社区全科团队慢性阻塞性肺疾病防治基本知识调查  

An investigation on knowledge of control and prevention for chronic obstructive pulmonary diseases among general practitioner in community health service centers

作　　者：李凡[1] 蔡映云[2] 徐迅[1] 张学民[1] 殷为文[1] 

机构地区：[1]上海交通大学附属第一人民医院松江分院呼吸科,201600 [2]复旦大学附属中山医院呼吸病研究所

出　　处：《中华全科医师杂志》2009年第2期104-107,共4页Chinese Journal of General Practitioners

基　　金：上海市卫生局科研项目（2007169）

摘　　要：目的了解社区卫生服务中心全科团队对慢性阻塞性肺疾病防治基本知识的知晓度。方法2008年2月26日统一时间开始，对上海市某区全部15家社区卫生服务中心的全科医生做慢性阻塞性肺疾病防治基本知识的问卷调查。除去不能离开工作岗位者，接受调查医生593名。结果542名（91．4％）医生知道慢性阻塞性肺疾病的英文缩写；315名（53．1％）自认为知道《慢性阻塞性肺疾病防治指南》的主要内容；全部被调查的社区卫生服务中心均没有配备肺功能仪；500名（84．3％）知道肺功能检查是慢性阻塞性肺疾病诊断的金标准；115名（19．4％）医生知道慢性阻塞性肺疾病分为急性发作期和稳定期；163名（27．5％）知道慢性阻塞性肺疾病患者药物治疗有效后，应该长期治疗；328名（55．3％）认识到慢性阻塞性肺疾病患者在稳定期仍需要治疗；312名（52．6％）认为慢性阻塞性肺疾病急性加重后不一定要用抗生素；465名（78．4％）认为吸入治疗是慢性阻塞性肺疾病急性发作的首选方案。235名（39．6％）知道规范家庭氧疗是每日吸氧时间大于15h。调查发现仅365名（61．6％）医生参加过慢性阻塞性肺疾病相关知识培训，且培训次数每年仅1～2次。乡村医生所掌握的知识明显少于社区医生。结论全科医生在慢性阻塞性肺疾病防治知识方面严重缺乏，须加强相关防治知识的培训。Objective To understand awareness of basic knowledge on control and prevention for chronic obstructive pulmonary disease （COPD） among general practitioner in community health service centers. Methods Questionnaire survey was conducted among 593 general practitioners at 15 community health service centers in a district of Shanghai in the morning of February 26, 2008. Results Five hundred and forty-two of 593 （91.4%） general practitioners surveyed knew that chronic obstructive pulmonary disease can be abbreviated as COPD, and 315 of them （53.1%） thought they knew the main contents of the ＂Guidelines for Prevention and Control of Chronic Obstructive Pulmonary Disease＂. No pulmonary function instrument was equipped at all 15 community health service centers surveyed, and 501 of 593 （84. 5% ） general practitioners knew spirometry is gold standard for diagnosis of COPD. Only 115 （ 19. 4% ） general practitioners knew that COPD can be categorized as acute exacerbation and stable stage. One hundred and sixty-three of them （27. 5% ） knew that drug therapy should be maintained in COPD patients for long term following effective treatment, 328 （55.3%） recognized that treatment for COPD patients was still needed in their stable stage, and 312 （52. 6% ） believed that antibiotics may not be necessary and 465 （78. 4% ） thought that inhalation therapy was the choice of treatment for acute exacerbation of COPD. Two hundred and thirty-five of them （39. 6% ） knew that oxygen inhalation should be more than 15 hours per day in regular family therapy. The investigation showed that 365 （61.6%） general practitioners had participated in training for COPD-related knowledge, only one or two times a year. Awareness of COPD knowledge was significantly poorer in rural practitioners than that in urban community ones. Conclusions Basic knowledge of prevention and treatment for COPD was seriously lack in general practitioners, so it is a necessity to strengthen training for them.

关 键 词：肺疾病 慢性阻塞性 社区卫生中心 问卷调查 

分 类 号：R563.9[医药卫生—呼吸系统]