Investigation On Cognition Level Of Chronic Obstructive Pulmonary Disease (COPD) Among Primary General Physicians In Hunan Province

Objective:1.To develop the Questionnaire of Cognition Level of Chronic Obstructive Pulmonary Disease(COPD)in Primary Physicians and test its reliability and validity.2.To understand the cognition level of COPD in primary general physicians in Hunan province by utilizing the questionnaire developed,and provide direction and basis for carrying out targeted and standardized training in the future.Method:Through literature review and topic group discussion,the primary item database of the "Questionnaire of Cognition Level of Chronic Obstructive Pulmonary Disease(COPD)in Primary Physicians" was developed to design the questionnaire in accordance with the "Guidelines for the Primary Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease(COPD)(2018)".The Delphi method was used to adjust and modify the questionnaire,of which the reliability and validity were tested.Then WJX was used to prepare the Questionnaire of Cognition Level of Chronic Obstructive Pulmonary Disease(COPD)in Primary Physicians into an online questionnaire to investigate among the primary physicians in Hunan province,and the obtained results were statistically analyzed.Result:1.The Questionnaire of Cognition Level of Chronic Obstructive Pulmonary Disease(COPD)in Primary Physicians developed by using Delphi method had a Cronbach’s α of 0.749.Validity indicators:(1)surface validity: the questionnaire was developed after two rounds of Delphi expert consultation and revision,and had good surface validity.(2)Content validity: I-CVI values of all items in this study fluctuated in the range of 0.95-1,S-CVI/Ave was 0.995 and S-CVI/UA was0.906.(3)Expert validity: the expert authority coefficient(q)was 0.92 for the expert letter consultation in this study.2.This study recovered 199 valid questionnaires.The results revealed that 30.9% of general practitioners in secondary hospitals said they had no equipment for pulmonary function test in their hospitals(or departments),and only 9.7% general practitioner of community health service centers/township health centers indicated that their institutions had equipment for pulmonary function test.3.For Questionnaire of Cognition Level of Chronic Obstructive Pulmonary Disease(COPD)in Primary Physicians,the general practitioners in Hunan province had a lower qualified rate of total score,which was only 2.01%.The mean total score was higher in general practitioners in secondary hospitals(M=33.27)than in township health centers/community health service centers(M=27.71),higher in general practitioners with senior professional titles(M=36.43)than those with moderate(M=31.50),primary(M=27.45)or no professional titles(M=24.74),higher in general practitioners with a master or higher educational background(M=37.00)than those received bachelor(M=30.67),college(M=27.70)and technical secondary school education(M=24.00),higher in general practitioners with equipment for pulmonary function test in their hospitals(M=33.17)than those without(M=27.86),higher in general practitioners with professional experiences for 1-5 years(M=30.65)than those with professional experiences for 10-20 years(M=29.38),for more than 20 years(M=28.78)and for 6-10 years(M=28.71),however P>0.05,indicating there was no significant difference in cognition level of COPD among general practitioners with varied years of professional experiences.In addition,for any one of varied working institution level,varied education level or varied professional title,the mean total score of fundamental knowledge of general practitioner was higher than the mean total score of treatment and follow-up,and the mean total score of treatment and follow-up was higher than that of treatment and evaluation.4.From the regression model of this study,it was concluded that the professional title,the highest education level,the working institution level,and whether the hospital has a pulmonary function instrument were all the comprehensive influencing factors for the cognition level of COPD in general practitioners.Conclusion:1.The Questionnaire of Cognition Level of Chronic Obstructive Pulmonary Disease(COPD)in Primary Physicians developed by utilizing the Delphi method through two rounds of expert letter consultation has good reliability and validity.2.The pulmonary function instrument is relatively insufficient in the primary medical institutions in Hunan province.3.The study indicates that primary general practitioners in Hunan province have a low cognition level of COPD.4.The professional title,the highest education level,the working institution level,and whether the hospital has a pulmonary function instrument were all the comprehensive influencing factors for the cognition level of COPD in general practitioners.