城乡全科医师对慢性阻塞性肺病认知状况调查  

A survey on the cognition of chronic obstructive pulmonary disease among urban and rural general practitioners

作　　者：王碧炯[1] 孙士芳[1] 李冰 王岑立 陈治源 高彦鹏 王海珍 吕宝庆 胡征[8] 马红映[1] 邓在春[1] 翁磊 

机构地区：[1]宁波大学医学院附属医院呼吸科,浙江宁波315020 [2]宁波市慈城镇中心医院内科,浙江宁波315033 [3]宁波市镇海第二医院内科,浙江宁波315207 [4]宁波市江北祥星医院内科,浙江宁波315032 [5]宁波市北仑区第二人民医院内科,浙江宁波315809 [6]宁波市北仑区小港医院内科,浙江宁波315801 [7]宁波市宁海西店医院内科,浙江宁波315613 [8]浙江省慈溪市人民医院呼吸科,浙江慈溪315300 [9]宁波市第九医院呼吸科,浙江宁波315020

出　　处：《中国现代医生》2015年第21期104-107,112,共5页China Modern Doctor

基　　金：浙江省宁波市农创项目基金(2012C91019)

摘　　要：目的了解城乡全科医师对慢性阻塞性肺病基本概念、诊断与治疗等方面的认知状况,为基层医院全科医师的继续医学教育提供依据。方法对21所城区社区卫生服务中心(A组)和27所乡村社区卫生服务中心(B组)的全科医师进行有关慢性阻塞性肺病知识问卷调查,问卷内容涉及慢性阻塞性肺病基本概念、诊断方法、分组诊断、稳定期治疗、急性加重期治疗等五个方面。结果 A、B两组全科医师对上述五个问卷问题的答对率分别为25.89%、17.26%、5.58%、4.06%、18.78%和8.97%、8.55%、5.13%、4.27%、17.52%,其中,A、B两组全科医师对慢性阻塞性肺病基本概念、诊断方法答对率比较差异有统计学意义(χ2=21.99,P<0.05和χ2=7.41,P<0.05)。结论城乡全科医师对慢性阻塞性肺病认知状况较差,对慢性阻塞肺病的防治工作非常不利,亟需在城乡全科医师中加强对《慢性阻塞性肺病诊治指南》的继教工作。Objective To understand the cognitive level of urban and rural general practitioners in the concept, diagnosis and treatment of chronic obstructive pulmonary disease and to provide the basis for continuing medical education in basic level hospital for all general practitioners. Methods General practitioners from 21 urban community health service centers （group A） and 27 of the rural community health service centers （group B） were surveyed on chronic obstructive pulmonary disease knowledge through a anonymous questionnaire, the survey contents included five aspects of chronic obstructive pulmonary disease such as basic concept, diagnosis, grouping diagnosis, treatment on stable phase and acute exacerbation. Results The correct rates of five questions in group A were 25.89%, 17.26%, 5.58%, 4.06%, 18.78 and in group B were 8.97%, 8.55%, 5.13%, 4.27 %, 17.52%. In chronic obstructive pulmonary disease concept and diagnosis, there was significant difference between two groups（x2=21.99, P〈0.05 and x^2=7.41, P〈0.05） . Conclusion The level of the cognitive of COPD （chronic obstructive pulmonary disease） among the general practitioners is very poor, and is strong against to the management work of chronic obstructive pulmonary disease. We need more continuing medical ed- ucation on ＂the guidelines on diagnosis and treatment of chronic obstructive pulmonary disease ＂ among the urban and rural general practitioners.

关 键 词：全科医师 慢性阻塞性肺病 问卷调查 

分 类 号：R563.9[医药卫生—呼吸系统]