摘 要 目的：了解浦東新區(qū)全科醫(yī)生對2型糖尿病社區(qū)管理的認知情況。方法：在浦東新區(qū)選8家社區(qū)衛(wèi)生服務中心共80名醫(yī)生進行問卷調(diào)查，內(nèi)容包括《2013年中國2型糖尿病防治指南》的內(nèi)容、糖尿病治療藥物和糖化血紅蛋白檢測的知曉情況。結果：不同職稱全科醫(yī)生之間對2型糖尿病的高危人群篩查方法、管理情況以及治療目標的知曉差異有統(tǒng)計學意義（P<0.05），對口服降糖藥物種類及使用方法和強化胰島素治療方案的知曉情差異有統(tǒng)計學意義（P<0.05），對2型糖尿病患者的糖化血紅蛋白控制目標知曉和臨床定期檢測比例有隨職稱增高而升高的趨勢，差異有統(tǒng)計學意義（P<0.05）。結論：浦東新區(qū)全科醫(yī)生對新《指南》的知曉情況有待提高，對藥物的使用掌握較好，定期糖化血紅蛋白的檢測率偏低，須進一步加強對新《指南》的培訓，提高社區(qū)對2型糖尿病患者的管理水平。
　　關鍵詞 2型糖尿��；社區(qū)管理；全科醫(yī)生；認知
　　中圖分類號：R587.1 文獻標志碼：A 文章編號：1006-1533（2018）04-0048-03
　　Investigation on the cognition of general practitioners on community management of type 2 diabetes in Pudong New District
　　QIN Wei1， ZHANG Shengbin2
　�。�1. Caolu Community Health Service Center of Pudong New District， Shanghai 201209， China. 2. Com m u nity Business Department of Medical Institutions Management Center in Pudong New District， Shanghai 200136， China）
　　ABSTRACT Objective： To understand the cognition of general practitioner on community management of type 2 diabetes in Pudong New District. Methods： A total of 80 doctors from 8 community health service centers in Pudong New District were investigated by a questionnaire， and the contents included the content of 《the guidelines for the prevention and control of type 2 diabetes in China in 2013》， the awareness of diabetes treatment drugs and the detection of glycosylated hemoglobin. Results： There were statistically significant differences in knowledge of screening methods， management and treatment goals of highrisk population among general practitioners with different professional titles（P<0.05）. The differences between the awareness of the types of oral hypoglycemic drugs and the methods of use and intensive insulin therapy were statistically significant（P<0.05）. Awareness of glycosylated hemoglobin control targets in type 2 diabetic patients and clinical regular detection ratio increased significantly with the increase of professional titles， and the difference was statistically significant（P<0.05）. Conclusion： The awareness of the new “guidelines” in general practitioners in Pudong New District needs to be improved. The use of drugs is better and the detection rate of regular glycosylated hemoglobin is low. It is necessary to further strengthen the training of the new guidelines to improve the level of community management for patients with type 2 diabetes.
　　KEY WORDS type 2 diabetes mellitus； community management； general practitioner； cognition
　　2013年，全球有3.92億人患有糖尿病，預計到2035年將增加到5.92億，大多數(shù)糖尿病患者生活在低收入和中等收入國家，提示在未來22年糖尿病病例數(shù)將快速的增加[1]。近年來，糖尿病的預防是社區(qū)防治工作的重點，通過社區(qū)衛(wèi)生服務中心全科醫(yī)生團隊的努力，已經(jīng)形成全科醫(yī)生為主體，醫(yī)院內(nèi)分泌為輔的糖尿病管理模式[2]，全科醫(yī)生規(guī)范化治療對糖尿病的防治效果產(chǎn)生直接影響。本研究旨在調(diào)查浦東新區(qū)社區(qū)衛(wèi)生服務中心的全科醫(yī)生對2型糖尿病社區(qū)管理的認知情況。

相關熱詞搜索：浦東新區(qū) 認知 全科 糖尿病 醫(yī)生