北京地区非呼吸科医生对慢性阻塞性肺疾病管理认知度的调查

目的 针对北京地区非呼吸科医生对慢性阻塞性肺疾病（COPD）的理论知识、诊疗习惯和健康管理进行调查,为疾病的预防和综合干预提供依据.方法 选取2012年1月至2013年1月北京市5个区县9所不同级别医院的共计370名非呼吸科内科医生作为调查对象发放调查问卷.以问卷的正确率作为认知程度的评价依据.采用卡方检验和方差分析进行统计分析.结果 一级医院与二、三级医院相比,非呼吸科医生对COPD的整体认知程度明显较差（正确率分别为57.5±17.1,67.1±15.0,68.9±13.6,F=18.75,P＜0.05）.住院医师和主治医师的认知程度明显低于（副）主任医师（正确率分别为61.4±12.9,61.4± 15.0,79.3± 13.2,F=34.82,P＜0.05）.结论 北京地区的非呼吸科医生对COPD的整体认知程度不高.建议加强对非呼吸科的医生、基层医院的医生,特别是年轻医生的COPD理论和诊治规范的培训.

Management of chronic obstructive pulmonary disease by non-respiratory physicians of Beijing

Objective To investigate the awareness of non-respiratory physicians to the diagnosis and medical treatment of chronic obstructive pulmonary disease. Methods A cross-sectional study was conducted in 370 non-respiratory physicians from 9 hospitals of Beijing. All the subjects were required to complete a self-administrated questionnaire. Chi-square test and analysis of variance were used for data analysis. Results The physicians in the first-grade hospitals had lower awareness of COPD than those in the second- or third-grade hospitals （57.5±17.1, 67.1±15.0 and 68.9±13.6, respectively; F=18.75, P〈0.05）. Moreover, the residency and attending physicians were found to have lower awareness of COPD than chief physicians （61.4± 12.9, 61.4± 15.0 and 79.3± 13.2, respectively; F=34.82, P〈0.05）. Conclusion The medical knowledge on the management of COPD might be poor among non-respiratory physicians in Beijing. Primary heahhcare workers and non-respiratory physicians should pursue intensive COPD training in the furture.