中国呼吸与危重监护杂志

中国呼吸与危重监护杂志

上海市社区医生肺功能知识问卷调查

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目的了解上海市社区卫生服务中心肺功能仪配置及社区医生肺功能基本知识知晓情况。方法由上海市医学会呼吸分会基层呼吸疾病防治联盟组织,于 2016 年 6 月至 12 月,以问卷形式对上海市 16 个区的社区卫生服务中心医生进行调查。调查内容包括学历、职称、所在医院是否有肺功能仪、何人操作肺功能、肺功能检查包括哪些项目、可以协助诊断哪些疾病、肺功能检查禁忌证以及慢性阻塞性肺疾病(简称慢阻肺)的肺功能诊断标准等。结果共 131 家社区卫生服务中心、963 名医生参与此项调查。27 家(20.6%)社区卫生服务中心有简易肺功能仪。910 名(94.5%)医生知晓肺功能检查。“肺功能检查包括哪些项目”回答正确者 458 人(50.3%);“肺功能检查有助于诊断何种疾病?”和“哪些疾病需要随访肺功能?”回答正确者分别为 71 人(7.8%)和 84 人(9.2%);“哪些情况不可以做肺功能?”仅有 4 人(0.4%)回答正确;诊断慢阻肺的肺功能标准仅有 218 人(24.0%)回答正确。结论在上海,配备肺功能仪的社区卫生服务中心比例较低,社区医生对肺功能以及相关的知识还比较缺乏。目前慢阻肺已纳入分级诊疗的试点疾病,因此迫切需要对社区医院相关人员进行教育及培训,提高认识。

ObjectiveTo know about equipment of pulmonary function tests (PFTs) in community health service centers and the knowledge of pulmonary function in general physicians.MethodsThis questionnaire survey was carried out sponsored by Shanghai Basic Alliance for Respiratory Diseases Prevention and Treatment from June to December in 2016. Most community health service centers in 16 districts of Shanghai participated the survey. The questionnaire included education background, professional qualification, PFTs equipment, and knowledge about PFTs.ResultsThere were 963 general physicians in 131 community health service centers completed the questionnaire. There were 27 (20.6%) community health service centers equipped with simplified pulmonary function test device and 910 (94.5%) physicians knowing PFTs. Out of these 910 physicians, 458 physicians (50.3%) gave the correct answer on question about the items of PFTs. The accuracy of question about the diagnosis of chronic obstructive pulmonary disease (COPD) was 24.0% (218/910).ConclusionsThe rate of community health service centers with equipment on PFTs is low and the knowledge on pulmonary function in general physicians is insufficentt in Shanghai. Training on pulmonary function is essential to adapt the stratified treatment of COPD.

关键词: 基层医院; 社区医生; 肺功能

Key words: Community health service centers; General physician; Pulmonary function

引用本文: 上海市医学会呼吸分会基层呼吸疾病防治联盟. 上海市社区医生肺功能知识问卷调查. 中国呼吸与危重监护杂志, 2018, 17(2): 165-168. doi: 10.7507/1671-6205.201706007 复制

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