Abstract:

Objective　To understand the cognitive status of pediatricians from hospitals of different levels in Yunnan Province on China Children Asthma Action Plan (CCAAP) and guidelines for the diagnosis and treatment of childhood asthma. Methods　From July to December 2022, a total of 395 pediatricians (132 males and 263 females, aged over 20 years) from 41 hospitals of different levels in 11 cities of Baoshan, Kunming, Dali, Dehong, Honghe, Yuxi, Xishuangbanna, Chuxiong, Qujing, Lincang, and Wenshan in Yunnan Province were effectively investigated. The questionnaire survey was conducted online and offline. χ² test and variance analysis were used. Results　A total of 395 valid questionnaires were collected from 41 hospitals. The accuracy of answers to questions on basic knowledge of childhood asthma of the pediatricians from surveyed hospitals of different levels were 32.78% (59/180) - 97.50% (39/40), those on treatment during the acute phase were 24.44% (44/180) - 92.50% (37/40), and those on subsequent treatment were 35.56% (64/180) - 100.00% (40/40). The cognitive status on childhood asthma of the pediatricians in provincial and municipal Grade III hospitals was overall better than that in Grade II and Grade I hospitals (all P<0.05). Conclusion　Pediatricians from hospitals of different levels in Yunnan Province generally lack knowledge about CCAAP and guidelines for the diagnosis and treatment of childhood asthma, particularly pediatricians from Grade I hospitals.

Key words:

Pediatricians, Asthma, Questionnaires, China Children Asthma Action Plan

摘要：

目的　了解云南省不同等级医院儿科医生对《中国儿童哮喘行动计划》（China Children Asthma Action Plan，CCAAP）及哮喘指南的认知状况。方法　2022年7—12月，对云南省保山、昆明、大理、德宏、红河、玉溪、西双版纳、楚雄、曲靖、临沧、文山11个州市的41家不同级别医院395名儿科医师（男132人，女263人，年龄20岁以上）进行了有效调查。采用线上、线下相结合方式进行问卷调查。采用χ²检验、方差分析。结果　共收回来自41家医院有效问卷395份。各级别被调查医院儿科医生对儿童哮喘基础知识各问题回答正确率为32.78%（59/180）～97.50%（39/40）、急性期治疗各问题回答正确率为24.44%（44/180）～92.50%（37/40）、后续治疗各问题回答正确率为35.56%（64/180）～100.00%（40/40）。省级三级医院、地市级三级医院儿科医生对儿童哮喘认知情况总体优于二级及一级医院（均P<0.05）。结论　云南省各级别医院儿科医生对CCAAP及哮喘指南普遍认知不足，基层医院尤其薄弱。

关键词:

儿科医生, 哮喘, 问卷调查, 中国儿童哮喘行动计划