1989年至1994年间北爱尔兰全科医生对呼气峰值流量测量的使用情况及态度变化。
Change in the use of and attitude to peak flow measurement among general practitioners in Northern Ireland between 1989 and 1994.
作者信息
McKinley R K, Steele W K
机构信息
Department of General Practice and Primary Health Care, University of Leicester, Leicester General Hospital.
出版信息
Ulster Med J. 1997 May;66(1):38-42.
In 1994 we repeated a study first performed in 1989 to assess the change in general practitioners' use of and attitudes to peak flow measurement. Of 232 general practitioners surveyed, 199 (86%) and 192 (83%) responded in 1989 and 1994 respectively. The percentage who reported having patients using domiciliary peak flow monitoring rose form 58.3 (95% confidence limits 51.4 to 65.2)% to 97.9 (95.9 to 99.9)%. The percentage who reported 'usually' using peak flow measurements for the diagnosis and management of asthma rose from 81.9 (76.5 to 87.3)% to 93.2 (89.6 to 96.8)% and from 83.3 (78.1 to 88.5)% to 95.8 (92.9 to 98.7)% respectively. An unchanged proportion took peak flow meters on house calls. General practitioners have become more aware of the potential of peak flow measurements but are still unlikely to have a meter available to assess patients seen at home. They are therefore likely to be ill-equipped to manage acute exacerbations of asthma in this setting.
1994年，我们重复了一项于1989年首次开展的研究，以评估全科医生对峰值流量测量的使用情况及态度变化。在接受调查的232名全科医生中，1989年和1994年分别有199名（86%）和192名（83%）做出了回应。报告有患者使用家庭峰值流量监测的比例从58.3%（95%置信区间为51.4%至65.2%）升至97.9%（95.9%至99.9%）。报告“通常”将峰值流量测量用于哮喘诊断和管理的比例分别从81.9%（76.5%至87.3%）升至93.2%（89.6%至96.8%），以及从83.3%（78.1%至88.5%）升至95.8%（92.9%至98.7%）。出诊时携带峰值流量计的比例没有变化。全科医生已更加意识到峰值流量测量的潜力，但在家中为患者进行评估时仍不太可能配备流量计。因此，在这种情况下，他们可能没有足够的设备来处理哮喘急性加重情况。
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