摘要
目的了解北京城区社区医生对慢性阻塞性肺疾病(COPD)的认知水平及目前社区管理状况。方法在COPD专家指导下制定COPD调查问卷,从北京社区卫生协会2010年1月—6月举办的继续教育学习班中随机抽取4次,对参加学习班的865位社区医师进行问卷调查。调查内容包括:COPD的认知水平,治疗药物的了解情况,稳定期教育、管理的认知情况,是否愿意、是否能够在社区卫生服务机构管理COPD患者,对COPD专业知识培训及社区卫生服务机构改进的期望。结果 865位社区医师中72.9%认为非常有必要将COPD列入社区慢病管理,54.6%社区医师认为社区卫生服务机构可以管理好COPD患者,55.8%社区医师没有参加过COPD专业知识培训。34%～40%的社区医师知道COPD的疾病实质,23%的社区医师了角COPD的病情严重程度分级标准。仅有74位(8.6%)的社区医师认为自己熟悉了解目前常用的吸入剂并掌握使用方法。80%社区医师认为稳定期需要长期坚持治疗,但是76.1%社区医师认为由于不清楚COPD稳定期治疗方案,不能给患者提供规范治疗;70%以上的社区医师知道应该对COPD患者进行健康教育,懂得戒烟、营养状况和心理疏导对COPD患者康复的重要性,但仅有40%的社区医师对患者进行健康教育。结论大部分社区医师了解COPD患者稳定期管理的重要性,也愿意加强COPD患者的社区管理,但由于专业知识的欠缺、人力不足等原因,目前还不能很好地开展COPD患者社区管理工作。急需提高社区医生对COPD的认知和管理水平。
Objective To get know the cognitive level and management of chronic obstructive pulmonary disease（COPD） in community doctors in Beijing urban.MethodsA questionnaire of COPD was designed under the guideline of COPD experts,and then used in the community doctors who had taken part in the continuing education classes for 4 times held by the Beijing Community Health Association from Jan.to June in 2010.The survey content included the cognitive level of COPD,knowledge on medicinal used in treatment,cognition on the education and management of COPD at stable stage by community doctors,their desire or ability for taking care COPD patients,and the expectation on COPD special training and improvement of community health stations.ResultsAmong 865 doctors 72.9% of them thought that COPD should be listed into community management of chronic diseases,54.6% believed that community stations could manage COPD patient well,55.8% have not accepted COPD special training,34%-40% knew COPD nature,23% understood the standard of COPD severity grades,only 74 doctors（8.6%） believed that they have been aware of current and common inhalation and its usages,80% thought that the patients with COPD at stable stage were needed long-term treatment,but 76.1% did not know the therapeutic plan and could not give standardized treatment,and over 70% understood the importance of health education,no-smoking,nutrition status and psychological counseling towards the recovery of the patients,but only 40% have given the health education to the patients.ConclusionMost of community doctors know the importance of management of COPD at stable stage,and are willing to improve the management.Currently the community management of COPD patients has not been carried out effectively due to limited special knowledge and shortage of manpower.It is request to promote the levels of cognition and management of COPD in community doctors.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2011年第3期213-216,共4页
Journal of Beijing University of Traditional Chinese Medicine
基金
北京市科技计划项目(No.H(g)-2010-qt-01)
关键词
慢性阻塞性肺疾病
社区医生
认知水平
社区管理
调查
chronic obstructive pulmonary disease
community doctors
cognitive level
community management
survey
