关键词: 基层医务人员, 脑卒中, 社区管理, 慢性疾病, 脑血管疾病

Abstract: Objective To analyze the investigation results of knowledge, attitude, and practice （KAP） of community management of stroke among primary medical staff in Wuxi area, and analyze the influencing factors of KAP. Methods The research object was the medical staff who were responsible for chronic disease management in the primary medical service center in Wuxi City. Using the method of multi-stage stratified cluster sampling, medical staff （including general practitioners, public health physicians, nursing staff, traditional Chinese physicians, etc.） engaged in chronic disease management in 8 community health service centers were selected at a proportion of 10% in May 2021 to conduct a questionnaire survey on KAP of stroke. The descriptive analysis method was used to analyze the KAP of medical staff in stroke, and univariate and multivariate analysis methods were used to analyze the influencing factors of KAP in stroke community management. Results A total of 512 primary medical staff were included for analysis, including 154 general practitioners, 54 public health physicians, 227 nursing staff, and 77 traditional Chinese physicians. The knowledge score, attitude score, and practice score of primary medical staff for stroke community management were （29.68±9.23）, （31.02±4.32）, and （33.63±2.67）, respectively. Multiple linear regression analysis showed that the location of the community health service center was in the economically developed area （β'=0.137）, the general practitioners （β'=0.523） had higher knowledge scores of stroke management; the location of the community health service center was in the economically developed area （β'=0.324）, the general practitioners （β'=0.203）, and medical staff with high knowledge scores （β'=0.553） had higher attitude scores of stroke management; the location of the community health service center was in the economically developed area （β'=0.506）, the general practitioners （β'=0.434）, and medical staff with high knowledge scores （β'=0.619） and high attitude scores （β'=0.719） had higher practice scores of stroke management. Conclusion The primary medical staff in this area have a certain level of knowledge of stroke health management, but the recognition and participation of this management need to be improved, and the depth and breadth of relevant management work carried out in the community are also insufficient. Relevant departments need to make adjustments at the policy level, change the existing working mode and provide correct guidance to primary medical staff.

Key words: Primary medical staff, Stroke, Community management, Chronic disease, Cerebrovascular disease