2016年中国肺康复网上调查结果分析  

A nation wide online questionnaire survey on pulmonary rehabilitation in China in 2016

作　　者：刘妮[1] 郑则广[1] 胡杰英[1] 杨峰[1] 李有霞[1] 钟丽红[1] 范瑶瑶 郑健琪 赵红梅[3] 高连军[3] 郑劲平[1] 陈荣昌[1] 

机构地区：[1]广州医科大学附属第一医院呼吸内科广州呼吸健康研究院呼吸疾病国家重点实验室,510120 [2]广州医科大学,511000 [3]中国康复研究中心北京博爱医院呼吸科,100086

出　　处：《国际呼吸杂志》2018年第2期114-117,共4页International Journal of Respiration

摘　　要：目的 了解中国各级医院肺康复的开展情况。方法通过问卷星软件建立微信调查问卷,在微信群、呼吸疾病论坛等发放调查问卷链接,了解参加问卷调查医务人员所在医院肺康复治疗的开展情况。结果问卷提交327份,有效问卷314份。三级和二级医院肺康复开展良好的分别占比13.78%（35/254）和2.00%（1/50）,开展了但不完善分别占比57.87%（147/254）和42.00%（21/50）,准备开展分别占比20.87%（53/254）和26.00%（13/50）,完全没开展分别占比7.48%（19/254）和30.00%（15/50）,2组差异有统计学意义（χ2=26.16,P=0.000）。三级医院和二级医院各科室肺康复开展占比分别为：呼吸内科（79.53%和72.00%）,康复科（38.58%和20.00%）,重症监护病房（12.20%和6.00%）,门诊（13.78%和6.00%）,其他科室,包括神经内科、共建社区等（11.42%和18.00%）。已开展肺康复工作的医院中肺康复治疗内容,呼吸肌训练普及度是最高的,达到91.08%,其次是吸痰指导和气道湿化治疗,普及度81.53%,而运动康复也达80.57%,心理康复66.88%。结论我国二、三级医院已逐步重视肺康复治疗,但开展良好的占比偏低,且各科室发展不均衡,需要进一步加强完善。[Abstract] Objective Assessment of the clinical application of pulmonary rehabilitation in China. Methods Using questionnaires link on WeChat group and Breathing BBS.Results 314 of 327 were valid questionnaires. The perfect rate of pulmonary rehabilitation in large （provincial or municipal） hospitals and small （county）hospitals were 13.78% （35/254） and 2.00% （1/50）,the rate of carried out but imperfect were 57.87% （147/254）and 42.00% （21/50）, ready to carry out pulmonary rehabilitation respectively were 20.87% （53/254） and 26.00% （13/50）, no pulmonary rehabilitation＇ rate were 7.48% （19/254） and 30.00% （15/50）, （ χ2=26. 16, P =0.000）.The department of pulmonary rehabilitation in large hospitals and small hospitals respectively were respiratory medicine （79.53% and 72.00%）, rehabilitation （38.58% and 20.00%）,intensive-care unit （12.20%and 6.00%） ,outpatient （13.78% and 6.00%）, other departments, such as neurology, build community （11.42% and 18.00%）. The rate of prescription of pulmonary rehabilitation： respiratory muscle training were up to 91.08%, respiratory management were 81.53%, motor recovery rehabilitation were 80.57%, and the psychological rehabilitation were 66.88%. Conclusions Both large hospitals and small （county）hospitals have paid more attention to the pulmonary rehabilitation, but the perfect application of pulmonary rehabilitation in China were imbalance in develop domestic pulmonary rehabilitation. rate of them were low. The clinical various departments. It is imperative to

关 键 词：肺康复 问卷调查 中国 

分 类 号：R56[医药卫生—呼吸系统]