摘要
目的探究在县级医院的继续教育下,基层全科医生对心力衰竭(心衰)患者管理水平的影响。方法通过随机对照的方法,将178例心衰患者分为干预组和对照组,并对县域内66名全科医生进行最新版心衰指南的继续教育,考核通过后再对干预组进行随访管理及教育;而对照组接受常规的二级预防1年后,观察此教育模式对心衰患者管理水平的影响。结果教育后全科医生对心衰的知晓率、标准化药物使用率均较教育前增高(P<0.05)。干预组心衰患者的疾病知晓率、标准化药物使用率、心衰自我管理率、6 min步行距离(6 MWD)均高于对照组(P<0.05);而心衰再入院率,平均住院时间均低于对照组。结论在县级医院继续教育下,全科医生对心衰的管理水平提高,进而改善了患者的预后。
Objective To explore the effect of basic level general practitioners on the management of patients with heart failure （heart failure） under the continuing education at the county level hospital. Methods Through a randomized controlled method, 178 patients with heart failure were divided into intervention group and control group, and 66 general practitioners in the county area were educated in the latest edition of heart failure guidelines. After that, follow-up management and education for intervention group were carried out. After 1 year of routine two - level prevention, the control group observed the effect of this educational model on the management of patients with heart failure. Results After education, the awareness rate of heart failure and the use rate of standardized drugs were higher than those before education （P 〈 0.05）. The awareness rate of disease, standardized drug utilization, heart failure self-management rate and 6 min walking distance （6 MWD） in intervention group were all higher than those in control group （P 〈 0.05）. The average hospitalization time of heart failure and hospitalization was lower than that of the control group. Conclusion Under the continuing education at the county level hospitals, the general practitioner has improved the management of heart failure and improved the prognosis of the patients.
出处
《中国继续医学教育》
2018年第6期1-3,共3页
China Continuing Medical Education
关键词
心力衰竭
全科医生
继续教育
heart failure
a general practitioner
continuing education
