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农村地区慢性病管理人员慢性阻塞性肺疾病认知情况及影响因素分析

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目的 调查四川省自贡市农村地区慢性病(NCD)管理人员对慢性阻塞性肺疾病(COPD)的认知情况,并分析其影响因素,旨在为农村地区更好地开展COPD管理提供依据。方法 于2021年6月运用整群抽样方法,随机抽取四川省自贡市范围内的20个乡镇卫生院,对抽中乡镇卫生院的所有NCD管理人员(包括全科医生、公共卫生人员、乡村医生)进行问卷调查及COPD相关知识测试。采用单因素分析比较不同性别、年龄、学历、职称、工作岗位、工作年限以及是否参加培训与知识测试及格情况的关系,通过二元Logistic回归分析筛选NCD管理人员COPD知识测试及格与否的影响因素。结果 参与问卷调查的474名人员中,全科医生68名(14。35%),公共卫生人员177名(37。34%),乡村医生229名(48。31%)。其中,及格人员97名,不及格人员377名,及格率为20。46%。单因素分析显示,是否及格与学历、职称、工作岗位、是否参加培训有关。二元Logistic回归分析显示,工作岗位、职称、工作年限以及是否参加培训是COPD知识测试是否及格的影响因素(P<0。05)。结论 农村地区NCD管理人员中公共卫生人员和乡村医生居多,学历、职称偏低,对COPD认知水平较低;NCD管理人员对COPD的认知水平与工作岗位、学历、职称、工作年限以及是否参加培训有关。
Analysis of Cognition and Influencing Factors of Chronic Obstructive Pulmonary Disease Among Chronic Disease Managers in Rural Areas
Objective To investigate the cognition of chronic obstructive pulmonary disease(COPD)among chronic disease(NCD)managers in rural areas of Zigong City,Sichuan Province,and to analyze its influencing factors,so as to provide a basis for better management of COPD in rural areas.Methods In June 2021,a cluster sampling method was used to randomly select 20 township hospitals in Zigong City,Sichuan Province.All NCD managers(including general practitioners,public health personnel,and rural doctors)in the selected township hospitals were surveyed by questionnaires and tested for COPD-related knowledge.Univariate analysis was used to compare the relationship between gender,age,educational background,professional title,job position,working years and whether to participate in training and pass the knowledge test.Binary logistic regression analysis was used to screen the influencing factors of COPD knowledge test pass of NCD managers.Results Among the 474 respondents,68(14.35%)were general practitioners,177(37.34%)were public health workers,and 229(48.31%)were rural doctors.Among them,97 passed and 377 failed,with a pass rate of 20.46%.Univariate analysis showed that the pass rate was related to educational background,professional title,job position and whether to participate in training.Binary logistic regression analysis showed that job position,professional title,working years and whether to participate in training were the influencing factors of COPD knowledge test(P<0.05).Conclusion Among the NCD managers in rural areas,most of them are public health personnel and rural doctors,with low educational background and professional title,and low cognitive level of COPD.The cognitive level of NCD managers on COPD is related to their jobs,educational background,professional title,working years and whether they participate in training.

Chronic diseaseManagement personnelRuralChronic obstructive pulmonary diseaseStatus quo of cognitionInfluencing factorsRural doctor

郑涵尹、刘建材、李传芬、邹学敏

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自贡市中医医院治未病中心,四川 自贡 643000

慢性病 管理人员 农村 慢性阻塞性肺疾病 认知现状 影响因素 乡村医生

四川省中医药局科研专项自贡市重点科技计划(医科院自有基金引导类)

2021MS5622021ZCYKY07

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(7)
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