国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2009年
11期
650-653
,共4页
胡征%陈池云%胡哲清%翁磊%邓在春%缪起龙
鬍徵%陳池雲%鬍哲清%翁磊%鄧在春%繆起龍
호정%진지운%호철청%옹뢰%산재춘%무기룡
哮喘%问卷%基层医师
哮喘%問捲%基層醫師
효천%문권%기층의사
Asthma%Questionnaire%Physicians from small hospitals
目的 了解乡镇医师对支气管哮喘(简称哮喘)基本概念、治疗及管理的认知状况,为基层医师的培训提供依据.方法 对慈溪市25家不同级别医院共198名内科医师进行有关哮喘相关知识问卷调查,其中.三级医院1家,内科医师24名;二级医院5家,内科医师70名;一级医院19家,内科医师104名.问题涉及:哮喘定义、一线控制药物、预后、治疗中抗菌药物应用情况、GINA知晓率及医院是否备有吸入激素药物等.结果 对哮喘属气道慢性炎症及可控制性疾病,回答正确率分别为85.4%与96%,上述两问题在三级与一、二级医院间差异无统计学意义.对吸入糖皮质激素者为哮喘一线控制性用药、发作时是否应用抗菌药物、GINA知晓率方面.正确率分别为68.7%、29.3%和58.6%.三级医院与一、二级医院间存在显著差异(P<0.05).关于医院备有吸入糖皮质激素方面.全市共4家医院备有(1家三级医院、3家二级医院).一级医院均无吸入激素的备药.结论 基层医院,尤其是一、二级乡镇医院对哮喘的防治管理认知方面尚存在较多问题,知识较陈旧,对GINA知晓率较低,不利于基层大量哮喘患者的治疗及管理,规范培训基层医务人员,使其掌握哮喘防治指南,从而有效指导哮喘患者是基层哮喘管理亟待解决的问题.
目的 瞭解鄉鎮醫師對支氣管哮喘(簡稱哮喘)基本概唸、治療及管理的認知狀況,為基層醫師的培訓提供依據.方法 對慈溪市25傢不同級彆醫院共198名內科醫師進行有關哮喘相關知識問捲調查,其中.三級醫院1傢,內科醫師24名;二級醫院5傢,內科醫師70名;一級醫院19傢,內科醫師104名.問題涉及:哮喘定義、一線控製藥物、預後、治療中抗菌藥物應用情況、GINA知曉率及醫院是否備有吸入激素藥物等.結果 對哮喘屬氣道慢性炎癥及可控製性疾病,迴答正確率分彆為85.4%與96%,上述兩問題在三級與一、二級醫院間差異無統計學意義.對吸入糖皮質激素者為哮喘一線控製性用藥、髮作時是否應用抗菌藥物、GINA知曉率方麵.正確率分彆為68.7%、29.3%和58.6%.三級醫院與一、二級醫院間存在顯著差異(P<0.05).關于醫院備有吸入糖皮質激素方麵.全市共4傢醫院備有(1傢三級醫院、3傢二級醫院).一級醫院均無吸入激素的備藥.結論 基層醫院,尤其是一、二級鄉鎮醫院對哮喘的防治管理認知方麵尚存在較多問題,知識較陳舊,對GINA知曉率較低,不利于基層大量哮喘患者的治療及管理,規範培訓基層醫務人員,使其掌握哮喘防治指南,從而有效指導哮喘患者是基層哮喘管理亟待解決的問題.
목적 료해향진의사대지기관효천(간칭효천)기본개념、치료급관리적인지상황,위기층의사적배훈제공의거.방법 대자계시25가불동급별의원공198명내과의사진행유관효천상관지식문권조사,기중.삼급의원1가,내과의사24명;이급의원5가,내과의사70명;일급의원19가,내과의사104명.문제섭급:효천정의、일선공제약물、예후、치료중항균약물응용정황、GINA지효솔급의원시부비유흡입격소약물등.결과 대효천속기도만성염증급가공제성질병,회답정학솔분별위85.4%여96%,상술량문제재삼급여일、이급의원간차이무통계학의의.대흡입당피질격소자위효천일선공제성용약、발작시시부응용항균약물、GINA지효솔방면.정학솔분별위68.7%、29.3%화58.6%.삼급의원여일、이급의원간존재현저차이(P<0.05).관우의원비유흡입당피질격소방면.전시공4가의원비유(1가삼급의원、3가이급의원).일급의원균무흡입격소적비약.결론 기층의원,우기시일、이급향진의원대효천적방치관리인지방면상존재교다문제,지식교진구,대GINA지효솔교저,불리우기층대량효천환자적치료급관리,규범배훈기층의무인원,사기장악효천방치지남,종이유효지도효천환자시기층효천관리극대해결적문제.
Objective To investigate the understanding levels of basic concept, treatment and management of bronchial asthma(asthma) among physicians in small towns around Cixi city so as to provide a better training for them. Methods Analysis was made on the questionnaires about the knowledge of asthma filled in by 198 physicians from 25 small town hospitals around Cixi. Of all physicians investigated,there were 24 physicians from one hospital of grade 3,70 physicians from 5 hospitals of grade 2, and 104 physicians from 19 hospitals of grade 1. The answered questions in the questionnaire included concept, first-line used drugs and prognosis of asthma;the application condition of antibiotics during treatment of asthma;awareness of GINA;whether inhaling steroid was prepared in hospitai; etc. Results The percentage for the correct answer that asthma is a chronic airway inflammation was 85.4% in physicians from hospital of grade 3 and was 96% in physicians from hospitals of grade 1 and 2 (P >0.05). The percentages for the correct answers that inhaling steroid is the first-line drug for controlling asthma,antibiotics should not be used during episode of asthma, GINA's meaning were 68. 7%, 29.3%, 58.6% respectively among all physicians investigated. The percentages were significantly higher among the physicians from hospital of grade 3 than ones among those from hospital of grade 1 and 2 (P<0.05). As for the question whether there is inhaling steroid prepared at hospital or not,the answer "yes" was in 4 hospital (one hospital of grade 3 and three hospitals of grade 2), but the answer "no" was in other hospitals including all hospitals of grade 1.Conclusions Among small town hospitals,especially hospitals of grade 1 and 2,there are still quite a lot of problems in understanding prevention, treatment and management of asthma, behaving as old or backward knowledge, lower awareness of GINA. This is unavailable for treatment and management of asthma.Therefore,standard training is badly needed for medical doctors from small town hospitals so that guideline for prevention and treatment of asthma can be mastered and effective guidance for asthma management can be achieved.