巴西南部初级保健医生对痴呆症的认识和态度。

IF 2 Q2 MEDICINE, GENERAL & INTERNAL BMC primary care Pub Date : 2024-10-16 DOI:10.1186/s12875-024-02619-7
Daiana Perin, Laura Ferraz, Marcelo Rodrigues Gonçalves, Márcia Lorena Fagundes Chaves, Raphael Machado Castilhos
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引用次数: 0

摘要

背景:初级保健医生在帮助痴呆症患者方面发挥着核心作用,因此评估他们护理这些患者的准备情况至关重要。我们的目的是评估巴西南部南里奥格兰德州初级保健医生(PCP)对痴呆症的认识和态度:我们收集了社会人口学数据、治疗/转诊的痴呆症患者数量以及对护理这些患者的困难的看法。我们发送了一份事先经过验证的调查问卷:"结果:结果:从 2022 年 3 月到 2023 年 6 月,共有 296 名初级保健医生回答了问卷。他们大多为女性(52.7%,156 人),年龄中位数[IQR]为 35 [29-44] 岁,大多为白人(82.1%,243 人),有 7 (4-16) 年的医生经验。不到一半的医生进行了认知筛查(43.9%),而迷你精神状态检查是使用最多的筛查测试(63.5%)。知识问答的平均正确率为 46.4%。在态度测验中,我们发现了 3 个因素:1)坦率的积极态度;2)认为初级保健很重要,但对其持悲观态度;3)认为初级保健对患者护理很重要:结论:塞尔维亚共和国的初级保健医生对痴呆症的了解较少;但是,大多数人对这些患者持积极态度,或认为初级保健对这些患者的护理很重要。
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Knowledge and attitudes about dementia of primary care physicians in Southern Brazil.

Background: Primary Care Physicians have a central role in assisting individuals with dementia and evaluating their preparedness to care these patients is fundamental. Our aim is to evaluate the knowledge and attitudes regarding dementia of the Primary Care Physicians (PCP) in Rio Grande do Sul (RS) state, Southern Brazil.

Methods: We collected sociodemographic data, volume of patients with dementia treated/referred and perception of difficulties in caring for these patients. A previously validated questionnaire was sent: "Quiz on Knowledge and Attitudes in Dementia".

Results: From March/2022 to June/2023, 296 PCP responded to the questionnaire. They were mostly women (52.7%, 156), with a median [IQR] age of 35 [29-44] years, mostly were White (82.1%, 243) and had 7 (4-16) years of experience as a physician. Less than half of the physicians performed cognitive screening (43.9%) and Mini Mental State Examination was the most screening (63.5%) test used. The mean percentage of correct answers in the Knowledge Quiz was 46.4%. In the attitude quiz, we identified 3 factors: 1) frankly positive attitudes; 2) perceive primary care as important but have a pessimistic attitude towards them; 3) see primary care as important for patient care.

Conclusion: Knowledge about dementia is low among PCP in RS; however, most have positive attitudes towards these patients or think primary care is important to these patient's care.

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