继续教育对基层医务人员有关慢性阻塞性肺疾病相关认知的影响研究  

The effect of continued medical education on primary health care workers’knowledge about chronic obstructive pulmonary disease

作　　者：张春瑜[1] 贾存波[1] 方方[1] 黄可[1] 董芬[1] 牛宏涛 李杉 杨汀[1] ZHANG Chun-yu;JIA Cun-bo;FANG Fang;HUANG Ke;DONG Fen;NIU Hong-tao;LI Shan;YANG Ting(China-Japan friendship hospital,Beijing 100029,China;Shenzhen people hospital,Shenzhen 518020,China)

机构地区：[1]中日友好医院,北京100029 [2]广东省深圳市人民医院,广东深圳518020

出　　处：《中国临床医生杂志》2022年第2期145-147,共3页Chinese Journal For Clinicians

基　　金：中国医学科学院慢性呼吸疾病防控体系研究(2019TX320005)。

摘　　要：目的了解基层医务人员对慢性阻塞性肺疾病的认知、过去一年继续教育情况及继续教育对慢性阻塞性肺疾病相关认知的影响。方法选取2019年10月1—31日2372名来自社区卫生服务中心(站)、乡镇卫生院和村卫生室的医务人员自愿在线填写了调查问卷,内容包括个人基本特征,对慢性阻塞性肺疾病危险因素和诊断的认知及继续教育情况。结果基层医务人员熟知吸烟、二手烟、长期呼吸道疾病史、室外空气污染和职业性粉尘等危险因素,但是对室内空气污染和遗传因素认知不足,并且仍有12.1%的基层医务人员知晓吸烟是危险因素,但正在吸烟或戒烟6个月以内。80%的调查对象知道肺功能是诊断慢性阻塞性肺疾病的金标准,但仅60.7%的调查对象能正确判读肺功能结果。过去一年中仅44.3%的基层医务人员接受了相关继续教育。继续教育对提升基层医务人员慢性阻塞性肺疾病危险因素和诊断相关认知的影响差异有显著性(OR=1.524,95%CI 1.289~1.802;OR=1.528,95%CI 1.289~1.812)。结论加大继续教育的惠及范围,有针对性地加强基层医务人员对室内空气污染和遗传因素的认知,同时在基层配备肺功能仪的前提下,开展以实操为基础的培训,提升基层医务人员对慢性阻塞性肺疾病的诊断能力。Objective This study aims to learn the knowledge of chronic obstructive pulmonary disease and continued medical education among the primary health care workers,and the association between them.Method The questionnaires include the characteristics of primary health care workers,the questions of risk factors and diagnosis of chronic obstructive pulmonary disease,and the continued medical education in the past 1 year.2372 primary health care workers from community health care centers and township hospitals filled the questionnaires on line.Result Smoke,second hand smoke,pulmonary disease history,outdoor air pollution and dust fume were well known among primary health care workers.However,indoor air pollution and genetic factors were less recognized.12.1%of respondents who know smoke was one of risk factors are still smoking or quitted smoking less than 6 months.80%of respondents knowed chronic obstructive pulmonary disease should be diagnosed based on pulmonary function test,and only 60.7%of them could distinguish the test result.In the past 1 year,only 44.3 of respondents joined continued medical education.We found that continued medical education had positive association with the knowledge of risk factors and diagnosis(OR=1.524,95%CI:1.289~1.802;OR=1.528,95%CI:1.289~1.812)Conclusion Continued medical education should be universal covered among primary health care workers.Indoor air pollution and genic factors should be paid more attention during training.If pulmonary function test instrument was available in community health center and township hospital,practice-based training was an effective way to improve their diagnose ability.

关 键 词：慢性阻塞性肺疾病 危险因素 诊断 继续教育 

分 类 号：R741[医药卫生—神经病学与精神病学]