Öner Erkekol Ferda, Köktürk Nurdan, Mungan Dilşad, Saçkesen Cansın, Önen Zeynep Pınar, Özkan Seçil, Balkan Arzu, Ergün Pınar, Kocabaş Can Naci, Baran Aksakal Nur, Ekici Banu, Özkan Altunay Zübeyde, Gemicioğlu Bilun, Yorgancıoğlu Arzu
Clinic of Allergy and Immunology, Ankara Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey.
Tuberk Toraks. 2017 Jun;65(2):80-89. doi: 10.5578/tt.53804.
Chronic obstructive pulmonary diseases are common causes of disease in the community and account for considerable percent of the caseload in primary health care facilities. For this reason, it is important to question and improve the knowledge of primary health care physicians. This study is designed to assess the level of knowledge for bronchial asthma and COPD of the primary healthcare physicians, both before and immediately after an educational course structured in the context of GARD Chronic Airway Diseases National Control Program.
The participating physicians attended an intensive educational course on asthma and COPD. Twenty five item questionnaires for asthma and COPD were administered to the participants both before and immediately after the end of the course. Contribution of education to the level of knowledge was investigated by comparing the percentages of the correct answers in the pre-and post-test.
From 11 different cities, 1817 and 1788 primary health care physician were attended to the asthma and COPD educations, respectively. The accuracy rate of ≥ 75% was obtained from only 4 questions in pre-test asthma questionnaire. On the contrary, in 15 questions the accuracy rate was < 50%. The mean accuracy rate for the whole asthma test was 45.8%, and this rate raised to 69.6% after education course. The accuracy rate of ≥ 75% could not be obtained from any of the questions in pre-test COPD questionnaire. On the contrary, in 19 questions the accuracy rate was < 50%. The mean accuracy rate for the whole asthma test was 42.0%, and this rate raised to 71.3% after education course.
It has been shown that, in primary care settings, the level of knowledge in asthma and COPD should be enhanced and that this increase can be achieved with an education course.
慢性阻塞性肺疾病是社区常见的疾病病因，在初级卫生保健机构的病例中占相当大的比例。因此，质疑并提高初级卫生保健医生的知识水平很重要。本研究旨在评估在全球哮喘防治创议慢性气道疾病国家控制项目背景下构建的教育课程前后，初级卫生保健医生对支气管哮喘和慢性阻塞性肺疾病的知识水平。
参与研究的医生参加了关于哮喘和慢性阻塞性肺疾病的强化教育课程。在课程开始前和结束后立即向参与者发放了关于哮喘和慢性阻塞性肺疾病的25项问卷。通过比较测试前和测试后正确答案的百分比，研究教育对知识水平的贡献。
来自11个不同城市的1817名和1788名初级卫生保健医生分别参加了哮喘和慢性阻塞性肺疾病的教育。在测试前的哮喘问卷中，只有4个问题的准确率≥75%。相反，在15个问题中，准确率<50%。整个哮喘测试的平均准确率为45.8%，教育课程后这一比例提高到69.6%。在测试前的慢性阻塞性肺疾病问卷中，任何一个问题的准确率都未达到≥75%。相反，在19个问题中，准确率<50%。整个哮喘测试的平均准确率为42.0%，教育课程后这一比例提高到71.3%。
研究表明，在初级保健环境中，哮喘和慢性阻塞性肺疾病的知识水平应得到提高，并且通过教育课程可以实现这一提高。
