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[慢性阻塞性肺疾病筛查培训的可行性与益处]

[Feasibility and benefits of training to screen for chronic obstructive pulmonary disease].

作者信息

Pennequin N, Léger P, Freymond N, Coullandaye N, Poupon D, Tranchard É, Cuoq O, Pacheco Y

机构信息

Cabinet de médecine générale, 69100 Villeurbanne, France.

Réseau de santé SPIRO, 69003 Lyon, France.

出版信息

Rev Mal Respir. 2019 Sep;36(7):861-869. doi: 10.1016/j.rmr.2019.05.041. Epub 2019 Jul 3.

DOI:10.1016/j.rmr.2019.05.041
PMID:31279593
Abstract

INTRODUCTION

Though still under-diagnosed, chronic obstructive pulmonary disease (COPD) currently affects nearly 3.5 million people in France. The present study presents the results of continuing medical education sessions on COPD screening by electronic mini-spirometry.

METHODS

From April 2013 to December 2015, the sessions involved 73 health professionals. The study analysed three questionnaires administered before, after, and long after sessions led by experts within a professional associative network.

RESULTS

The sessions proved efficient in increasing the participants' theoretical knowledge. It increased the percentage of correct answers regarding the nature of COPD (90 % vs. 81%), the functions, features, and outputs of mini-spirometers, and the treatment recommendations. The sessions led to non-negligible changes in everyday medical practice regarding the acquisition of a mini-spirometer (+13 devices), the presentation of COPD to the patients (+33 practitioners), the dialogue on tobacco use (+32 practitioners), vaccination (+33 practitioners), and compliance with the treatment recommendations (+43 practitioners).

CONCLUSION

These results encourage both holding and following up such sessions. The specialized professional environment ensures knowledge updates and offers subsequent assistance. Further improving these sessions will increase their benefits in terms of diagnosis, treatment, and health economy.

摘要

引言

尽管慢性阻塞性肺疾病(COPD)的诊断率仍然较低,但目前法国有近350万人受其影响。本研究展示了通过电子微型肺活量计进行COPD筛查的继续医学教育课程的成果。

方法

2013年4月至2015年12月,共有73名卫生专业人员参加了这些课程。该研究分析了在专业协会网络内由专家主持的课程之前、之后以及很久之后发放的三份问卷。

结果

这些课程在增加参与者的理论知识方面证明是有效的。它提高了关于COPD性质(90%对81%)、微型肺活量计的功能、特性和输出结果以及治疗建议的正确答案百分比。这些课程在日常医疗实践中带来了不可忽视的变化,涉及购置微型肺活量计(增加了13台设备)、向患者介绍COPD(增加了33名从业者)、关于吸烟的对话(增加了32名从业者)、疫苗接种(增加了33名从业者)以及遵循治疗建议(增加了43名从业者)。

结论

这些结果鼓励举办并跟进此类课程。专业的职业环境确保知识更新并提供后续帮助。进一步改进这些课程将在诊断、治疗和健康经济方面增加其益处。

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