临床医师哮喘药学知识的考查

Survey on pharmacological knowledge of asthma in physicians

目的 :了解临床医师对哮喘药学知识的掌握情况。方法 :以考卷书面考查上海市徐汇区一级、二级和三级医院的临床医师共 2 0 3名。比较初级、中级和高级职称临床医师 ,普内科、呼吸科、儿科和其他科室临床医师的哮喘药学知识和哮喘药物分类得分。哮喘药学知识总计 2 2分 ,13分为及格 ;哮喘药物分类得分总计 9分 ,5分为及格。结果 :哮喘药学知识得分及格者 195名 (96.1% ) ,其中满分者 7名 (3.4 % ) ,不及格者有 8名 (3.9% )。哮喘药物分类得分及格者 88名 (43.4 % ) ,其中满分者 3名(1.5 % ) ,不及格者 115名 (5 6.6% )。一级医院医师哮喘药学知识得分和哮喘药物分类得分低于二级和三级医院医师 (P <0 .0 1,P <0 .0 5 )。不同职称医师 2项得分无差异。普内科、儿科和呼吸科医师哮喘药学知识得分高于其他科室医师 (均P <0 .0 1)。呼吸科和儿科医师哮喘药物分类得分高于普内科和其他科室医师 (P <0 .0 1,P <0 .0 5 )。结论 :临床医师的哮喘药学知识不够 。

AIM: To investigate the prehension status on pharmacological knowledge of asthma in physicians. METHODS: Two hundred and three physicians from grade I to grade Ⅲ hospitals in Xuhui district, Shanghai completed a questionnaire about pharmacological knowledge of asthma. There were two scores determined either the degree of understanding of pharmacological knowledge of asthma, or the ability to differentiate the type of drugs of asthma. These two scores were compared among physicians from different department, different position or hospitals with different degree. The total score of pharmacological knowledge of asthma was 22, the qualified score of it was 13. The total score of differentiating of type of drugs of asthma was 9,the qualified score of it was 5. RESULTS: For understanding pharmacological knowledge of asthma, one hundred and ninety-five physicians (96.1%) got more than 13, including seven physicians(3.4 %) who got the full scores(22); eight physicians(3.9 %)got less than 13. The scores of the physicians from internal, pediatric and pulmonary department were higher than those from other department. And the physicians from primary hospitals got the lower scores than those from junior hospitals(P<0.01,P<0.05).There were not statistical differences in the scores of physicians with different position. For differentiating the type of drugs of asthma, eighty-eight physicians( 43.4 %)got the score more than 5, including three physicians got the full score(9), one hundred and fifteen physicians (56.6 %) got the score less than 5. The scores of the physicians from pulmonary and pediatric department got the score more than those from internal and other department (P<0.01,P<0.05). CONCLUSION: The physicians must be trained to strengthen the pharmacological knowledge with pharmaceutical services.