上海市徐汇区全科医生慢性阻塞性肺疾病及肺康复相关知识的认知调查  

Cognitive survey of knowledge related to chronic obstructive pulmonary disease and pulmonary rehabilitation in general practitioners in Xuhui District,Shanghai

作　　者：李俊[1] 王黎铭 余荣环[1] 茅俊杰[1] 周芳 王葆青 LI Jun;WANG Liming;YU Ronghuan;MAO Junjie;ZHOU Fang;WANG Baoqing(Department of Respiration Medicine of Central Hospital of Xuhui District,Shanghai 200031,China;Department of Respiration Medicine of Zhongshan Hospital affiliated to Fudan University,Shanghai 200031,China)

机构地区：[1]上海市徐汇区中心医院呼吸科,上海200031 [2]复旦大学附属中山医院呼吸科,上海200031

出　　处：《上海医药》2021年第6期7-9,34,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市徐汇区重大医学科研项目(SHXH201646)。

摘　　要：目的:通过对上海市徐汇区12家社区卫生服务中心全科医生慢性阻塞性肺疾病及肺康复相关知识掌握情况进行调查分析,为提升全科医生慢性阻塞性肺疾病管理能力提供依据。方法:于2019年8—10月以参加上海市徐汇区中心医院呼吸科举办的继续教育学习班的徐汇区12家社区卫生服务中心的538名全科医生为调查对象,通过在线平台推送调查问卷,共计收到有效问卷538份。结果:患者就诊时,询问每年急性发作次数的全科医生65名(12.1%),询问患者吸烟史的348名(64.7%)。12家社区卫生服务中心中,仅有2家(16.7%)配备简易肺功能仪,仅有2家(16.7%)开展肺康复服务。164名全科医生(30.5%)能够正确选择肺功能分级标准,414名(77.0%)认为慢性阻塞性肺疾病稳定期患者应进行肺康复训练,324名(60.2%)认为自己不具备肺康复管理能力。结论:全科医生对慢性阻塞性肺疾病认知不足、缺乏肺康复管理能力,二、三级医院的呼吸科专家应指导全科医生学会如何操作肺功能仪,组织相关业务培训,定期进行坐诊和带教,通过一系列措施提升全科医生的慢性阻塞性肺疾病诊疗能力。Objective:To investigate and analyze the knowledge of chronic obstructive pulmonary disease(COPD)and pulmonary rehabilitation of general practitioners(GP)in 12 community health service centers in Xuhui District,Shanghai,and to provide the basis for improving the management ability of COPD of GPs.Methods:From August to October 2019,538 GPs from 12 community health service centers in Xuhui District who participated in continuing education classes held by the Respiratory Department of Central Hospital of Xuhui District,Shanghai were selected as survey objects,the questionnaires were sent through the online platform,and a total of 538 valid questionnaires were received.Results:When the patients visited,65(12.1%)GPs asked about the number of acute episodes per year and 348(64.7%)GPs asked about the smoking history of the patients.Of the 12 community health service centers,only 2(16.7%)were equipped with simple pulmonary function instruments and only 2(16.7%)provided pulmonary rehabilitation services.One hundred and twenty-four(30.5%)GPs were able to correctly select the pulmonary function classification criteria,Four hundred and fourteen(77.0%)believed that patients with COPD should undergo pulmonary rehabilitation training,and 324(60.2%)GPs believed that they did not have the pulmonary rehabilitation management ability.Conclusion:Knowledge of COPD of GPs is insufficient,and they lack pulmonary rehabilitation management,respiratory specialists in secondary and tertiary hospitals should instruct GPs how to operate pulmonary function instruments,organize business training,regular consultation and teaching,and through a series of measures the diagnosis and treatment ability of COPD of GPs can be improved.

关 键 词：慢性阻塞性肺病 全科医生 横断面调查 认知 肺康复 

分 类 号：R563[医药卫生—呼吸系统]