| 何康杰,杨向南,戴迪,张嘉铖,陈军,刘焕强,郑烨,段跃.浙江两地区基层医生对前列腺疾病认知现状调查[J].浙江中西医结合杂志,2022,32(4): |
| 浙江两地区基层医生对前列腺疾病认知现状调查 |
| Investigation on the cognition of prostate diseases among community doctors in Zhejiang Province |
| 投稿时间：2021-10-01 修订日期：2022-03-04 |
| DOI： |
| 中文关键词: 前列腺疾病 基层医生 认知现状 分级诊疗制度 |
| 英文关键词:Prostate disease Primary care physicians Cognitive status Hierarchical diagnosis and treatment system |
| 基金项目: |
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| 中文摘要: |
| 目的 调查和了解目前浙江两地基层医生对前列腺疾病诊疗现状的认知情况,为进一步提高基层医生诊疗能力提供指导。方法 选取湖州、绍兴等地157名基层医生,以微信问卷形式进行调查。调查内容包括前列腺疾病的分型、病因的认识、诊断和治疗方法以及相关并发症处理等。结果 大部分医生能够对前列腺炎作出诊断,并进行相关检查及治疗；对于良性前列腺增生,有33.76%的被调查者不知道IPSS评分,有17.2%的被调查者从未参加过任何相关知识培训,大部分医生能够完成疾病诊疗相关的问题,但是被调查对于良性前列腺增生会引起何种类型的尿失禁尚无统一的认识；前列腺癌方面,被调查者对于目前我国前列腺癌发病率、老年人PSA检查的选用等问题了解较为深入,而前列腺癌生化复发、去势抵抗以及Gleason分级等概念了解程度较低。结论 目前浙江两地基层医生对前列腺疾病的病因、发病机理、诊治认知等方面仍需进一步提高,尤其在面对前列腺癌时,多数医生还未能够掌握一套完整的诊疗体系,因此要发挥医联体建设的优势,针对前列腺相关疾病,并对广大基层医生进行相关培训,提高医生临床医疗水平。 |
| 英文摘要: |
| Objective Investigate and understand the current understanding of the status quo of prostate disease diagnosis and treatment by grassroots doctors in Zhejiang and Zhejiang, and provide guidance for further improving the diagnosis and treatment capabilities of grassroots doctors. Method 157 grassroots doctors in Huzhou, Shaoxing and other places were selected to conduct surveys in the form of WeChat questionnaires. The content of the investigation included the classification of prostate diseases, the understanding of the cause, the methods of diagnosis and treatment, and the treatment of related complications. Result Most doctors are able to diagnose prostatitis and perform related examinations and treatments; for benign prostatic hyperplasia, 33.76% of the respondents do not know the IPSS score, and 17.2% of the respondents have never participated in any relevant knowledge training. Most doctors are able to complete the problems related to disease diagnosis and treatment, but there is no uniform understanding of the type of urinary incontinence caused by benign prostatic hyperplasia. In terms of prostate cancer, the respondents are aware of the current incidence of prostate cancer in my country and the PSA of the elderly. Questions such as the selection of examinations are more deeply understood, while the concepts of prostate cancer biochemical recurrence, castration resistance, and Gleason grading are not well understood. Conclusion At present, grassroots doctors in Zhejiang and Zhejiang still need to further improve their knowledge of the etiology, pathogenesis, diagnosis and treatment of prostate disease. Especially when facing prostate cancer, most doctors have not yet mastered a complete diagnosis and treatment system, so they must give full play to their medical skills. The advantages of conjoined construction are to provide relevant training to the majority of grassroots doctors for prostate-related diseases to improve the clinical medical level of doctors. |
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