Conocimiento del médico familiar de la Unidad de Medicina Familiar No 10 sobre el diagnóstico, manejo y referencia del esguince cervical, de acuerdo a la Guía de Práctica Clínica SS-008-08

Abstract

RESUMEN. En el IMSS, durante el 2017, se diagnosticaron 313 981, siendo la tercera causa de incapacidad laboral. Los MF desempeñan un papel clave en el diagnóstico de lesiones; monitorean complicaciones médicas y ayudan a la reintegración al trabajo a través de intervenciones tempranas apropiadas. OBJETIVO: Medir el nivel de conocimiento de los MF de la UMF No 10 sobre diagnóstico, manejo y referencia de acuerdo a la GPC SS-008-08. MATERIAL Y MÉTODOS. Estudio transversal, descriptivo, con muestreo tipo censal, se trabajó con 60 MF adscritos a la UMF No. 10. Se diseñó un instrumento de evaluación, el cual cuenta con datos sociodemográficos, seguido de 60 ítems. RESULTADOS: La edad promedio fue de 31 y 40 años. 60% fueron mujeres. 52.7% estaban casados. 43.6% laboraban en el TM, 83.6% laboraban en consulta externa, con una antigüedad promedio 11 a 20 años 38.2%, el 89.1% tienen base, 63.6% estaban certificados, el 78.2% referían conocer la GPC. El conocimiento del MF fue regular en un 67% el mayor índice de respuesta correctas se presentó en el dominio manejo, en donde se obtuvo un nivel de conocimiento regular con un promedio de 76.9, el dominio diagnóstico fue el más bajo con un promedio de 69.43. CONCLUSIONES: El nivel de conocimiento de los médicos familiares sobre diagnóstico, manejo y referencia del paciente con esguince cervical fue regular. Estos resultados nos indican la necesidad de capacitación sobre el diagnóstico, manejo y referencia oportuna del paciente con esguince cervical para los médicos de la UMF No. 10.

ABSTRACT. INTRODUCTION: The cervical sprain is a worldwide problem, reaching epidemic numbers. In the Mexican Institute of Social Security, during 2017, a total of 313 981 cervical sprains were diagnosed, being the third cause of work disability. Family doctors see two-thirds of patients who have experienced a whiplash syndrome and play a key role in diagnosing injuries; monitor medical complications that can impede recovery and assist in return-to-work evaluations this through appropriate early interventions. OBJECTIVE: To measure the level of knowledge of family physicians of family medicine unit No. 10 on diagnosis, management and referral according to clinical practice guideline SS-008-08. MATERIAL AND METHODS. Cross-sectional, observational, descriptive study, with sampling of probabilistic type of census type, we worked with 60 family doctors assigned to the family medicine unit No. 10 of the state of Aguascalientes. An assessment instrument was designed to measure the knowledge of the family physician, which has sociodemographic data, followed by 60 items. The statistical analysis will be carried out in the SPSS V 20 program. RESULTS: Of the 60 doctors, the average age was between 31 and 40 years old (41.8%). 60% were female. 52.7% were married. 43.6% worked in the morning shift and 43.6% in the afternoon shift, 7.3% in the night shift and 5.5% were in the accumulated shift, of which the consultation area was 83.6% in the outpatient department, they had a seniority of 11 to 20 years 38.2%, 89.1% were family doctors who are based as contract type, 63.6% were certified, 78.2% referred to know the EMB. The knowledge of the MF on diagnosis, management and referral of the patient with cervical sprain was regular in 67%. The highest rate of correct response was presented in the management domain of the patient with cervical sprain, where a level of regular knowledge was obtained with a average of 76.9, the level of knowledge of the family physician on referral and reduction of complications was regular with an average of 75, while in the diagnostic domain it was the lowest with an average of 69.43. CONCLUSIONS: The level of knowledge of family physicians on diagnosis, management and referral of the patient with cervical sprain was regular. These results indicate the need for training on the diagnosis, management and timely referral of the patient with cervical sprain for the doctors of the number 10 FMU.