Mohigefer Javier, Calero-Acuña Carmen, Marquez-Martin Eduardo, Ortega-Ruiz Francisco, Lopez-Campos Jose Luis
Faculty of Medicine.
Medical-Surgical Unit of Respiratory Diseases, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Seville.
Int J Chron Obstruct Pulmon Dis. 2017 Dec 28;13:131-139. doi: 10.2147/COPD.S138539. eCollection 2018.
Several previous studies have shown a suboptimal level of understanding of COPD among different population groups. Students in their final year of Medicine constitute a population that has yet to be explored. The evaluation of their understanding provides an opportunity to establish strategies to improve teaching processes. The objective of the present study is to determine the current level of understanding of COPD among said population.
A cross-sectional observational study was done using digital surveys given to medical students in their final year at the Universidad de Sevilla. Those surveyed were asked about demographic data, smoking habits as well as the clinical manifestation, diagnosis and treatment of COPD.
Of the 338 students contacted, responses were collected from 211 of them (62.4%). Only 25.2% had an accurate idea about the concept of the disease. The study found that 24.0% of students were familiar with the three main symptoms of COPD. Tobacco use was not considered a main risk factor for COPD by 1.5% of students. Of those surveyed, 22.8% did not know how to spirometrically diagnose COPD. Inhaled corticosteroids were believed to be part of the main treatment for this disease among 51.0% of the students. Results show that 36.4% of respondents believed that home oxygen therapy does not help COPD patients live longer. Only 15.0% considered the Body-mass index, airflow Obstruction, Dyspnea, and Exercise (BODE) index to be an important parameter for measuring the severity of COPD. Giving up smoking was not believed to prevent worsening COPD among 3.4% of students surveyed. Almost half of students (47.1%) did not recommend that those suffering from COPD undertake exercise.
The moderate level of understanding among the population of medical students in their final year shows some strengths and some shortcomings. Teaching intervention is required to reinforce solid knowledge among this population.
此前多项研究表明，不同人群对慢性阻塞性肺疾病（COPD）的了解程度欠佳。医学专业最后一年的学生群体尚未得到研究。评估他们的了解程度可为制定改进教学过程的策略提供契机。本研究的目的是确定上述人群对COPD的当前了解水平。
采用横断面观察性研究，对塞维利亚大学医学专业最后一年的学生进行数字问卷调查。调查对象被问及人口统计学数据、吸烟习惯以及COPD的临床表现、诊断和治疗。
在联系的338名学生中，收集到了211名学生（62.4%）的回复。只有25.2%的学生对该疾病的概念有准确认识。研究发现，24.0%的学生熟悉COPD的三大主要症状。1.5%的学生不认为吸烟是COPD的主要危险因素。在接受调查的学生中，22.8%不知道如何通过肺功能检查诊断COPD。51.0%的学生认为吸入性糖皮质激素是该疾病主要治疗方法的一部分。结果显示，36.4%的受访者认为家庭氧疗无助于COPD患者延长寿命。只有15.0%的学生认为体重指数、气流受限、呼吸困难和运动（BODE）指数是衡量COPD严重程度的重要参数。3.4%接受调查的学生认为戒烟不能预防COPD病情恶化。近一半的学生（47.1%）不建议COPD患者进行运动。
医学专业最后一年学生群体的了解程度中等，有优点也有不足。需要进行教学干预以强化该群体的扎实知识。
