大兴区基层医师慢性阻塞性肺疾病诊疗现状调查及分析

A survey on diagnosis and treatment of chronic obstructive pulmonary disease among community physicians in Daxing District

目的本研究主要调查大兴区所有一级卫生院(共16家)内科和全科医师对于慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)诊治、预防现状,了解大兴区基层医院医师对COPD的认知及综合管理能力。方法首先对参加调查的人员进行统一培训后,到各基层发放调查问卷,并讲解问卷如何填写,调查问卷包括基层医师一般资料、对COPD认知情况、COPD药物治疗与非药物治疗方法掌握情况、预防和健康教育情况等,统一回收调查问卷,集中对调查结果进行分析。结果基层医师对COPD诊断标准、肺功能报告阅读、症状问卷评分、药物治疗、非药物治疗等方面均未熟练掌握,仅51%医师定期随访,35%医师所在单位建立COPD患者档案。结论大兴区基层医师对COPD的认知、综合管理能力亟待进一步提高。

Objective:To investigate the current situation of diagnosis,treatment and prevention of chronic obstructive pulmonary disease(COPD) in all the 16 primary health centers in Daxing District,and understand the knowledge mastery status of the community physicians on COPD.Methods:Firstly,the investigators were given unified training,and then sent questionnaires to the 16 primary health centers and explained how to fill out the questionnaire.The questionnaire included general information of the community physicians,their cognitive status of COPD and drug treatment for COPD,non-pharmacological treatment,prevention and health education.Then the questionnaires were collected and concentratedly analyzed.Results:The community physicians were not proficient in the diagnosis criteria of COPD,reading of pulmonary function report,symptom score questionnaire,drug treatment, non-drug treatment,etc.,only 51% physicians regularly followed-up the patients,and 35% of the primary health centers established COPD patient files.Conclusion:The community physicians in Daxing District need to further improve the cognitive and comprehensive management ability of COPD.