中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2010年
5期
311-313
,共3页
罗勇%周恩飞%祝青腾%揭志军%韩锋锋%徐卫国
囉勇%週恩飛%祝青騰%揭誌軍%韓鋒鋒%徐衛國
라용%주은비%축청등%게지군%한봉봉%서위국
肺疾病,慢性阻塞性%问卷调查%教育,专业,再培训
肺疾病,慢性阻塞性%問捲調查%教育,專業,再培訓
폐질병,만성조새성%문권조사%교육,전업,재배훈
Pulmonary diseases,chronic obstructive%Questionnaires%Education,professional,retraining
目的 了解上海市基层医生对慢性阻塞性肺疾病(COPD)定义、诊断标准、程度分级以及规范化诊疗等问题的知晓情况.方法 采用统一问卷,对上海市12家一级医院(市区4家,郊县8家)和2家二级乙等医院(市区和郊县各1家)的298名医生做COPD相关知识进行问卷调查,并对其中3家医院(市区2家,郊县1家)115名医生进行专业培训.培训后使用同一问卷了解培训效果.结果 市区一级医院、市区二级乙等医院、郊县一级医院、郊县二级乙等基层医生对COPD诊断标准的知晓率分别为22.4%(35/156)、25.6%(10/39)、4.3%(3/69)、26.5%(9/34);抗胆碱能平喘药物知晓率分别为13.5%(21/156)、35.9%(14/39)、0.0%(0/69)、14.7%(5/34);对COPD程度分级的知晓率仅为0.67%(2/298).培训后对COPD定义和诊断标准的平均知晓率从18.2%(21/115)提高到72.2%(83/115),对COPD严重程度分级的知晓率从0.8%(1/115)提高到45.2%(52/115).结论 上海市基层医生对COPD缺乏认识,对COPD规范化诊疗不够了解,应加强对基层医生的相关培训及普及肺功能检测项目.
目的 瞭解上海市基層醫生對慢性阻塞性肺疾病(COPD)定義、診斷標準、程度分級以及規範化診療等問題的知曉情況.方法 採用統一問捲,對上海市12傢一級醫院(市區4傢,郊縣8傢)和2傢二級乙等醫院(市區和郊縣各1傢)的298名醫生做COPD相關知識進行問捲調查,併對其中3傢醫院(市區2傢,郊縣1傢)115名醫生進行專業培訓.培訓後使用同一問捲瞭解培訓效果.結果 市區一級醫院、市區二級乙等醫院、郊縣一級醫院、郊縣二級乙等基層醫生對COPD診斷標準的知曉率分彆為22.4%(35/156)、25.6%(10/39)、4.3%(3/69)、26.5%(9/34);抗膽堿能平喘藥物知曉率分彆為13.5%(21/156)、35.9%(14/39)、0.0%(0/69)、14.7%(5/34);對COPD程度分級的知曉率僅為0.67%(2/298).培訓後對COPD定義和診斷標準的平均知曉率從18.2%(21/115)提高到72.2%(83/115),對COPD嚴重程度分級的知曉率從0.8%(1/115)提高到45.2%(52/115).結論 上海市基層醫生對COPD缺乏認識,對COPD規範化診療不夠瞭解,應加彊對基層醫生的相關培訓及普及肺功能檢測項目.
목적 료해상해시기층의생대만성조새성폐질병(COPD)정의、진단표준、정도분급이급규범화진료등문제적지효정황.방법 채용통일문권,대상해시12가일급의원(시구4가,교현8가)화2가이급을등의원(시구화교현각1가)적298명의생주COPD상관지식진행문권조사,병대기중3가의원(시구2가,교현1가)115명의생진행전업배훈.배훈후사용동일문권료해배훈효과.결과 시구일급의원、시구이급을등의원、교현일급의원、교현이급을등기층의생대COPD진단표준적지효솔분별위22.4%(35/156)、25.6%(10/39)、4.3%(3/69)、26.5%(9/34);항담감능평천약물지효솔분별위13.5%(21/156)、35.9%(14/39)、0.0%(0/69)、14.7%(5/34);대COPD정도분급적지효솔부위0.67%(2/298).배훈후대COPD정의화진단표준적평균지효솔종18.2%(21/115)제고도72.2%(83/115),대COPD엄중정도분급적지효솔종0.8%(1/115)제고도45.2%(52/115).결론 상해시기층의생대COPD결핍인식,대COPD규범화진료불구료해,응가강대기층의생적상관배훈급보급폐공능검측항목.
Objective To investigate awareness of definition, diagnostic criteria, severity classification and standard diagnosis and treatment for chronic obstructive pulmonary disease (COPD) among primary-care physicians at the grassroots in urban and suburban Shanghai.Methods In total, 298 physicians were surveyed by unified questionnaire for COPD-related knowledge in two secondary-care general hospitals (one in urban and suburban areas each ) and 12 community primary-care centers (four in urban and eight in suburban areas) in Shanghai.One hundred and fifteen physicians in two urban hospitals and one suburban hospital were trained professionally and then evaluated for its effectiveness.Results Awareness of diagnostic criteria of COPD was only 22.4% (35/156), 25.6% ( 10/39), 4.3 % (3/69)and 26.5% (9/34) among physicians in urban primary-care hospitals, urban secondary-care hospitals,suburban primary-care hospitals and suburban secondary-care hospitals, respectively.Their awareness of knowledge about use of anti-cholinergic agents was 13.5 % (21/156), 35.9 % ( 14/39), naught (0/69),and 14.7 % ( 5/34 ), respectively.Only 0.67 % of them ( 2/298 ) knew about severity classification of COPD.Awareness of definition and diagnostic criteria for COPD in the physicians increased to 72.2 % ( 83/115) after training from 18.2% (21/115) before it, and their awareness of severity classification for COPD increased to 45.2% (52/115) after training from 0.8 % (1/115) before it.Conclusions Awareness of COPD-related knowledge, especially of standard diagnosis and treatment for COPD, was poor in primary-care physicians at the grassroots in Shanghai, so it is necessary to strengthen training for them in COPD-related knowledge, including pulmonary function tests.
