肺功能检查规范化培训与考核课件

肺功能检查规范化培训与考核肺功能检查1主要内容理由对象内容规范化培训方式标准评价主要内容2肺功能规范化培训的必要性肺功能规范化培训的必要性3国外的肺功能培训ERSSchoolCourseonAssessmentandInterpretationofLungFunctiondpiTunes1Aofrecentprogressandcunrentlyavailable回回回曾個rtydeterminantsoflungandairwayfuncton:epldlemiologlcaland回回個回早Hbo回曾個中回回曾茵回scITEsininfants回回园国外的肺功能培训4EffectsofTrainingonSpirometryQualityNon-controlledstudiesQualityControlofSpirometryintheelderlycentralized3.5daytrainingcourseCOMPLIANCEWITHACCEPTABILITYANDREPRODUCIBILITYCRITERIACasesControlspvalueAcceptability,n(‰)508(836)PET,n(%)PEF<120ms405(66.7)550(60.3)0.05BEV,n(%)526(86.6)741(81.2)0.05FET,n(%)526(86.6)748(82)0.05EEP,n(%246(40.5538(58.90.001FEV,reproducibility,n(%)573(94.3874(958)FVCreproducibility,n(%)830(91)FEV,,repraccept,n(%487(80.2)725(79.4)Beliaetal.AmJRespirCritCareMed2000:161:1094-1100EffectsofTrainingonSpirome5CumulativeNumberofRepeatableandNonRepeatableTests200Nochangeovertimeofacceptability1000个丰今012345678910112131415161718192monthsBeliaetal.AmJRespirCritCareMed2000:161:1094-1100CumulativeNumberofRepeatabl6EffectsofTrainingonSpirometryQualityNon-controlledstudiesValidityofspirometrictestingageneralpracticeFVCveluesIlMrcn+250Mogn+25DSchermeretal.Thorax2003:58:861-6EffectsofTrainingonSpirome7DifferencesbetweengeneralpracticesandPulmonaryFunctionLaboratoriesinFEVPulmonaryfunctionlaboratorFEVireproducibiFEVIreproducibilityGeneralpractice5%and<200m≥5%and≥200mlFEVireproducibility484(70)t85(12)569(82)<5%cnd<200mty99(1l4)254)t124(18)≥5%nd≥200m58384)0(16Schermeretal.Thorax2003:58:861-6Differencesbetweengeneralpr8BedsideSpirometryinaTertiaryCareHospital:TheClevelandClinicExperienceInterventionStudy907040BeforeTrainingAfterTrainingStolleretal.RespirCare2002:47:578-582BedsideSpirometryinaTertia9肺功能培训对检查质量的影响0.0oo1Tnoworksh。pnitial"workshopImportanceofQualityAssuranceandSpirometryWorkshopsEatonetal.,chest1999;116:416-23肺功能培训对检查质量的影响10肺功能检查规范化培训与考核课件11肺功能检查规范化培训与考核课件12肺功能检查规范化培训与考核课件13肺功能检查规范化培训与考核课件14肺功能检查规范化培训与考核课件15肺功能检查规范化培训与考核课件16肺功能检查规范化培训与考核课件17肺功能检查规范化培训与考核课件18肺功能检查规范化培训与考核课件19肺功能检查规范化培训与考核课件20肺功能检查规范化培训与考核课件21肺功能检查规范化培训与考核课件22肺功能检查规范化培训与考核课件23肺功能检查规范化培训与考核课件24肺功能检查规范化培训与考核课件25肺功能检查规范化培训与考核课件26肺功能检查规范化培训与考核课件27肺功能检查规范化培训与考核肺功能检查28主要内容理由对象内容规范化培训方式标准评价主要内容29肺功能规范化培训的必要性肺功能规范化培训的必要性30国外的肺功能培训ERSSchoolCourseonAssessmentandInterpretationofLungFunctiondpiTunes1Aofrecentprogressandcunrentlyavailable回回回曾個rtydeterminantsoflungandairwayfuncton:epldlemiologlcaland回回個回早Hbo回曾個中回回曾茵回scITEsininfants回回园国外的肺功能培训31EffectsofTrainingonSpirometryQualityNon-controlledstudiesQualityControlofSpirometryintheelderlycentralized3.5daytrainingcourseCOMPLIANCEWITHACCEPTABILITYANDREPRODUCIBILITYCRITERIACasesControlspvalueAcceptability,n(‰)508(836)PET,n(%)PEF<120ms405(66.7)550(60.3)0.05BEV,n(%)526(86.6)741(81.2)0.05FET,n(%)526(86.6)748(82)0.05EEP,n(%246(40.5538(58.90.001FEV,reproducibility,n(%)573(94.3874(958)FVCreproducibility,n(%)830(91)FEV,,repraccept,n(%487(80.2)725(79.4)Beliaetal.AmJRespirCritCareMed2000:161:1094-1100EffectsofTrainingonSpirome32CumulativeNumberofRepeatableandNonRepeatableTests200Nochangeovertimeofacceptability1000个丰今012345678910112131415161718192monthsBeliaetal.AmJRespirCritCareMed2000:161:1094-1100CumulativeNumberofRepeatabl33EffectsofTrainingonSpirometryQualityNon-controlledstudiesValidityofspirometrictestingageneralpracticeFVCveluesIlMrcn+250Mogn+25DSchermeretal.Thorax2003:58:861-6EffectsofTrainingonSpirome34DifferencesbetweengeneralpracticesandPulmonaryFunctionLaboratoriesinFEVPulmonaryfunctionlaboratorFEVireproducibiFEVIreproducibilityGeneralpractice5%and<200m≥5%and≥200mlFEVireproducibility484(70)t85(12)569(82)<5%cnd<200mty99(1l4)254)t124(18)≥5%nd≥200m58384)0(16Schermeretal.Thorax2003:58:861-6Differencesbetweengeneralpr35BedsideSpirometryinaTertiaryCareHospital:TheClevelandClinicExperienceInterventionStudy907040BeforeTrainingAfterTrainingStolleretal.RespirCare2002:47:578-582BedsideSpirometryinaTertia36肺功能培训对检查质量的影响0.0oo1Tnoworksh。pnitial"workshopImportanceofQualityAssuranceandSpirometryWorkshopsEatonetal.,chest1999;116:416-23肺功能培训对检查质量的影响37肺功能检查规范化培训与考核课件38肺功能检查规范化培训与考核课件39肺功能检查规范化培训与考核课件40肺功能检查规范化培训与考核课件4