CAJ | 학술논문

目的调查中国慢性鼻-鼻窦炎诊断和治疗指南(2008年,南昌)在全国范围的知晓与应用状况.方法将指南内容及应用指标设计成初始问卷,通过预调查形成正式问卷,然后分层选择全国不同地区、不同等级医院的耳鼻咽喉科医师作为调查对象,统一培训人员,深入各家医院进行面访问卷调查,汇总整理数据,统计指南知晓度与应用度的评估指标,并进行影响因素的分析.以SPSS16.0软件进行数据分析.结果 2012年12月至2013年6月间实施问卷发放、调查及回收,完成全国30个省、市、自治区或直辖市的350家医院的1 240名耳鼻咽喉科医师的有效调查.通过分类汇总,受访者对指南各项内容的平均知晓度为48.7％,对指南推荐治疗药物的平均应用度为40.8％,两者之间呈正相关趋势(r =0.280,P=0.000).通过线性回归,区县医院、低年资医师、非鼻科专业方向是造成知晓度和应用度较低的因素;此外,我国西部地区受访者的指南知晓度与药物应用度均比东部地区、中部地区低.结论我国慢性鼻-鼻窦炎诊断和治疗指南的知晓程度与应用程度普遍偏低,亟待加强宣传学习与贯彻落实,尤其需加大对重点地区、重点医院、重点人群的推广力度.
목적 조사중국만성비-비두염진단화치료지남(2008년,남창)재전국범위적지효여응용상황.방법 장지남내용급응용지표설계성초시문권,통과예조사형성정식문권,연후분층선택전국불동지구、불동등급의원적이비인후과의사작위조사대상,통일배훈인원,심입각가의원진행면방문권조사,회총정리수거,통계지남지효도여응용도적평고지표,병진행영향인소적분석.이SPSS16.0연건진행수거분석.결과 2012년12월지2013년6월간실시문권발방、조사급회수,완성전국30개성、시、자치구혹직할시적350가의원적1 240명이비인후과의사적유효조사.통과분류회총,수방자대지남각항내용적평균지효도위48.7％,대지남추천치료약물적평균응용도위40.8％,량자지간정정상관추세(r =0.280,P=0.000).통과선성회귀,구현의원、저년자의사、비비과전업방향시조성지효도화응용도교저적인소;차외,아국서부지구수방자적지남지효도여약물응용도균비동부지구、중부지구저.결론 아국만성비-비두염진단화치료지남적지효정도여응용정도보편편저,극대가강선전학습여관철락실,우기수가대대중점지구、중점의원、중점인군적추엄력도.
Objective To investigate the application of Chinese guideline for the diagnosis and treatment of chronic rhinosinusitis (2008,Nanchang) on a national scale.Methods The contents of the guideline and its relevant applied indicators were designed into an initial questionnaire and,after a presurvey,revised into a formal questionnaire.Then a stratified sampling was selected out of otolaryngology practitioners in the different level hospitals across the country.After a uniform training,the investigators were sent to these different hospitals to conduct questionnaire survey by face to face interview with otolaryngology respondents.Based on the summarized data,statistical analyses on the awareness and practice status of the guideline,together with their influencing factors,were made.SPSS 16.0 software was used to analyze the data.Results Issuing and withdrawing questionnaires were performed from December 2012 to June 2013 and 1 240 respondents in 350 hospitals from 30 different provinces,municipalities or autonomous regions were effectively investigated.An average awareness and practice rate of 48.7％ and 40.8％ upon the guideline was acquired,respectively.There was a significant correlation (r =0.280,P =0.000) between the two indicators.With linear regression,county-level hospitals,junior practitioners,non-rhino professionals were the risk factors of poor guideline adherence.In addition,respondents form western region showed lower awareness and practice rate than that of ones from central and eastern region.Conclusion The adherence on Chinese guideline for the diagnosis and treatment of chronic rhinosinusitis is nationally low,so popularization of activities should be urgently strengthened,especially in focus areas,focus hospitals,and focus groups.