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西班牙人群对慢性阻塞性肺疾病的认知、慢性呼吸症状的存在情况以及肺功能测定的使用情况:CONOCEPOC 2019 研究。

Knowledge of chronic obstructive pulmonary disease, presence of chronic respiratory symptoms and use of spirometry among the Spanish population: CONOCEPOC 2019 study.

机构信息

Servicio de Neumología, Hospital Clínico San Carlos, Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.

Servicio de Neumología, Hospital Clínico San Carlos, Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.

出版信息

Arch Bronconeumol. 2021 Dec;57(12):741-749. doi: 10.1016/j.arbr.2021.10.003. Epub 2021 Oct 26.

Abstract

OBJECTIVE

The aim of this study was to analyze current data on the population's level of knowledge about COPD and to evaluate certain diagnostic interventions, such as the use of spirometry.

MATERIAL AND METHODS

An epidemiological, observational, cross-sectional study by telephone interview, with random dialing of landline telephone numbers, was conducted in November 2019, in a nationally representative sample of adults over 40 years of age.

RESULTS

From a total of 51,079 telephone calls, a total of 1920 individuals responded. Mean age was 61.9 years and 31.6% were men. Overall, 19.4% were current smokers and 13.4% reported respiratory disease (5% reported COPD). In total, 27.9% had spontaneous knowledge of COPD, which is a relative increase from the 17% observed in 2011. The most frequent information channel was the media (35.5%), with a significant presence of social networks and the Internet (25.7%). Almost one fifth (18.1%) had chronic respiratory symptoms. Of these, 59.3% had requested medical care, and 66.2% had undergone spirometry. Spirometry was performed less frequently in subjects treated in primary care compared to respiratory medicine departments (51.9% versus 79.1%; P < .001).

CONCLUSIONS

Knowledge of COPD is still scarce, and strategies are needed to increase awareness and the importance of assessing respiratory symptoms and increased use of spirometry.

摘要

目的

本研究旨在分析当前人群对 COPD 的认知水平,并评估某些诊断干预措施,如肺功能检查的使用。

材料和方法

2019 年 11 月,通过电话访谈进行了一项基于人群的、观察性的、横断面研究,采用随机拨打固定电话的方式。

结果

在总共 51079 次电话呼叫中,共有 1920 人做出回应。平均年龄为 61.9 岁,31.6%为男性。总体而言,19.4%为当前吸烟者,13.4%报告有呼吸系统疾病(5%报告有 COPD)。共有 27.9%的人自发了解 COPD,这一比例相对 2011 年的 17%有所增加。最常见的信息渠道是媒体(35.5%),社交媒体和互联网的存在也很显著(25.7%)。将近五分之一(18.1%)的人有慢性呼吸道症状。其中,59.3%的人寻求了医疗护理,66.2%的人接受了肺功能检查。在初级保健机构接受治疗的患者中,肺功能检查的比例明显低于呼吸科(51.9%对 79.1%;P<0.001)。

结论

对 COPD 的认识仍然不足,需要采取策略来提高认识,重视评估呼吸道症状,并增加肺功能检查的使用。

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