The Investigation On Cognitive Degree Of Knowledge And The Conditions Of Community Management Of Chronic Obstructive Pulmonary Disease By Community Physicians

Objective To discover the knowledge level and the conditions of Community management of COPD by Community physicians.Methods Take innominate request for test method and make a random selection questionnaire among the 952 community physicians who had attended the four further education camps held by Beijing Community health Association. Self-designed questionnaire used in the study consisted of two parts. The first part included cognition of COPD about the definition, risk factor, diagnosis, the severity, COPD pharmacological treatment (medicine used on acute exacerbation stage or stable stage, use method of inhalant), COPD non-pharmacological treatment (breathing-exercise, long-term oxygen treatment in family, smoking quitting) and health education(the importance and necessity of health education and psychology intervention); The second part included cognition of condition and necessity of Community management of COPD, evaluation of the Community management ability of COPD, opinions and suggestions about Community management and professional training of COPD.Results There were 865 answered copies of questionnaire collected, effective rate was 90.9%.65.3% of the 865 community physicians didn't know the essential differences between COPD and asthma, only 34.0% of them known COPD was a general disease.77.2% of them might suggest chronic cough and asthma patients lung function testing.49.0% of them known the specific classification standard of COPD. Only 74 (8.6%) community physicians imposed that they were familiar with the commonly used inhalers and mastered their application methods. 80.1%community physicians were convinced that patients in stable stage of COPD still needed a long term therapy, but only 24.0% of community physicians professed standard treatment could be provided for them.60% of community physicians known the importance of health education, no smoking, nutrition status and psychological counseling towards the recovery of patients, but only about 40% of them could provide health education to the patients. Among the 865 community physicians,72.9% professed that it is essential to subsume COPD into community chronic disease management,54.6% believed that the Community health service center (station) were capable of administrating the patients of COPD and 55.8% had not participated in the COPD professional training.Conclusion Most of the community physicians known the importance of COPD stabilizing period management and they are willing to strengthen the community management of COPD patients, but due to limited special knowledge and manpower shortage, the COPD patients community management couldn't launch effectively. It was urgently needed to strengthen COPD professional training to community physicians, and promote the COPD cognition and management level.