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目的了解社区全科医生对慢性阻塞性肺疾病防治知识的脆弱性,为社区医生COPD防治知识培训提供参考依据。方法 2009年,在徐州市城乡抽取59家社区卫生服务中心(站)的204名全科医生进行问卷调查。结果调查204人,结果47人不及格,总体脆弱性为23.04%,COPD知识脆弱性评价为(31.67±7.69)分。全科医生COPD知识脆弱性,城区为14.29%,农村为29.17%(P<0.05);社区卫生服务中心的为19.14%,社区卫生服务站的为38.10%(P<0.01);大专以上文化的为11.71%,高中及以下文化程度的为36.56%(P<0.01);工龄1～9年、10～19年、20年以上的分别为12.50%、19.15%、34.29%(P<0.05)。204名全科医生应对COPD防治知识的脆弱性十分严重,其中以应对全部支气管扩张剂种类的脆弱性最突出,为93.15%,应对全部治疗药物的脆弱性为92.16%,应对危险因素、临床症状、鉴别诊断、体征、辅助检查方法和非药物疗法种类的脆弱性分别为81.37%、75.98%、64.71%、52.94%、52.94%和51.47%。结论徐州市全科医生在慢性阻塞性肺疾病防治知识严重缺乏,提高社区的全科医生对COPD知识的水平十分重要。
Objective To understand the vulnerability of community general practitioners in the prevention and treatment of chronic obstructive pulmonary disease and provide a reference for community doctors in the training of knowledge on COPD prevention and treatment. Methods In 2009, 204 general practitioners from 59 community health service centers (stations) in urban and rural areas of Xuzhou were surveyed. RESULTS: A total of 204 people were investigated, 47 of them failed. The overall vulnerability was 23.04%. The knowledge vulnerability of COPD was (31.67 ± 7.69) points. The vulnerability of general practitioners to COPD was 14.29% in urban areas and 29.17% in rural areas (P <0.05), that of community health service centers was 19.14% and that of community health service stations was 38.10% (P <0.01) (11.71%), 36.56% (P <0.01) with high school or below education level, 12.50%, 19.15% and 34.29% respectively in 1-9 years, 10-19 years and 20 years of service. The 204 GPs were very vulnerable to coping with COPD, with 93.15% of the respondents responding to the full range of bronchodilators and 92.16% of the respondents responding to all the treatments. The response to risk factors, clinical symptoms . The Vulnerabilities of differential diagnosis, physical examination, auxiliary examination and non-medical therapy were 81.37%, 75.98%, 64.71%, 52.94%, 52.94% and 51.47%, respectively. Conclusion Xuzhou general practitioners in the prevention and treatment of chronic obstructive pulmonary disease a serious lack of knowledge, improve general community practitioners knowledge of COPD level is very important.