摘要
目的了解中国西北地区二甲以上医院中哮喘相关科室医师对哮喘防治专业知识的了解掌握情况,评估中国哮喘联盟在医师群体中对哮喘规范化诊治推广的效果,为今后本地区哮喘相关培训工作计划的制定提供理论依据。方法抽取参加2012～2013年度全国哮喘专科医师培训班(西京医院基地)的所有学员(100名,来自西北地区)为调查对象,以调查问卷形式分析其对哮喘专业相关知识的了解掌握程度。问卷内容涵盖对全球哮喘防治创议(global initiative for asthma,GINA)文件以及哮喘联盟等组织的概念、哮喘的发病机制及防治措施。结果回收合格试卷71份,受试对象专业包括呼吸内科(38.1%)、综合内科(35.4%)、儿科(26.5%)。①哮喘相关专业组织的知晓:受调查医师对GINA和中国哮喘联盟的知晓率分别为49.3%和43.7%;②GINA方案、哮喘发病机制与诊断、治疗措施的掌握:掌握哮喘主要发病机制为慢性气道炎症的比率占78.9%,40.8%的医师知道肺功能检测可作为诊断哮喘的依据,但仅有17.4%的医师了解呼出气一氧化氮检测可作为哮喘控制程度的检测方法,且主要为呼吸内科医师。54.9%的医师对哮喘控制药物有全面的认识。虽然有高达74.6%的医生认识到吸入性糖皮质激素(inhaled corticosteroid,ICS)在控制支气管哮喘中的重要作用,但仅有56.3%的医生认识到ICS与长效β2受体激动剂联合使用的必要性。94.4%的医师知道哮喘治疗的最佳给药途径是吸入,且90%以上的医生掌握都保等装置的应用。对脱敏疗法在治疗哮喘中的作用做出正确评价的医师比率为59.2%;了解白三烯药物特点的医师占69%。66.2%的医师会为患者制定长期用药方案及随访计划;③专业知识学习的途径:约有81.7%的医师表示近三年来参加过哮喘知识新进展的教育研讨会。结论经过中国哮喘联盟各级组织的不懈努力,西北地区医师对于哮喘专业知识掌握程度逐步提高,但与发达地区相比仍有较大的差距,与联盟对医师培训的目标相比仍然任重道远。
Objective The purpose of this survey is to find out the situations of asthma control professional knowledge under- stood by physicians in asthma related department of grade two A or above hospitals in northwestern territories, and evaluate the effects of China Asthma Alliance （CAA） on the popularization of standardized treatment for asthma. The results may provide theoretical basis for a plan of teaching physicians in the Northwest. Methods All 100 trainees who attended the 2012-2013 National Asthma Physician Training Courses were selected to answer the questionnaires. The questionnaire covered the pathogenesis, prevention and treatment of asthma, and the conceptions of global initiative for asthma （GINA） and CAA. Results Seventy one qualified answer-papers were col- lected. The profession of physicians was composed of respiratory medicine （ 38.1% ）, internal medicine （ 35.4% ） and pediatrics （ 26. 5% ）. In the professional organization,the rates of knowing GINA and CAA were 49.3% and 43.7% ,respectively. In GINA docu- ment ,78.9% of the doetors understood that the vital pathogenesis Of asthma was chronic airway inflammation, and 40. 8% of the physi- cians knew that pulmonary function testing can be used to diagnose asthma. However,only 17.4% of the physician understood that ex- haled nitric oxide detection was a method to monitor the level of asthma control. 54. 9% of the physicians got the knowledge of control- lers for asthma. Although 74. 6% of the physicians recognized that inhaled glucoeortieoids （ICS） was the most important method in con- trolling asthma,but only 56. 3% of the physicians knew that ICS should be used with the combination of long-acting B2 agonists. 94.4% of the physicians knew that the best way of administration for asthma is inhalation ,while 90% of the physicians mastered the in- halation technique. The ratios of understanding the desensitization therapy and leukotriene drugs were 59. 2% and 69% , respectively. 66. 2% of the physicians made the follow-up plan for patients. In professional training,81.7% of the physicians participated in asthma educational seminars in the past three years. Conclusion It can be demonstrated that with the unremitting efforts of CAA the level of understanding asthma-related professional knowledge was improved significantly in physicians of the northwestern territories. However, the level in the northwest is still lower than that in the astern territories. Further works are needed to be clone in order to realize the aim of CAA in teaching asthma-related physicians.
出处
《实用医院临床杂志》
2013年第4期22-26,共5页
Practical Journal of Clinical Medicine
基金
国家自然科学基金(编号:81070029)
关键词
支气管哮喘
专业调查
问卷
医师
Bronchial asthma
Survey
Questionnaire
Physicians
