Uong Elizabeth C, Jeffe Donna B, Gozal David, Arens Raanan, Holbrook Cheryl R, Palmer John, Cleveland Claudia, Schotland Helena M
Division of Allergy and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO 63110, USA.
Arch Pediatr Adolesc Med. 2005 Feb;159(2):181-6. doi: 10.1001/archpedi.159.2.181.
Primary care physicians play an important role in screening for childhood obstructive sleep apnea syndrome (OSAS) that, if untreated, can result in serious complications.
To describe the development of the Obstructive Sleep Apnea Knowledge and Attitudes in Children (OSAKA-KIDS) questionnaire for use in measuring physicians' knowledge and attitudes about childhood OSAS and its treatment.
Cross-sectional survey to pilot administration of the 23-item OSAKA-KIDS questionnaire, mailed to 1195 community- and academic-based physicians in Louisville, Ky; Philadelphia, Pa; and St Louis, Mo.
Analysis of variance measured differences in knowledge and attitudes between academic- and community-based physicians and between pediatricians and family practitioners. Using stepwise multiple linear regression, we analyzed the associations between various predictors (including specialty, practice setting, and years since medical school graduation) and each item of knowledge and attitudes. All tests were 2-tailed.
Questionnaires for 497 respondents (44% female; mean [SD] age, 45.7 [10.5] years; and mean [SD] number of years since medical school graduation, 18.7 [11.0] years) were analyzed. The mean (SD) knowledge score (percentage of 18 possible) was 69.6% (14.6%). In regression analyses, more knowledge was associated with more positive attitudes overall and more recent graduation from medical school; having a more positive attitude was associated with having completed a pediatrics residency and more knowledge about OSAS.
Deficits in basic knowledge about childhood OSAS were observed regardless of physician practice setting and specialty training. More education focusing on the diagnosis and treatment of childhood OSAS and identifying children at risk for OSAS is recommended.
基层医疗医生在儿童阻塞性睡眠呼吸暂停综合征（OSAS）筛查中发挥着重要作用，若不治疗，该综合征可导致严重并发症。
描述儿童阻塞性睡眠呼吸暂停知识与态度（OSAKA-KIDS）问卷的编制情况，该问卷用于衡量医生对儿童OSAS及其治疗的知识和态度。
横断面调查，对23项的OSAKA-KIDS问卷进行预施测，问卷邮寄给肯塔基州路易斯维尔、宾夕法尼亚州费城和密苏里州圣路易斯的1195名社区及学术机构的医生。
方差分析用于测量学术机构和社区机构医生之间以及儿科医生和家庭医生之间在知识和态度上的差异。使用逐步多元线性回归分析各种预测因素（包括专业、执业环境和医学院毕业年限）与每项知识和态度之间的关联。所有检验均为双侧检验。
分析了497名受访者的问卷（44%为女性；平均[标准差]年龄为45.7[10.5]岁；平均[标准差]医学院毕业年限为18.7[11.0]年）。平均（标准差）知识得分（18分满分的百分比）为69.6%（14.6%）。在回归分析中，更多的知识与总体上更积极的态度以及更近的医学院毕业时间相关；更积极的态度与完成儿科住院医师培训以及对OSAS有更多了解相关。
无论医生的执业环境和专业培训如何，均观察到其对儿童OSAS的基础知识存在欠缺。建议开展更多针对儿童OSAS诊断和治疗以及识别OSAS高危儿童的教育。
