杭州市社区医生支气管哮喘知识及管理情况问卷调查结果分析

An analysis of the survey data on Hangzhou community physicians＇ perceptions of asthma knowledge and management

目的了解杭州市社区内科医生对支气管哮喘（简称哮喘）基本知识的掌握、规范化治疗及接受再教育情况，以及社区卫生服务中心对哮喘患者教育和管理的情况。方法采用问卷调查方式，共调查杭州市区45家社区卫生服务中心，每个中心随机抽取2～4名西医内科医生，共114名医生接受调查。结果87％（99／114）的受调查者回答哮喘的本质是气道炎症性疾病。69％（79／114）的受调查者选择吸入糖皮质激素（简称激素）为持续期哮喘每日规律使用的一线治疗药物。55％（63／114）的受调查者曾阅读哮喘指南。仅有24％（27／114）的受调查者知道中国哮喘联盟组织，曾访问中国哮喘联盟网站的受调查者仪有6％（7／114），受调查的医生均未参加过中国哮喘联盟在全国进行的普及哮喘规范化防治的讲座。调查前1年中，有55％（63／114）的受调查者未参加任何哮喘相关的会议或讲座。97％（111／114）的受调查者表示希望有上级医院的医生进社区医院进行哮喘相关的讲座。45家社区卫牛服务中心中，仅有2家有部分哮喘患者的登记资料，其中仅有1家在调查前1年中对哮喘患者进行了健康教育讲座。结论社区医生需要更多的继续教育机会以掌握规范的哮喘治疗方案，社区医生的教育工作有待加强。

Objective To evaluate the basic knowledge of asthma, the standardization of treatment and the continuing education with community physicians in Hangzhou. Methods The survey investigated a total of 45 community health service centers in Hangzhou, and 2 -4 western medicine physicians were randomly selected from each centre. A questionnaire was completed by totally 114 doctors under investigation. Results Eighty-seven percent of the physicians believed asthma was an airway inflammatory disease. Sixty-nine percent chose inhaled glucocorticoids as daily first-line drug for persistent asthma and 55% had read asthma guidelines. However, only 24% had ever heard China Asthma Alliance （CAA） and only 6% had visited its website. Moreover, no one under investigation had participated in the CAA organized talks popularizing the standardization of asthma treatment. Over the past year, 55% of the respondents did not participate in any asthma-related meetings or seminars. Ninety-six percent of those surveyed expressed the hope that higher-level hospital doctors would come to the community hospital for asthma-related seminars. Among the 45 community health service centers, only 2 collected part of the registration data for asthma patients and only one conducted health education seminars for asthma patients during the past year. Conclusion Community physicians need to be provided more continuing education opportunities in order for them to provide standard asthma treatment for patients.