COPD防治能力在社区全科医生中的脆弱性调查

Investigation on the vulnerability of the ability that general practitioner in community control and prevent chronic obstructive pulmonary diseases

目的通过调查广州市社区全科医生对慢性阻塞性肺疾病(COPD)相关防治知识的认知程度,为对社区医生进行COPD相关知识教育培训的内容与方向提供参考。方法2014年12月,在广州市随机抽取34家社区卫生服务站(中心)共270名全科医生,对其不记名问卷调查行现场问卷调查。结果社区全科医生对于COPD防治知识的脆弱性比较严峻,对临床诊断、病情严重程度分级和药物治疗的认知非常欠缺。不同学历、不同工龄社区全科医生COPD知识的脆弱性差异有统计学意义(P<0.05),而不同职称、不同性别的社区全科医生COPD知识脆弱性比较差异无统计学意义(P>0.05)。结论提高社区全科医生COPD知识的水平,加强COPD临床知识技能教育,进行系统化、规范化的培训,对于COPD的防治十分迫切及必要。

Objective To survey the knowledge of Guangzhou community general practitioners on the chronic obstructive pulmonary disease （COPD） related control and prevention measures, and provid references for setting education for these doctors on such knowledge. Methods From 2014 December, in the city of Guangzhou in 69 randomly selected community health service station （Center） a total of 270 general practitioners were taken anonymous questionnaire survey. Results Community general practitioners （GP） were weak in control and prevention of COPD knowledge, particular on diagnosis, serevity and grading of the disease and medical treatment. The knowledge deficiency of GP with different education levels and different length of working experience had significant differences （P〈0.05）, but the there were no significant differences in different positions, genders （P〉0.05）. Conclusion There is an urgent need in improving the knowledge of control of prevention of COPD of the community GP via enhancing their clinical knowledge and techniques in a systematic and formal training.