摘要
目的了解南京市内科医生对慢性阻塞性肺疾病(COPD)认知水平及COPD的治疗现状,为今后开展针对性继续教育提供依据。方法 2009年6～12月,采用分层随机抽样的方法对南京市部分医院内科医生进行问卷调查,主要内容包括COPD的症状与诊断认知水平、轻中重度及稳定期患者的治疗和药物选择情况等,对稳定期COPD患者是否需要治疗的认知状况以及内科医生自身吸烟情况。结果将139个调查对象分为三级医院呼吸专科医生组(70人)和二级及以下医院内科医生组(69人),两组医生在年龄、性别、职称等方面差异均无统计学意义。诊断COPD时两组医生都会询问患者慢性咳嗽和气流受阻情况,但呼吸专科医生会更多了解吸烟史、COPD家族史等。肺功能检查对诊断COPD有非常重要的意义,调查发现呼吸专科医生对此都有认知,但二级及以下医院只有85.5%的内科医生认知到肺功能各项指标诊断COPD的临床意义,两组都需要进一步了解。而对于轻中重度COPD患者的治疗,两组医生所开处方无统计学差异,但对于祛痰药评价过高,应用频率也较高。两组医生吸烟比例分别为11.4%和17.4%。结论目前南京市呼吸专科医生和二级及以下医院内科医生对于COPD的认知水平均较高,重视稳定期的治疗,两组医生对COPD诊断和治疗认知上差异无统计学意义,但是对COPD的用药及长期防控干预还有一定差距,医生自身仍存在一定比例的吸烟。
Objective To investigate Nanjing physicians＇ cognitive level and the status of treatment about COPD and provide scientific evidences for targeted education in the future.Methods Stratified random sampling method and interview were used in physicians in several Nanjing hospitals between June and December 2009.The research contents mainly include physicians＇ cognitive level symptoms and diagnosis of COPD,treatment and drugs selection of mild,moderate,severe and stable COPD patients,cognitive status about treatment need for patients with stable COPD,and the status of physicians smoking.Results The 139 subjects were divided into two groups,one was respiratory specialist group of third-class hospitals（70 persons） and the other was physician group of second-class and below hospitals（69 persons）,and there was no statistical difference between the two groups in age,gender and occupational title.In COPD diagnosing,doctors in the two groups all asked about chronic cough and airflow obstruction,but doctors in the first group asked more about smoking history and COPD family history.Pulmonary function test is very important for COPD diagnosis,doctors in the first group all knew well about it,but 85.5% of the latters knew the importance.The two groups needed further more information on clinical significance of each pulmonary function test index in COPD diagnosis.There was no statistical difference in prescriptions to mild,moderate and severe COPD patients between the two groups,but their evaluation and using frequency about expectorants was too high.Smoking rate in the two groups above was 11.4% and 17.4% respectively.Conclusions At present,cognitive level of COPD in Nanjing respiratory specialists and physicians of second-class and below hospitals was high,they paid attention to treatment for stable COPD,and there is no significant difference in diagnosis and treatment for COPD between the two groups,but they needed to devote greater efforts to drug using and long-term prevention and control and intervention to COPD.At last,doctors themselves were somking to some degree.
出处
《中华疾病控制杂志》
CAS
2010年第9期874-877,共4页
Chinese Journal of Disease Control & Prevention
关键词
肺疾病
慢性阻塞性
认知
横断面研究
吸烟
Pulmonary disease
chronic obstructive
Cognitive
Cross-sectional studies
Smoking
