上海市某社区医务人员慢性阻塞性肺疾病长期家庭氧疗业务能力及影响因素研究  

Professional ability and influencing factors of COPD family long-term oxygen therapy of community medical staff in one community healthcare centre in Shanghai

作　　者：韦莉君 余峰 石建伟 傅华 WEI Li-jun;YU Feng;SHI Jian-wei;FU Hua(Department of General Practice,Qibao Community Health Service Center,Shanghai 201101,China;不详)

机构地区：[1]上海市闵行区七宝社区卫生服务中心,上海201101 [2]上海交通大学医学院,上海200025 [3]复旦大学上海医学院,上海200032

出　　处：《中华全科医学》2022年第6期996-999,共4页Chinese Journal of General Practice

基　　金：国家自然科学基金青年基金项目(71503182);上海市闵行区自然科学研究课题(2019MHZ070)。

摘　　要：目的探讨社区医务人员长期家庭氧疗(LTDOT)的业务能力及影响因素,为慢性阻塞性肺疾病(COPD)家庭氧疗的社区管理和应用提供理论依据。方法于2020年5—11月,对上海某社区卫生服务中心医务人员开展调查。采用χ^(2)检验、logistic回归分析社区医务人员COPD家庭氧疗业务能力现况及影响因素。结果社区医务人员家庭氧疗专业知识及格率为73.60%。对不同岗位在各题项的合格率差异分析显示,社区不同岗位医务人员在COPD患者家庭氧疗作用、原则、氧流量浓度及控制范围、高浓度氧气吸入对COPD患者的影响、COPD患者每日吸氧时间和判断氧疗效果指标6个题项上差异有统计学意义(均P<0.05)。Logistic回归分析显示女性家庭氧疗专业能力明显高于男性(OR=3.300,P=0.003),公共卫生(OR=0.250,P=0.009)、医技人员(OR=0.103,P<0.001)的专业知识普遍弱于临床医生,50~59岁组(OR=0.179,P=0.005)家庭氧疗专业能力明显低于年轻组。结论社区医务人员COPD长期家庭氧疗专业能力存在一定短板,特别是对部分特征医务人员,应通过多渠道和多方式提升社区医务人员COPD长期家庭氧疗的应用和管理能力。Objective To explore the professional ability and influencing factors of family long-term domiciliary oxygen therapy of community medical staff,so as to provide theoretical basis for the community management and application of family oxygen therapy for chronic obstructive pulmonary disease(COPD).Methods A comprehensive questionnaire survey was conducted amongst the medical staff of one community health service centre in Shanghai from May to November 2020.Theχ^(2) test and logistic regression were used to analyse the status and influencing factors of family oxygen therapy professional ability of community medical staff.Results The pass rate of family oxygen therapy professional knowledge of community medical staff was 73.60%.Analysis of the qualified rate in each item showed that there were significant differences amongst six items,including the function,principle,oxygen flow concentration and control range,high concentration of oxygen inhalation on COPD patients,daily oxygen inhalation time and judgment of oxygen therapy effect index(all P<0.05).In total,the number of females was significantly higher than that of males(OR=3.300,P=0.003).The professional knowledge of public health(OR=0.250,P=0.009)and medical technicians(OR=0.103,P<0.001)was generally weaker than that of clinicians.The 50-59 years old group(OR=0.179,P=0.005)was significantly lower than the young group.Conclusion There are some shortcomings in the professional ability of community medical staff in COPD long-term family oxygen therapy,especially for some medical staff with special characteristic.The application and management ability of community medical staff in COPD long-term family oxygen therapy should be improved through multiple channels and ways.

关 键 词：社区医务人员 长期家庭氧疗 影响因素 

分 类 号：R197.61[医药卫生—卫生事业管理] R563[医药卫生—公共卫生与预防医学]