Current status in the prevention and management of chronic obstructive pulmonary disease in residents of Haiyang Shandong province

Objective To investigate current status in prevalence,prevention and treatment of chronic obstructive pulmonary disease (COPD) in residents of Haiyang,shandong province.Methods (1) Survey of disease:a modified standardized questionnaire was made in a population of a certain town of coastal area with an age range ≥40 years old,by using cluster sampling method,and pulmonary function of subjects were measured.(2) Current status of diagnosis and treatment of COPD:a general survey was made by using questionnaire on rural cooperative medical service stations of 49 village and township enterprises of Haiyang.Two to three medical personnel were randomly selected from each station for questionnaire,totaling 144 doctors.Results (1) Survey on morbidity:the valid number of doctors participating in survey was 1409,and average COPD morbidity rate was 11.28％,with morbidity rate for male being 14.31％ and that for female being 8.37％.Main risk factors were age,smoking,fuel exposure and marine climate.(2) The COPD survey results indicated:the number of doctors who knew the COPD Prevention and Treatment Guide accounted for 9.03％ ; number of doctors who knew features of disease accounted for 15.28％ ; 22.22％ doctors knew that pulmonary function test was gold standard for diagnosis of disease; 50.69％ doctors knew that smoking was an important risk factor for disease; 68.06％ doctors advised patients to quit smoking; 31.94％ patients were educated on disease and asked to be registered;34.09％ patients were prescribed with flu vaccine and only 7.64％ doctors knew long-term effects of oxygen therapy.Conclusions The morbidity rate of COPD among local residents of Haiyang was high,but regrettably,the knowledge and treatment of disease among doctors of rural cooperative medical service stations of city was rather poor.For this reason,the prevention and treatment of disease should be enhanced.