北京四所社区卫生服务中心医生对血管性认知功能障碍知识的知晓率调查

目的了解社区医生对血管性认知功能障碍（VCI）知识的知晓情况。方法2012年10月至12月，对北京朝阳区劲松、南磨房、潘家园及豆各庄4所社区卫生服务中心的87名社区医生进行自制VCI知识问卷调查，其中男性27名、女性60名，平均年龄（39±11）岁；大学、大专学历者占85％（74／87），初、中级职称者占90％（78／87），内科医师占41％（36／87）。结果87名社区医生均完成调查。对轻微及显著的神经认知障碍知晓率为39％（60／87），对各种痴呆病因的知晓率为51％（44／87）～100％（87／87），对记忆下降等认知障碍症状知晓率为79％（69／87）--99％（86／87），而对卒中首发症状为认知障碍的知晓率为54％（47／87）。在痴呆的主要诊断依据中，相关知识知晓率为57％（50／87）--97％（84／87）。对VCI患者治疗知识知晓率80％（70／87）～100％（87／87），但阿尔茨海默病和路易体痴呆早期干预不可逆转的知晓率为46％（40／87）和37％（32／87），只有36％（31／87）社区医生认为掌握认知障碍专科理论知识及诊疗技能。对血管危险因素相关知识的知晓率为20％（17／87）～100％（87／87），而对多种健康宣教方式知晓率达52％（45／87）～95％（83／87）。结论社区医生对VCI相关病因、诊疗及预防等部分知识知晓率高，但客观分析表明其VCI理论知识与诊疗经验有待完善与提高。

Survey on awareness rate of knowledge about vascular cognitive impairment in community physicians in Beijing

Objective To survey the awareness rate of knowledge about vascular cognitive impairment （VCI） in community physicians. Methods A questionnaire survey on the awareness of knowledge about VCI was conducted in 87 community physicians from 4 community hospitals in Beijing Chaoyang District from October to December 2012. Among all participants there were 27 males and 60 females with an average age of （39 ± 11 ） years, 85% （74/87）had college or university degrees, 90% （78/87） held primary or middle-level professional titles, 41% （36/87）, of them were internists. Results All participants completed the questionnaire. The awareness rate about minor and major neurocognitive disorder was 39% （60/87） ; the rates of various causes of dementia were 51% （44/87） - 100% （87/87）and various symptoms of cognitive impairment were 79% （69/87） - 99% （ 86/87 ）, respectively. The awareness rate of cognitive impairment as initial symptom displayed in stroke was 54% （47/87）. The awareness rates of knowledge related to diagnosis and treatment of dementia were 57% （ 50/87 ） - 97% （ 84/87 ） and 80% （70/87） - 100% （87/87） , respectively. The awareness rates about that Alzheimer＇s disease and dementia with Lewy bodies were not reversed by early treatment were 46% （40/87）and 37% （32/87） , respectively. The awareness rates of vascular risk factors were 20% （ 17/87 ） - 100% （ 87/87 ） and those about the mode of health education were 52% （ 45/87 ） - 95% （ 83/87 ）. There was 36% （ 3 l/87 ） community physicians who thought that they possessed VCI-related knowledge. Conclusions The results of survey suggest that community physicians shall upgrade their knowledge of diagnosis and treatment for vascular cognitive impairment.