医护人员对阿尔茨海默病的了解现况及其影响因素

摘要

目的 了解医护人员对阿尔茨海默病(AD)知识的掌握情况及其影响因素.方法 采用单纯随机抽样方法随机抽取3所医院的医生和护士200名,采用阿尔茨海默病知识量表(ADKS)调查医护人员对AD知识的了解情况,并通过自制调查表以问卷形式调查其可能的影响因素.结果 共发放问卷200份,收回有效问卷200份,应答率为100％.其中医生100名(50％),护士100名(50％).ADKS量表评分总分为(60.20±11.940)分,7个方面得分均较低,按照由高到低顺序排列依次为生活的影响(80.83±24.656)、治疗和管理(76.25±24.137)、病程(62.13±23.508)、危险因素(61.75±21.708)、评估和诊断(61.63±23.090)、症状(51.50±26.003)和照料(37.40±20.081).按照影响因素作用由大到小排序,经多重线性回归分析问卷得分总分的影响因素为:工作系列、是否参加过AD知识培训、家庭成员是否患AD/相关障碍、学历.各影响因素与总分均呈正相关,即医生比护士得分高,参加过AD知识培训、家庭成员患AD/相关障碍、学历越高,问卷得分总分越高.结论 3所医院医护人员对AD知识了解整体情况较差,AD知识的各方面得分与诸多因素存在相关关系,据此可制定相应的措施,提高医护人员对阿尔茨海默病的了解.%Objective To study the influencing factors and understanding situation of Alzheimer' s disease among medical workers.Methods Totals of 200 staffs and nurses were randomly selected from three hospitals.Self-designed questionnaire and Alzheimer' s disease knowledge scale was used to measure the understanding situation of medical workers.Results The average score of ADKS was ( 60.20 ± 11.940 ),and the dimensions score was life influencing (80.83 ± 24.656),treatment and management (76.25 ± 24.137),course of disease ( 62.13± 23.508),risk factors ( 61.75± 21.708 ),assessment and diagnosis ( 61.63 ±23.090),symptom(51.50 ± 26.003 ),care ( 37.40 ± 20.081 ).And multiple linear regressions indicated that working,AD knowledge training,family members with AD/related obstacles,education back ground were the influencing factors of the ADKS score,and those factors were positively correlated with the score of ADKS.Conclusions The understanding situation of Alzheimer' s disease among medical staffs of three hospitals is poor.The scores of all aspects of Alzheimer' s disease knowledge are correlated with many factors,so we can take corresponding measures to improve the understanding of Alzheimer's disease among the medical workers.