家庭医生对眩晕意识的评价:一项横断面研究

Irfan Kara, Muhammed Gazi Yıldız, R. Gümüştakım, A. Doğaner, S. Sağıroğlu, Nagihan Bal, Israfil Orhan
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摘要

目的:本研究旨在了解家庭医生对眩晕的认知水平。确定了家庭医生和耳鼻喉科医生对眩晕性眩晕的治疗方法,并对最常见的眩晕性疾病的知识和诊断方法进行了对比。方法:352名医师参与调查研究,其中耳鼻喉科医师160名,家庭医师192名。本研究采用“google表单”打开网页的在线调查形式进行。问卷调查由专科医师、讲师和具有1年以上专业经验的在职住院医师完成。参与者被要求填写一份34项调查问卷,包括社会人口统计信息、眩晕的定义、最常见的眩晕引起疾病、这些疾病的治疗以及他们接受眩晕教育的意愿。结果:在问卷“提到眩晕首先想到的疾病是什么?”, 95%的耳鼻喉科医生回答良性阵发性体位性眩晕(BPPV),其中3%的医生回答了梅尼埃病,而53%的家庭医生回答了BPPV, 35%的家庭医生选择了梅尼埃病。31%的耳鼻喉科医生和63%的家庭医生表示,他们通常会要求眩晕患者进行血液检查。对于“BPPV的基本治疗方法是什么”这个问题,96%的耳鼻喉科医生和71%的家庭医生的回答是重新定位。耳鼻喉科医生对BPPV患者进行重新定位的比例为97%,家庭医生为29%。结论:本研究最关键的结论是,参与问卷调查的家庭医生需要加强对眩晕和头晕的区别以及周围性眩晕引起疾病的一些基本问题的教育。在这一点上,我们认为为家庭医生组织眩晕课程将是有益的。
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Evalution of Family Physician’s Awareness of Vertigo: A Cross-sectional Study
Objective: This study aims to determine the family physician’s level of awareness on vertigo. The approaches of family medical practitioners and ENT physicians on vertigo-diziness was determined, as well as the knowledge on most common vertigo-causing diseases and the diagnostic and therapeutic approaches of these diseases were contrasted. Methods: 352 physicians including 160 ENT physicians and 192 family physicians were included in the survey study. This study was conducted in the form of an online survey using “google forms” open web page. The questionnaire study was completed by specialist physicians, lecturers and actively working medical residents with more than 1 year of professional experience. Participants were asked to fill in a 34-item questionnaire involving sociodermographic information, the definition of vertigo, the commonest vertigo-causing diseases, the treatment of these diseases and their willingness for educationon vertigo. Results: Concerning the questionnaire item “what is the first disease that comes to mind when vertigo is mentioned?”, 95% of ENT physicians responded benign paroxysmal positional vertigo (BPPV) and 3% of them mentioned Meniere’s disease as their answer while 53% of the family physicians answered BPPV and 35% of them chose Meniere’s disease. 31% of ENT physicians and 63% of family physicians stated that they usually order blood tests to the patients presenting with vertigo complaint. The reply to the question “what is the basic treatment of BPPV” was repositioning maneuvers in 96% of ENT physicians and 71% of family physicians. The rate of performing repositioning maneuvers on patients with BPPV is 97% in ENT physicians and 29% in family medical doctors. Conclusions: The most crucial conclusion of this study is that family physicians participating in the questionnaire need more education about the distinction between vertigo and dizziness and some fundamental points about peripheral vertigo-causing diseases. At this point, we think that organizing courses on vertigo for family physicians will be beneficial in this regard.
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