社区医务人员老年综合评估知信行现状调查及影响因素分析

目的:了解社区医务人员对老年综合评估（CGA）的知信行现状及影响因素，为在社区开展及推广老年综合评估提供依据。方法:于2020年5—7月，采用自行设计的CGA知信行问卷对北京市6个区县的215名社区医务人员进行调查。本次调查共发放问卷215份，回收有效问卷215份，有效回收率为100%。结果:215名社区医务人员的CG...

Investigation and analysis of influencing factors of community medical workers'knowledge,attitude and practice of comprehensive geriatric assessment

Objective To explore the status quo and influencing factors of community medical workers'knowledge,attitude and practice(KAP)of comprehensive geriatric assessment(CGA),and provide a reference for introducing and promoting CGA.Methods From May to July 2015,totally 215 community medical workers from 6 districts and counties in Beijing were investigated with a self-designed CGA-KAP questionnaire.A total of 215 questionnaires were distributed,and 215 valid questionnaires were collected,accounting for an effective recovery rate of 100%.Results The knowledge,attitude,and practice scores of the CGA-KAP questionnaire among the 215 community medical workers were 87.50(75.00,93.75),3.91(3.64,4.18),and 1.89(1.33,2.89),respectively.Univariate analysis showed that there were statistically significant differences in the CGA-knowledge scores between community medical workers of different ages,occupation types,titles,and educational backgrounds(H=10.492;6.513,18.138,6.394;P<0.05);there were statistically significant differences in the CGA-attitude scores between community medical workers with different administrative positions and who have or have not received CGA training(H=12.063,Z=-2.036;P<0.05);there were statistically significant differences in the CGA-practice scores between community medical workers with different ages,occupation types,titles,working years,whether they were medical staff members of family doctors,whether they have heard of CGA,whether they have received CGA training,and whether they held a position in academic associations(H=13.181,10.770,11.830,9.198,Z=-2.014,3.167,3.614,4.297;P<0.05).Logistic regression analysis revealed that being a member of the family doctor,having received CGA training,holding a position in academic associations,and attitude were the influencing factors of the CGA-practice of community medical workers(P<0.05).Conclusions Community medical workers have high levels of CGA knowledge and attitude,but low levels of practice.Further actions are required to improve the system and strengthen the development and promotion of CGA in the community.