Tumiel-Berhalter Laurene M, Watkins Robert
Department of Family Medicine, University at Buffalo, State University of New York, USA.
J Asthma. 2006 Oct;43(8):625-8. doi: 10.1080/02770900600878867.
This study determines the impact of provider knowledge and attitude on implementation of guidelines: spirometry, peak flows, patient assessments, action plans, severity assessment, and anti-inflammatories. A self-administered survey conducted in academic family practice sites in Buffalo, NY assessed knowledge, self-reported use, and perceived usefulness. Knowledge was associated with regular use of peak flows (p = 0.048) and anti-inflammatories (p = 0.01). Positive attitude was associated with regular use of spirometry (p = 0.03), peak flows (p < or = 0.001), patient assessments (p = 0.02), action plans (p = 0.046), anti-inflammatories (p < or = 0.001), and severity assessment (p < or = 0.001). Perceived usefulness is critical to implementing asthma guidelines. Interventions to improve provider adherence must address attitude.
肺活量测定、呼气峰流速、患者评估、行动计划、严重程度评估以及抗炎药物的使用。在纽约州布法罗市的学术性家庭医疗场所进行的一项自填式调查，评估了知识、自我报告的使用情况以及感知的有用性。知识与呼气峰流速的常规使用（p = 0.048）和抗炎药物的使用（p = 0.01）相关。积极态度与肺活量测定的常规使用（p = 0.03）、呼气峰流速（p ≤ 0.001）、患者评估（p = 0.02）、行动计划（p = 0.046）、抗炎药物（p ≤ 0.001）以及严重程度评估（p ≤ 0.001）相关。感知的有用性对于实施哮喘指南至关重要。提高医疗服务提供者依从性的干预措施必须关注态度。
