上海市社区全科医师支气管哮喘认知度的相关影响因素分析  

Analysis of related influencing factors on the awareness of bronchial asthma in community general practitioners in Shanghai

作　　者：邓雯予 陈良 余荣环[2] 邹晓鸿 陈冬冬[3] DENG Wenyu;CHEN Liang;YU Ronghuan;ZOU Xiaohong;CHEN Dongdong(General Practice Department of Lingyun Community Health Service Center of Xuhui District,Shanghai 200237,China;Respiratory Department of Central Hospital of Xuhui District,Shanghai 200031,China;General Practice Department of Huajing Community Health Service Center of Xuhui District,Shanghai 200231,China)

机构地区：[1]上海市徐汇区凌云街道社区卫生服务中心全科医学科,上海200237 [2]上海市徐汇区中心医院呼吸科,上海200031 [3]上海市徐汇区华泾镇社区卫生服务中心全科医学科,上海200231

出　　处：《上海医药》2021年第18期17-19,36,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：2020年度徐汇区医学科研项目(SHXH202020)。

摘　　要：目的:通过对上海市社区卫生服务中心全科医师支气管哮喘认知情况进行调查,分析全科医师支气管哮喘认知情况影响因素。方法:于2020年3月9日—3月14日采取简单随机抽样方法在上海市247家社区卫生服务中心中抽取44家社区卫生服务中心的472名全科医师作为调查对象进行问卷调查,共收到496份问卷,有效问卷472份,问卷有效回收率为95.2%。结果:全科医师中,支气管哮喘认知得分及格的为247名(52.3%),不及格的为225名(47.7%)。多因素Logistic回归分析结果显示,对全科医师支气管哮喘认知情况具有统计学意义的影响因素为社区开展支气管哮喘相关辅助检查数量、社区是否开展雾化吸入治疗项目和过去1年内参加支气管哮喘相关培训次数(P<0.05)。结论:社区全科医师应通过参加支气管哮喘相关培训逐步提升自身业务能力,同时熟练应用社区现有辅助诊疗工具提升支气管哮喘综合诊疗能力。Objective:Through investigating the awareness of bronchial asthma among general practitioners in community health service centers in Shanghai to analyze the influencing factors of bronchial asthma awareness of general practitioners.Methods:From March 9 to 14,2020,a simple random sampling method was adopted to select 472 general practitioners from 44 community health service centers from 247 community health service centers in Shanghai as survey subjects to conduct a questionnaires survey.A total of 496 questionnaires were received,of which 472 were valid questionnaires,and the effective response rate of the questionnaires was 95.2%.Results:Among general practitioners,247(52.3%)passed the cognitive score of bronchial asthma,and 225(47.7%)failed.The results of multivariate logistic regression analysis showed that the statistically significant influencing factors for general practitioners’knowledge of bronchial asthma were the number of bronchial asthma-related auxiliary examinations carried out in the community,whether the community carried out aerosol inhalation treatment programs,and and the number of participation in bronchial asthma related training in the past year(P<0.05).Conclusion:Community general practitioners should gradually improve their professional capabilities by participating in bronchial asthma related training,and at the same time proficiently use the existing auxiliary diagnosis and treatment tools in the community to improve the comprehensive diagnosis and treatment capabilities of bronchial asthma.

关 键 词：全科医师 支气管哮喘 认知度 影响因素 

分 类 号：R562.25[医药卫生—呼吸系统]