中国慢性鼻-鼻窦炎诊断和治疗指南全国应用调查  

A national investigation on the application of Chinese guideline for the diagnosis and treatment of chronic rhinosinusitis

作　　者：左可军[1] 储宇宵 张植诚 罗向前[1] 邓洁[1] 陈枫虹[1] 赖银妍[1] 许庚[1] 史剑波[1] 

机构地区：[1]中山大学附属第一医院耳鼻咽喉科医院中山大学耳鼻咽喉科学研究所,广州510080 [2]江苏省宜兴市人民医院耳鼻咽喉科

出　　处：《中华耳鼻咽喉头颈外科杂志》2015年第1期50-53,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：卫生部2012年度卫生公益性行业科研专项经费项目(201202005);教育部博士点基金项目(20120171120085)

摘　　要：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.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.

关 键 词：鼻窦炎 觉知 问卷调查 诊疗准则 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]