Analysis of knowledge acquisition and influencing factors among primary care physicians in Yulin on chronic obstructive pulmonary disease
玉林地区基层医院医生对慢性阻塞性肺病知识掌握状况及影响因素分析

摘要

目的 调查玉林市基层医院医生慢性阻塞性肺疾病（COPD）知识掌握现状，分析影响因素。方法 采用横断面调查法，2023年3月至2024年3月随机抽取玉林市23家基层医院71名在职临床医生，经自制《基层医生COPD知识调查问卷》开展调研。结果 71名医生COPD知识总得分为（6.20±1.70）分，总体准确率51.64%，其中COPD规范化管理、氧疗原则等核心环节正确率偏低；有进修经历及近3年接受过COPD培训者得分显著高于无相关经历者（P<0.05）。多重线性回归分析证实，进修及培训经历是影响知识掌握的重要因素（P<0.05）。结论 玉林市基层医院医生COPD核心知识掌握水平欠佳，进修与培训经历为主要影响因素，建议开展系统性针对性培训以提升基层诊疗能力，改善患者健康结局。

Abstract

Objective To investigate the current knowledge status of chronic obstructive pulmonary disease (COPD) among clinicians in primary hospitals in Yulin City and analyze influencing factors.
Methods A cross-sectional survey was conducted from March 2023 to March 2024, involving 71 practicing clinicians from 23 primary hospitals in Yulin City. Data were collected using a self-designed "Primary Clinicians' COPD Knowledge Questionnaire."
Results The total COPD knowledge score of the 71 clinicians was (6.20±1.70) points, with an overall accuracy rate of 51.64%. Correct rates were relatively low for core aspects such as standardized COPD management and oxygen therapy principles. Clinicians with further training or COPD-related education in the past three years scored significantly higher than those without such experience (P<0.05). Multiple linear regression analysis confirmed that training and education experience were significant factors influencing knowledge acquisition (P<0.05).
Conclusion   The core COPD knowledge proficiency of clinicians in primary hospitals in Yulin City is suboptimal, with further training and education experience being the primary influencing factors. Systematic and targeted training is recommended to enhance primary care capabilities and improve patient health outcomes.