对OSAHS疾病重要性的认识及诊疗自信心自我评价的增强而增高,即知识条目的回答正确率与临床医师对OSAHS疾病认知度之间呈线性正相关关系;耳鼻喉科临床医师对OSAHS发病机制的知识了解较为全面,正确率较高,对OSAHS治疗的相关知识了解较为有限,回答正确率最低。结论耳鼻喉科临床医师对OSAHS的重要性有所认识,但对诊断、特别是相关治疗知识的掌握仍有待提高,通过加强继续教育等各种方式全面提高临床相关专业人员对OSAHS的认知程度,是提高诊疗水平的关键。
[Abstract]:Objective to analyze the Department of ENT Physician Master of obstructive sleep apnea hypopnea syndrome (OSAHS) and the level of knowledge, and evaluation of their self working attitudes. Methods using the OSAHS knowledge and attitude questionnaire (OSAKA) as the basic model, conducted a questionnaire survey to 41 Public Hospitals in Shandong province by way of Department of ENT doctors. Results there were 334 valid questionnaires (95.70%), all the knowledge to the average correct rate is 78% (74% + 15%).334 was investigated in 61.38% clinicians mistakenly think, "UPPP can cure most patients with OSAHS; 41.02% (0.41 + 0.49) correctly answered" female OSAHS patients just as tired "; 50.90% (0.51 + 0.50) to understand the" adult sleep apnea per hour and / or low ventilation is less than 5 times is normal; more than 95% of the respondents believe that OSAH S as a kind of clinical disease, differential diagnosis of whether the patient has OSAHS risk, is of great significance in two; 70% expressed confidence in the diagnosis of OSAHS, but only less than 60% expressed confidence in the treatment of OSAHS; OSAHS related knowledge score increased with age and years of practicing physicians increased; and increased with the increase of Department of ENT physicians to OSAHS disease awareness of the importance of the diagnosis and treatment of self-confidence self assessment of the knowledge that a correct answer rate and clinicians was linear positive correlation between the OSAHS disease awareness; knowledge about the pathogenesis of OSAHS in clinical department of ENT physicians more comprehensive, higher accuracy, more limited to treatment of OSAHS related knowledge, answer the correct rate is the lowest. Conclusion the importance of OSAHS understanding of the Department of ENT physicians, but the diagnosis, especially the treatment of knowledge is still To improve the level of diagnosis and treatment, the key to improve the level of diagnosis and treatment is to improve the degree of cognition of clinical professionals to OSAHS by means of strengthening continuing education and other ways.

【作者单位】：山东大学齐鲁医院耳鼻咽喉头颈外科;
【分类号】：R766.7

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