关键词: 哮喘, 医院, 县, 医务人员, 调查和问卷, 总结性报告

Abstract:

To investigate the knowledge of the Global Initiative for Asthma (GINA) in physicians, a questionnaire survey was conducted randomly among 194 physicians from Peking University Third Hospital Yanqing Hospital and 8 district hospitals between August 5, 2020 and March 16, 2021. A total of 194 questionnaires were distributed and 163 valid question aires were collected, with an effective rate of 84.0%. The survey showed that only 38.7% (n=63) of the subjects knew that the pathological basis of asthma is “nonspecific airway inflammation”, while 52.1% (n=85) of them chose “bronchospasm”. As to the main treatment drugs, 42.9% (n=70) chose “inhaled β2 receptor agonists”and 44.8% (n=73) chose “inhaled corticosteroids”; 62.6% (n=102) chose “inhalation method” as the best way of administration during the acute attack of non-severe asthma. Only 18 physicians (11.0%) had ever used the peak flow meter, but only 2 (1.8%) could correctly use and record the curve, 47.9% (n=78) even had never heard of it. Of the physicians, 11.0% (n=18) and 12.9% (n=21) did not know “hold their breath for 10 s” and “gargle the pharynx 2 to 3 times” when using glucocorticoids; only 63.8% (n=103) chose the correct choice of the interval between sprays; and 63.8% (n=103) had never heard of the GINA program, and only 5 (3.1%) had implemented it. The insufficient understanding of the new knowledge of bronchial asthma, inhalation therapy and application of peak flow meter was found in primary physicians, the promotion and application of GINA program in primary hospitals need to be urgently strengthened.

Key words: Asthma, Hospitals, County, Medical staff, Surveys and questionnaires, Consensus development conference