摘要
目的了解我国18地市各级医疗机构医生的慢性阻塞性肺疾病(慢阻肺)相关知识认知调查,为探索各级医疗机构慢阻肺防诊治能力提升方法提供借鉴。方法采用便利抽样方法选取18地市5400名医生作为调查对象,对其一般情况和慢阻肺疾病相关知识认知进行网络问卷调查。结果共回收有效问卷4834份,其中三级医院医生769人,二级医院医生1208人,一级医疗机构医生2857人。一、二、三级医疗机构医生中对治疗及管理方面知识认知程度高者分别占66.82%、75.83%和80.23%,对患病风险因素及急性加重常见原因方面知识认知程度高者分别占64.89%、69.62%和70.61%,对症状及诊断方面知识认知程度高者分别占45.22%、50.00%和52.28%。三级医院和二级医院医生的慢阻肺各方面知识认知程度均高于一级医疗机构医生(P<0.05);三级医院医生和二级医院医生之间慢阻肺各方面知识认知程度无显著差异(P>0.05)。结论应加强对基层医疗机构医生慢阻肺疾病知识的继续教育培训,并进一步全面深化培训内容,推进基层设施建设,多方位提高医生慢阻肺诊治水平。
Objective To investigate the cognitionstatus of chronic obstructive pulmonary disease(COPD)among doctors in medical institutions at all levels in 18 cities in China,and provide reference to improve the ability of COPD prevention and treatment in medical institutions.Methods Using convenient sampling method,5400 doctors in 18 cities were selected as the survey subjects,and the general situation and knowledge cognition related to COPD were investigated by network questionnaire.Results Of the 4834 respondents,769 doctors worked in Level-A hospitals,1208 in Level-B hospitals and 2857 in Level-C institutions.The awareness rates of treatment and managementin doctors who worked in Level-A,B,C were 80.23%,75.83%,66.82%,respectively.The awareness rates of the most common causes of the disease risk factors and the common causes of acute exacerbationwere 70.61%,69.62%,64.89%,respectively.The awareness rates of symptom and the diagnosis were 52.28%,50.00%,45.22%,respectively.The cognitive degrees of COPD knowledge of doctors in Level-Ahospital and Level-Bhospital were significantly higher than that of doctors in Level-C(P<0.05),however,no significant difference was found between hospital Level-A and B(P>0.05).Conclusion It is necessary to strengthen the continuing education and training of doctors’knowledge of C.OPD and standardize the training content,promote the construction of grass-roots facilities,and improve the diagnosis and treatment level of doctors’COPD in many ways.
作者
李杉
贾存波
方方
张春瑜
杨汀
王杰
王辰
LI Shan;JIA Cun-bo;FANG Fang;ZHANG Chun-yu;YANG Ting;WANG Jie;WANG Chen(Beijing University of Chinese Medicine,School of Management,Bejing 100029,China)
出处
《中国健康教育》
北大核心
2020年第3期195-199,共5页
Chinese Journal of Health Education
作者简介
李杉(1995-),女,广东广州人,硕士在读,主要从事社会医学与卫生事业管理工作;通信作者:王辰,男,教授,研究方向:呼吸与危重症医学及医院管理。E-mail:cyh-bim@263.net
