Investigation And Study On The Cognition Of Primary Physicians To Copd In Some Areas Of Hunan Province

Objective: Through the investigation,to understand the cognition level of grassroots doctors on Chronic Obstructive Pulmonary Disease(COPD)in some areas of Hunan province,and to analyze its influencing factors.Methods: From June to October 2018,in parts of Hunan Province(Hua Rong County,Lengshuijiang City,Wugang City,Linxiang City,Hengyang County,Jianghua County,Lanshan County,Longhui County,Li County,Taojiang County)Before the COPD standardized diagnosis and treatment lectures,123 primary physicians were selected for questionnaire survey;refer to the Guidelines for Primary Care of Chronic Obstructive Pulmonary Disease(2018 Edition)and Global Chronic Obstructiveness,which were developed by the Chinese Medical Association Respiratory Diseases Branch.Pulmonary Diseases Initiative 2018 and previous literatures on similar investigations,self-designed questionnaires "Basic physicians' knowledge of chronic obstructive pulmonary disease" as a research tool,received 118 valid questionnaires,and used SPSS 22.0 statistics The software performs statistical analysis of the data.Results:(1)Whether it is from the the basic knowledge of COPD,diagnosis and treatment of knowledge score and total score,In some areas of Hunan province,through the analysis of the relevant factors affecting the cognition level of COPD knowledge of grassroots physicians,it is concluded that different levels of units,educational background,professional title,department category and whether to accept the training of standardized diagnosis and treatment of COPD may have a certain impact on the cognition level of COPD knowledge of grassroots physicians.(2)The survey found that the majority of grassroots physicians(88.1%)will take the initiative to persuade COPD patients to quit smoking;66.1% of primary care physicians suggested pulmonary rehabilitation for patients;However,68.6% of grassroots physicians had not received systematic training on standardized diagnosis and treatment of COPD.There were still 26.3% of primary physicians in hospitals without lung function.While 63.6% of primary care physicians had only partial knowledge of the latest guidelines on bronchodilators,33.9% had no knowledge of the latest bronchodilators at all.Conclusion: 1.Primary physicians in some areas of Hunan province have a low level of cognition of COPD knowledge,among which,primary physicians' educational background,professional title,department category and whether they have received training may be the comprehensive influencing factors of their cognition of COPD knowledge.2.It is still necessary to further popularize the standardized diagnosis and treatment of COPD in Hunan,and strengthen the health knowledge and popularization work of grassroots physicians for COPD patients.