Başyiğit Ilknur, Yildiz Füsun, Başoğul Ayşe, Boyaci Haşim, Ilgazli Ahmet
Department of Chest Disease, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Tuberk Toraks. 2006;54(1):51-5.
Besides chest disease specialists, primary care physicians also have a great role in prevention and treatment of chronic obstructive pulmonary disease (COPD). The aim of this study was to evaluate the knowledge levels of primary care physicians about COPD before and after post graduate course. The level of knowledge was evaluated by a questionnaire including questions about COPD definition, prevalence, etiology, pathology, diagnostic methods, physical examination findings and treatment. Then a postgraduate course was performed about COPD and questionnaire forms were refilled. Ninety two physicians filled the questionnaire forms before and after seminar. Fifty of the physicians were female, 42 were male, mean age was 33.7 +/- 8.5 and duration of profession was 9.6 +/- 8 years. Thirty-six (39.2%) of physicians have attended a post graduate seminar on COPD previously. All physicians answered the questions about the most dominant sex that COPD was seen and etiologic agents correctly. Most of the physicians answered the questions about diseases that defined as COPD, pathology and physical examination findings incorrectly. There was no difference in number of correct answers between the physicians who have previously attended a post graduate seminar or not. Duration of profession was not correlated with correct answers. After the seminar, the number of correct answers increased significantly. Since most of the physicians answered the questions which are quite important in primary care such as COPD definition and physical examination findings incorrectly, it is thought that post graduate seminars about COPD should be performed more frequently. After the seminar, we observed significant increase in correct answers however long-term stability of this knowledge is needed to be determined in future studies.
除了胸科疾病专家外，初级保健医生在慢性阻塞性肺疾病（COPD）的预防和治疗中也发挥着重要作用。本研究的目的是评估初级保健医生在研究生课程前后对COPD的知识水平。通过一份问卷来评估知识水平，问卷包括有关COPD定义、患病率、病因、病理、诊断方法、体格检查结果和治疗的问题。然后开展了关于COPD的研究生课程，并重新填写问卷。92名医生在研讨会前后填写了问卷。其中50名医生为女性，42名医生为男性，平均年龄为33.7 +/- 8.5岁，职业年限为9.6 +/- 8年。36名（39.2%）医生此前参加过关于COPD的研究生研讨会。所有医生都正确回答了关于COPD最常见性别和病因的问题。大多数医生对定义为COPD的疾病、病理和体格检查结果的问题回答错误。之前参加过研究生研讨会的医生和未参加过的医生在正确答案数量上没有差异。职业年限与正确答案无关。研讨会后，正确答案的数量显著增加。由于大多数医生对COPD定义和体格检查结果等在初级保健中非常重要的问题回答错误，因此认为应该更频繁地开展关于COPD的研究生研讨会。研讨会后，我们观察到正确答案有显著增加，然而这种知识的长期稳定性需要在未来的研究中确定。
