中国老年医学继续教育亟待发展——协和−霍普金斯老年医学论坛2012～2014年调查结果

Urgent need of continuing education in geriatrics in China: a survey on Peking Union Medical College Hospital-Johns Hopkins Geriatrics Conference 2012 to 2014

摘要:

目的 分析中国老年医学继续教育现状及需求。方法 选取2012年至2014年协和?霍普金斯老年医学论坛（PUMCH-JH GC）的所有参会者，对其发放调查问卷，收集整理问卷，并对调查结果进行比较分析。结果 从2012年至2014年，受调查者对于老年医学理念的认识无明显变化。受访者对跌倒、痴呆、尿失禁、抑郁、睡眠障碍和便秘的知晓率均＞80%，但对晕厥、老人受虐以及生前预嘱的知晓率均较低。随着教育活动逐年的持续开展，参会者对于老年综合征的态度和处理方式有所改善。同时，调查结果显示，与2012年相比，2013年与2014年具有高级职称的参会人数以及年龄分布在35～49岁的参会者均显著增加（P＜0.001）。结论 受访者对老年医学知识的认识以及对老年问题的处理普遍不足，我国近年来的老年医学继续教育起到了一定成效，但对老年医学知识了解情况的整体提升有限，老年医学继续教育亟待广泛开展。

Abstract:

Objective To investigate the status and demand of continuing education in geriatrics in China. Methods All participants attending the Peking Union Medical College Hospital-Johns Hopkins Geriatrics Conference (PUMCH-JH GC) during the years of 2012 to 2014 were investigated through questionnaires. All valid questionnaires were collected and analyzed, and the findings were compared. Results There was no significant change in the awareness of geriatrics among the participants in the 3 consecutive years. Acquaintances of geriatric syndromes, including falls, dementia, incontinent urinate, depression, sleep disorder and constipation accounted for more than 80%, but those of syncope, elderly abuse and living wills were quite low. With the gradual implementation of educational activities, great improvement was seen in the participants on their attitude and coping styles to geriatric syndrome. Meanwhile, our findings indicated that the numbers of older participants (aged 35?49 years) and of those with senior titles were all significantly higher than those of the participants of 2012 (P＜0.001). Conclusion The participants have not enough knowledge on geriatrics and on how to cope with senile problems. Though certain achievements have been made in continuing education in geriatrics in China, it is not well enough in the promotion of its understanding as a whole. Therefore, more efforts are needed on the continuing education in geriatrics.