摘要
目的分析全国各级医疗机构医生对肺康复的认知及实施状况。方法通过问卷星软件建立微信调查问卷,采用微信及网络渠道发放电子问卷,采用卡方检验分类比较不同等级医院对肺康复认知、了解途径及阻碍实施因素等方面的差异。结果2017年3月2—17日在微信及网络平台上发布并收集来自全国各地医生填写的问卷1 000份,以完成全部答题并完成提交者视为有效问卷,共收集有效问卷921份,其中副主任医师及以上职称的医生497人(54.0%),主治医师210人(22.8%),住院医师153人(23.2%);三级甲等医院医生582人(63.2%),三级乙等医院医生135人(14.7%),二级甲等医院医生153人(16.6%),二级乙等医院医生29人(3.1%),一级及社区医院医生22人(2.4%);涵盖了包括台湾在内的全国32个省市、自治区和直辖市。921人中474名(51.5%)医生反映所在医院有肺康复相关治疗;252名(27.4%)医生反映所在医院正在开展肺康复相关治疗,其中三级甲等医院医生197人,三级乙等医院医生29人,二级甲等医院医生18人,二级乙等医院医生6人,一级及社区医院医生2人;医生了解肺康复知识的重要途径包括专家讲座(559,60.7%)、专业文献(541,58.7%)、专业书籍(442,48.0%)及学术会议(392,42.6%);阻碍实施肺康复的因素依次为人才缺乏(690,74.9%)、宣传教育缺乏(645,70.0%)、缺少政策支持(603,65.5%)及缺乏相关设备(578,62.8%)。结论随着医院等级的降低,对肺康复的实施和认知情况变差。促进肺康复人才培养、加强肺康复学术交流是加强肺康复实施和提高肺康复认识的良好途径。
Objective To analyze the implementation and understanding of pulmonary rehabilitation in medical personnel at all levels of medical institutions nationwide.Methods We used WeChat and e-channels to disseminate e-questionnaires including personal basic information and the implementation of hospital pulmonary rehabilitation (including the setting up of hospital rehabilitation,pulmonary rehabilitation-related treatment,and the composition of pulmonary rehabilitation teams),and awareness of pulmonary rehabilitation (including doctors′ understanding of lung rehabilitation status,pathways,prospects,and obstacle factors).Finally,the analysis of the data was performed using SPSS 20.0 for statistical analysis.The frequency distribution and composition ratio were used to describe the distribution of each question item.Comparison among groups according to the unit level of the respondents was performed by chi-square test.P<0.05 was considered statistically significant.Results A total of 921 medical staff from all over the country completed the survey,covering the entire country including Taiwan Province and a total of 32 provinces,municipalities,autonomous regions,and municipalities directly under the Central Government.88.1% of medical personnel reported that their hospitals had rehabilitation departments,the difference being statistically significant (P=0.001).Doctors could understand that the most important ways of pulmonary rehabilitation knowledge were the following: expert lectures (559,60.69%),professional literature (541,58.74%),professional books (442,47.99%),pulmonary rehabilitation conference (392,42.56%),the difference being statistically significant (all P<0.05).Among the factors that impeded the implementation of pulmonary rehabilitation,the top four were lack of talent (690,74.92%),lack of education (645,70.03%),lack of policy support (603,65.47%),and lack of related equipments (578,62.76%).Conclusions The lower the level of the hospitals,the poor the implementation and cognitive status of pulmonary rehabili
作者
高连军
赵红梅
Gao Lianjun;Zhao Hongmei(Department of Respiratory Medicine,China Rehabilitation Research Center,Beijing 100068;Department of Pulmonary and Critical Care Medicine,Center of Respiratory Medicine,China-Japan Friendship Hospital,National Clinical Research Center for Respiratory Diseases,Peking University Health Science Center,Beijing 100029,China)
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2019年第4期275-278,共4页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
肺
康复
认知
问卷调查
Lung
Rehabilitation
Cognition
Questionnaires
