Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria.
Department of Family Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.
Int J Tuberc Lung Dis. 2014 Jan;18(1):117-21. doi: 10.5588/ijtld.13.0453.
College of Medicine, University of Lagos, Nigeria.
To determine the level of knowledge of medical students regarding the management of chronic obstructive pulmonary disease (COPD).
Descriptive cross-sectional survey using a structured questionnaire on risk factors for COPD and some of the diagnostic criteria recommended by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) and treatment options.
Among 139 questionnaires analysed, the mean total score (maximum 14) was 8.35 ± 2.75. Based on the opinion of pulmonologists in Nigeria who were considered an appropriate standard, 53 students (38.1%) had good (≥70%), 52 (37.4%) had fair (≥50 to <70%) and 28 (20.1%) had poor knowledge (≥30 to <50%) about COPD management; 76 (54.7%) students were familiar with the GOLD guidelines, and 111 (79.9%) knew that spirometry was the means of confirming a diagnosis of COPD. Most students (93.5%) recognised cigarette smoking as a risk factor for COPD; history of tuberculosis (20.1%) was least recognised as a risk factor for COPD. Thirty-nine (28.1%) students were aware that inhaled steroids and inhaled bronchodilators were the correct options for treatment of stable COPD.
Knowledge about COPD management among medical students in Nigeria is modest, and familiarity with the content of the GOLD guidelines is inadequate for optimal COPD management. More rigorous training would better equip medical students for COPD management in their careers as doctors.
尼日利亚拉各斯大学医学院。
确定医学生对慢性阻塞性肺疾病（COPD）管理的知识水平。
使用关于 COPD 危险因素和全球倡议慢性阻塞性肺疾病（GOLD）推荐的一些诊断标准以及治疗选择的结构化问卷进行描述性横断面调查。
在分析的 139 份问卷中，平均总得分（最高 14 分）为 8.35 ± 2.75。根据尼日利亚肺科医生的意见，他们被认为是一个适当的标准，53 名学生（38.1%）具有良好的（≥70%）COPD 管理知识，52 名（37.4%）具有中等的（≥50 至<70%）和 28 名（20.1%）具有较差的（≥30 至<50%）COPD 管理知识；76 名（54.7%）学生熟悉 GOLD 指南，111 名（79.9%）知道肺活量测定法是确认 COPD 诊断的手段。大多数学生（93.5%）认识到吸烟是 COPD 的危险因素；结核病史（20.1%）是最不被认为是 COPD 的危险因素。39 名（28.1%）学生知道吸入性皮质类固醇和吸入性支气管扩张剂是稳定型 COPD 的正确治疗选择。
尼日利亚医学生对 COPD 管理的知识水平一般，对 GOLD 指南内容的熟悉程度不足以实现 COPD 的最佳管理。更严格的培训将更好地为医学生在医生职业生涯中管理 COPD 做好准备。
