痴呆患者经济负担与相关医护人员认知水平的相关性研究

作者单位:1.116033 辽宁 大连,大连市中心医院神经内科;2.大连市中心医院市场开发部

 痴呆;经济负担;医护人员;认知水平;相关性

Correlation between Economic Burden of Dementia Patients and Cognition Level of Relevant Medical Staff
XIE Lili1, WANG Xiaohong1, XU Xiaolin1, WANG Zhicheng2, WANG Cui1

(1. Department of Neurology, Dalian Municipal Central Hospital, Dalian 116033, Liaoning Province, China; 2. Department of Market Development, Dalian Municipal Central Hospital)

 Dementia; Economic burden; Medical staff; Cognitive level; Relevance

DOI: 10.3969/j.issn.1672-7185.2019.05.027

备注

 目的  探讨痴呆患者经济负担与相关医护人员认知水平的相关性,以期为临床提供借鉴。方法  选取2017年6月—2018年6月,大连市10个社区>55岁痴呆患者229例,以及相应社区卫生服务中心对痴呆患者负责的对应医护人员190例作为研究对象,研究采取问卷调查的方式,对痴呆患者的经济负担及其相关医护人员认知水平的相关性进行分析。结果  痴呆患者的月平均直接医疗负担为2 974.38元,中位数为2 400元;月平均间接医疗负担为2 143.56元,中位数为1 750元。相关医护人员的信念态度较好,痴呆相关知识的掌握及行为得分不佳。痴呆患者的直接经济负担与医护人员的知识(r=-0.623)、信念(r=-0.378)、行为(r=-0.465)及认知情况总分(r=-0.490)均呈负相关;痴呆患者的间接经济负担仅与医护人员的知识掌握(r=-0.324)呈负相关;痴呆患者的总经济负担与医护人员的知识(r=-0.517)、信念(r=-0.311)、行为(r=-0.277)及认知情况(r=-0.389)总分均呈负相关。结论  大连市10个社区>55岁痴呆患者的经济负担与其相关医护人员的认知水平呈负相关,但认知水平不高,应加强相关医护人员对痴呆知识的培训和教育,提高其认知水平,以改善痴呆患者的预后。
Objective To explore the correlation between the economic burden of dementia patients and the cognitive level of relevant medical staff, in order to provide reference for clinical practice. Methods  A total 229 dementia patients over 55 years old in 10 communities in Dalian and 190 corresponding medical staff responsible for dementia patients in corresponding community health service centers were selected as the research objects from June 2017 to June 2018. The correlation between economic burden of dementia patients and cognitive level of related medical staff was analyzed by questionnaire survey. Results  The direct economic burdens of senile dementia was 2 974.38 (mean) and 2 400 (median), indirect economic burdens was 2 143.56 (mean) and 1 750 (median).The medical personnel had a good attitude but low score in knowledge and practice. There was a negative correction between direct economic burdens and knowledge(r=-0.623), attitude(r=-0.378), practice(r=-0.465), cognition level(r=-0.490) of related medical personnel. There was a negative correction between indirect economic burdens and knowledge(r=-0.324). There was a negative correction between total economic burdens and knowledge(r=-0.517),attitude(r=-0.311), practice(r=-0.277), cognition level(r=-0.389) of related medical personnel. Conclusion  The economic burden of dementia patients over 55 years old in 10 communities in Dalian is negatively correlated with the cognitive level of the relevant medical staff, but the cognitive level is not high. It is necessary to strengthen the training and education of the relevant medical staff on dementia knowledge so as to improve their cognitive level in order to improve the prognosis of dementia patients.