北京房山区各级医疗机构医师对慢性阻塞性肺疾病患者开展肺功能检查的认知情况调查  

Investigation on the Cognition of Pulmonary Function Examination of Patients with Chronic Obstructive Pulmonary Disease by Physicians at All Levels of Medical Institutions in Fangshan District,Beijing

作　　者：安晓洁 张慧敏 An Xiaojie;Zhang Huimin(Department of Respiratory and Critical Care Medicine,Liangxiang Teaching Hospital of Capital Medical University,Beijing 102401,China;Department of Statistics,Liangxiang Teaching Hospital of Capital Medical University,Beijing 102401,China)

机构地区：[1]首都医科大学良乡教学医院呼吸与危重症医学科,北京102401 [2]首都医科大学良乡教学医院统计室,北京102401

出　　处：《中国社区医师》2024年第26期166-168,共3页Chinese Community Doctors

基　　金：北京市房山区优秀人才培养资助项目(编号:2017001)。

摘　　要：目的:了解北京房山区各级医疗机构医师对慢性阻塞性肺疾病患者开展肺功能检查的认知情况。方法:2023年12月11日—12月13日对北京市房山区3家不同级别医疗机构的378名医师(基层社区服务中心47人,二级综合医院162人,三级综合医院169人)进行问卷调查,内容包括个人基本信息、对于慢性阻塞性肺疾病患者开展肺功能检查的认知情况,汇总并分析数据。结果:三级医院医师对慢性阻塞性肺疾病患者开展肺功能检查的认知情况问卷的平均回答符合率最高,其次为二级医院医师(P<0.05);呼吸专业医师平均回答符合率高于非呼吸专业医师(P<0.05);女医师回答符合率高于男医师(P<0.05);不同工作年限、职称医师平均回答符合率均为50%左右。硕士及以上医师回答符合率高于本科医师及专科医师(P<0.05)。结论:北京房山区各级医疗机构医师对慢性阻塞性肺疾病患者开展肺功能检查的认知情况存在差异,与所在医疗机构级别、专业、性别、文化程度有关,建议医疗机构对医师开展肺功能规范诊断技术培训,提升其慢性阻塞性肺疾病诊断水平。Objective:To investigate the cognition of pulmonary function examination of patients with chronic obstructive pulmonary disease by physicians at all levels of medical institutions in Fangshan District,Beijing.Methods:From December 11,2023 to December 13,2023,a questionnaire survey was conducted among three hundred and sevey-eight physicians(47 in grass-roots community service centers,162 in second-level general hospitals and 169 in third-level general hospitals)in three medical institutions of different levels in Fangshan District,Beijing.The content included basic personal information,awareness of pulmonary function tests for patients with chronic obstructive pulmonary disease.The data were summarized and analyzed.Results:Physicians in tertiary hospitals had the highest average coincidence rate in answering the cognitive status questionnaire for pulmonary function examination in patients with chronic obstructive pulmonary disease,followed by physicians in secondary hospitals(P<0.05);the average response coincidence rate of respiratory doctors was higher than that of non-respiratory doctors(P<0.05);the answer coincidence rate of female physicians was higher than that of male physicians(P<0.05);the average answer coincidence rate of doctors with different working years and professional titles was about 50%;the answer coincidence rate of doctors with master's degree and above was higher than that of doctors with bachelor's degree and specialists(P<0.05).Conclusion:Doctors at all levels of medical institutions in Fangshan District of Beijing differ in their cognition of pulmonary function examination for patients with chronic obstructive pulmonary disease,which is related to the level,specialty,gender and educational level of the medical institution they are in.It is recommended that medical institutions provide training on lung function standard diagnosis techniques for physicians to improve their diagnostic level of chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性肺疾病 肺功能 认知情况 

分 类 号：R563[医药卫生—呼吸系统]