摘要
目的了解基层全科医生对慢性阻塞性肺疾病(慢阻肺)相关知识的认知、态度和行为状况,探讨基层全科医生慢阻肺知识的知晓率和态度、管理行为。方法 2020年10—11月,选取参加四川省卫生健康委基层卫生健康处组织的家庭医生慢阻肺综合防控能力培训的104名基层全科医生为研究对象,自行设计问卷进行现场调查,内容包括医生的基本情况和慢阻肺知信行情况。采用描述性分析、Mann-WhitneyU检验,以及Kruskal-WallisH检验等统计学方法对数据进行分析。结果共发放问卷104份,回收有效问卷102份,有效回收率98.1%。不同年龄、职称、接诊慢阻肺患者频次不同以及是否向上级医院转诊慢阻肺患者的全科医生的知识(U=1 276.00,H=0.78,U=1 074.00,U=589.00)、态度(U=1 141.50,H=1.75,U=1 090.00,U=585.00)及行为(U=1 221.00,H=0.31,U=1 163.00,U=499.50)得分比较,差异均无统计学意义(均P>0.05)。按条目回答正确的全科医生人数占比从高到低排序,慢阻肺问卷知识部分,全科医生回答正确率最高的是"戒烟是影响慢阻肺自然病程最有力的干预措施"(100.0%,102/102),正确率最低的是"判断慢阻肺患者气流受限的主要客观检查为肺功能检查"(5.9%,6/102);慢阻肺管理的态度部分,教育患者戒烟和避免接触二手烟态度积极率最高(65.7%,67/102),态度积极率最低的是向患者提供运动指导(43.1%,44/102)和负责长期治疗随访(43.1%,44/102);慢阻肺管理的行为部分,接诊慢阻肺患者时,主动关注合并疾病的治疗行为执行率最高(95.1%,97/102),行为执行率最低的是接诊慢阻肺患者时,给患者提供吸入器的最佳使用时间建议(65.7%,67/102)。结论基层全科医生对慢阻肺的认知较为欠缺,需加大知识培训的力度。基层全科医生应不断提升宣教和防治能力,落实慢阻肺基层管理职责。
Objective To survey the knowledge,attitudes,and practice about chronic obstructive pulmonary disease(COPD)among general practitioners in Sichuan province.Methods From October to November 2020,a questionnaire survey on knowledge,attitudes and practice(KAP)among 104 general practitioners who participated in the training of the comprehensive prevention and control of COPD organized by Sichuan Provincial Health Commission.The content of the questionnaire included the basic information and the KAP status of COPD.The descriptive analysis,Mann-Whitney U test,and Kruskal-Wallis H were used for statistical analysis.Results A total of 104 questionnaires were distributed and 102 were returned with a response rate of 98.1%.General practitioners with different ages,professional titles,visits of COPD patients each month,and whether or not to refer COPD patients to higher-level hospitals were not significantly different in the scores of knowledge(U=1276.00,H=0.78,U=1074.00,U=589.00),attitude(U=1141.50,H=1.75,U=1090.00,U=585.00),and practice(U=1221.00,H=0.31,U=1163.00,U=499.50)(all P>0.05).In knowledge part the highest correctness rate was"quitting smoking is the most powerful interventions affecting the natural disease course of COPD"(100.0%,102/102);the lowest was that"the main objective examination for judging the airflow limitation of COPD patients is the lung function test"(5.9%,6/102).In the part of the attitude,the highest positive rate was"educating patients to quit smoking and avoid exposure to second-hand smoke"(65.7%,67/102);the lowest positive rate was"provide exercise guidance to patients"(43.1%,44/102)and"be responsible for long-term treatment follow-up"(43.1%,44/102).In the part of practice,the highest behavioral rate was"when receiving patients with COPD,actively pay attention to the treatment of comorbid diseases"(95.1%,97/102);the lowest behavioral rate was"when patients with COPD were seen at the clinic,and the patients were advised of the best time to use the inhaler"(65.7%,67/102).Conclusions The study indic
作者
安康
饶昕
李才正
佘毅
李双庆
罗丹
刘峰
马月华
贾丹
苏巧俐
An Kang;Rao Xin;Li Caizheng;She Yi;Li Shuangqing;Luo Dan;Liu Feng;Ma Yuehua;Jia Dan;Su Qiaoli(Department of General Practice,West China Hospital,Sichuan University,Chengdu 610041,China;Fangcao Community Health Service Center,Chengdu 610041,China;Out-patient Department,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中华全科医师杂志》
2021年第9期972-977,共6页
Chinese Journal of General Practitioners
基金
四川省卫生健康委员会科研课题(20PJ006)。
关键词
肺疾病
慢性阻塞性
知识
态度
行为
全科医生
Pulmonary disease,chronic obstructive
Knowledge
Attitude
Behavior
General practitioner
