Knowledge and Practice of COPD Prevention and Early Detection Among Healthcare Workers in Tertiary Hospitals in India

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide. Early detection and preventive strategies are crucial, particularly in India where smoking, biomass fuel exposure, and air pollution are major risk factors. Healthcare workers (HCWs) play a pivotal role in prevention and early diagnosis.

Objective: To assess the knowledge and practice of COPD prevention and early detection among healthcare workers in tertiary hospitals in India.

Methods: A cross-sectional study was conducted among 300 participants: 100 MBBS students, 50 BDS students, 50 nursing students, and 100 paramedical workers (including nurses and technicians) from four tertiary hospitals. A structured questionnaire assessed knowledge (risk factors, symptoms, diagnostic tools, prevention strategies) and practice (screening, patient education, smoking cessation counseling).

Results: MBBS students demonstrated the highest knowledge scores (mean 72%), followed by nursing students (65%), BDS students (58%), and paramedical workers (52%). However, practice scores were lower across all groups, with only 40% routinely engaging in patient education or screening. Spirometry awareness was high (70%) but actual use was limited (25%).

Conclusion: While knowledge of COPD among HCWs is moderate to good, translation into practice remains inadequate. Strengthening training programs, integrating COPD modules into curricula, and promoting hands-on screening practices are essential to improve early detection and prevention.