论文部分内容阅读
[目的]了解社区全科医生对慢性阻塞性肺疾病防治基本知识的知晓度,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,COPD知识得分为68.33±16.60分,及格的157人,及格率为76.96%。全科医生COPD知识及格率,城区为85.71%,农村为70.83%(P<0.05);社区卫生服务中心的为80.86%,社区卫生服务站的为61.90%(P<0.01);大专以上文化的为88.29%,高中及以下文化程度的为63.44%(P<0.01);工龄1~9年、10~19年、20年以上的分别为87.50%、80.85%、65.71%(P<0.05)。204人中,知晓全部危险因素、全部临床症状、全部体征、全部辅助检查方法、全部鉴别诊断疾病、全部治疗药物、全部支气管扩张剂种类、全部非药物疗法种类的分别占18.63%、24.02%、47.06%、47.06%、35.29%、7.84%、6.85%、48.53%。[结论]徐州市全科医生慢性阻塞性肺疾病防治知识严重缺乏。
[Objective] To understand the community general practitioners awareness of the basic knowledge of prevention and treatment of chronic obstructive pulmonary disease and provide a reference for community doctors in the training of knowledge about 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] The surveyed 204 people, the COPD knowledge score was 68.33 ± 16.60 points, passing the 157, the passing rate was 76.96%. The passing rate of general practitioners in COPD was 85.71% in urban areas and 70.83% in rural areas (P <0.05), 80.86% in community health service centers and 61.90% in community health service stations (P <0.01) (88.29%), 63.44% (P <0.01) of high school and below education level; 87.50%, 80.85%, 65.71% (P <0.05) respectively in 1-9 years, 10-19 years and 20 years of service. Among 204 patients, 18.63% and 24.02% were aware of all risk factors, all clinical symptoms, all signs, all the auxiliary examinations, all the differential diagnosis of disease, all the treatment drugs, all types of bronchodilators and all non-drug therapy categories, 47.06%, 47.06%, 35.29%, 7.84%, 6.85%, 48.53%. [Conclusion] There is a serious lack of prevention and control of chronic obstructive pulmonary disease among general practitioners in Xuzhou.