上海市社区儿童保健医生注意缺陷多动障碍知晓率的研究
- 刘乐1,赵志民1,刘漪1,马士薇2,杜亚松1
作者信息
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Study on awareness rates of attention deficit hyperactivity disorder in child health care doctors.
- LIU Yue1,ZHAO Zhi-min1,LIU Yi1,MA Shi-wei2,DU Ya-song1.
Author information
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文章历史
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摘要
目的 调查社区儿童保健医生经注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)知识培训后ADHD知晓情况的变化。 方法 采用整群抽样方法抽取上海市6个区的社区儿保医生进行研究,使用自编多动症知晓情况调查表,比较培训前后知晓率的差异。 结果 社区儿保医生在培训前后对ADHD的总体认识(2个条目)、治疗认识(11个条目)及病因认识(2个条目)方面有差异有统计学意义(P<0.05);市区儿保医生比郊区和城郊结合儿保医生对药物治疗的认识更高。 结论 社区儿保医生对ADHD儿童的整体了解欠缺,需要进一步加强有关ADHD知识培训。
Abstract
Objective To compare the differences of awareness of attention deficit hyperactivity disorder (ADHD) in child health care doctors. Method The study was done in child health care doctors from six districts in shanghai,the differences of awareness of ADHD were compared before and after training by using the self-edited doctors questionnaire about awareness of ADHD. Results There were significant differences in general knowledge(2 items),treatment(11 items) and etiology(2 items) about ADHD before and after training;Child health care doctors who worked at urban area had more understanding about drug treatment than those worked at city-suburb area and suburb area. Conclusion Child health care doctors have general poor knowledge about ADHD and need more training about ADHD.
关键词
Key words
attention deficit hyperactivity disorder / child health care doctors / awareness
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参考文献
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[6] 杜亚松.多动症与学习困难[M]:上海:上海科学技术出版社,2001:1-77.
[7] Hirfanoglu T,Soysal AS,Gucuyener K,et al.A study of perceptions,attitudes,and level of knowledge among pediatricians towards attention-deficit/hyperactivity disorder[J].Turk J Pediatr,2008,50(2):160-166.
[8] Olson BG,Rosenbaum PF,Dosa NP,et al.Improving guideline adherence for the diagnosis of ADHD in an ambulatory pediatric setting[J].Ambul Pediatr,2005,5(3):138-142.
[9] Epstein JN,Rabiner D,Johnson DE,et al.Improving attention-deficit/hyperactivity disorder treatment outcomes through use of a collaborative consultation treatment service by community-based pediatricians:a cluster randomized trial[J].Arch Pediatr Adolesc Med,2007,161(9):835-840.
[10] Polaha J,Cooper SL,Meadows T,et al.The assessment of attention-deficit/hyperactivity disorder in rural primary care:the portability of the American Academy of Pediatrics guidelines to the "real world"[J].Pediatrics,2005,115(2):e120-126.
[11] Reich W,Huang H,Todd RD.ADHD medication use in a population-based sample of twins[J].J Am Acad Child Adolesc Psychiatry,2006,45(7):801-807.
[2] 孙殿凤,衣明纪,李彦丽.山东滨州市6~16岁少儿注意缺陷多动障碍现况调查[J].中国心理卫生杂志,2009,23(11):806-809.
[3] 卢林,施琪嘉,陶芳芳,等.武汉市4~16岁儿童注意缺陷多动障碍分型的调查分析[J].中国心理卫生杂志,2006,20(4):221-225.
[4] 张微,刘翔平,顾群,等.六城市ADHD流行病学调查[J].中国临床心理学杂志,2007,15(1):23-25.
[5] 金文岚,杜亚松,钟向阳,等.对上海中小学教师注意缺陷多动障碍知晓率的调查[J].中国健康心理学杂志,2010,18(3):307-309.
[6] 杜亚松.多动症与学习困难[M]:上海:上海科学技术出版社,2001:1-77.
[7] Hirfanoglu T,Soysal AS,Gucuyener K,et al.A study of perceptions,attitudes,and level of knowledge among pediatricians towards attention-deficit/hyperactivity disorder[J].Turk J Pediatr,2008,50(2):160-166.
[8] Olson BG,Rosenbaum PF,Dosa NP,et al.Improving guideline adherence for the diagnosis of ADHD in an ambulatory pediatric setting[J].Ambul Pediatr,2005,5(3):138-142.
[9] Epstein JN,Rabiner D,Johnson DE,et al.Improving attention-deficit/hyperactivity disorder treatment outcomes through use of a collaborative consultation treatment service by community-based pediatricians:a cluster randomized trial[J].Arch Pediatr Adolesc Med,2007,161(9):835-840.
[10] Polaha J,Cooper SL,Meadows T,et al.The assessment of attention-deficit/hyperactivity disorder in rural primary care:the portability of the American Academy of Pediatrics guidelines to the "real world"[J].Pediatrics,2005,115(2):e120-126.
[11] Reich W,Huang H,Todd RD.ADHD medication use in a population-based sample of twins[J].J Am Acad Child Adolesc Psychiatry,2006,45(7):801-807.
基金
英国Dundee大学研究基金“Increasing awareness of ADHD in China”(2008.09-2013.08);上海市申康医院发展中心项目(SHDC12010225);上海市公共卫生体系建设三年行动计划项目(2011-2013)(GWIII-30);上海市精神卫生中心院级课题(2011-YJ-05)
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