Analysis of cognition and influencing factors of atrial fibrillation among grassroots general practitioners in Fengxian District, Shanghai
Objective:To investigate the mastery of knowledge about atrial fibrillation (AF) among grass-roots general practitioners in Fengxian District, Shanghai, and analyze related influencing factors.Methods:A cross-sectional study was conducted, and an self-designed electronic questionnaire including four modules: general information, basic knowledge of AF, knowledge of anticoagulation treatment and heart rate/heart rate control. Electronic questionnaires were distributed to 21 community health service centers in Fengxian District and general practitioners in each community through systematic sampling.The awareness rate of primary general practitioners for each module was counted, and Logistic regression was used to analyze the influencing factors of primary general practitioners' awareness of AF.Results:A total of 526 general practitioners in Fengxian District were included in this study, and 524 valid questionnaires were recovered, with an effective recovery rate of 99.6%.The correct rates of general practitioners in the three modules of basic knowledge of AF knowledge of anticoagulation therapy and knowledge of heart rhythm/heart rate control were 60.9%(1 596/2 620), 23.5%(738/3 144) and 47.1% (1 235/2 620)respectively.Logistic regression analysis showed that,Standardized training(OR=2.192, 95%CI 1.079-4.454),professional title (OR=0.073, 95%CI 0.023-0.232 for no professional title; OR=0.153, 95%CI 0.061-0.384 for primary level; OR=0.405, 95%CI 0.198-0.830 for intermediate level) and study on line (OR=2.186) were the related influencing factors of AF cognition among general practitioners.Conclusion:General practitioners in Fengxian District, Shanghai's overall awareness of AF knowledge needs to be improved. In particular, general practitioners with untrained and low professional titles have low scores on AF knowledge, and need to strengthen relevant learning and training.
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