Rehman Anis, Rehman Tariq, Shaikh Mohammad Ateeb, Naqvi Syed Anwar Ahmad
Dow Medical College, Karachi.
J Pak Med Assoc. 2011 Nov;61(11):1153-7.
To evaluate the awareness of hypertension among medical students and junior doctors in Karachi, Pakistan.
This cross-sectional study was conducted using a structured questionnaire consisting of eleven multiple choice questions, encompassing major aspects of hypertension such as the definition, diagnosis, treatment, complications and risk factors. This survey was conducted from June to August 2010 on final year medical students of Dow University of Health Sciences and interns and residents working at four tertiary care hospitals.
Analysis of 475 participants showed that only 127 (26.74%) participants were acquainted with the basic definitions including the cut-off levels for blood pressure among the general population, in diabetics, in those with chronic kidney disease and pre-hypertension. We further inquired about the drugs to be used as first-line of treatment in uncomplicated hypertension, in those with diabetic nephropathy and drugs that worsen blood-pressure and renal dysfunction. Only 40 (8.42%) participants correctly responded to all the three questions. While 97 (20.42%) answered all the three questions incorrectly. No participant correctly answered all of the 11 questions. Only 1 participant could answer 10 questions, correctly, whereas, 14 participants answered 9 correctly and 18 did 8. Majority of the participants (442) correctly answered 7 or less questions. Mean number of correct answers given by the final year students was 5.2 +/- 1.6, by interns 4.4 +/- 1.6 and those given by residents was 5.04 +/- 2.0. Statistically significant difference was noted between the number of correct answers by medical students, interns and residents.
This study highlights obvious deficiencies in the knowledge of both junior and future doctors of Pakistan regarding hypertension which should be dealt seriously.
评估巴基斯坦卡拉奇医科学生和初级医生对高血压的认知情况。
本横断面研究采用一份包含11个多项选择题的结构化问卷，涵盖高血压的主要方面，如定义、诊断、治疗、并发症和危险因素。该调查于2010年6月至8月对道健康科学大学的最后一年医科学生以及在四家三级医疗机构工作的实习生和住院医生进行。
对475名参与者的分析表明，只有127名（26.74%）参与者熟悉基本定义，包括普通人群、糖尿病患者、慢性肾病患者和高血压前期患者的血压临界值。我们进一步询问了用于单纯性高血压、糖尿病肾病患者的一线治疗药物以及会使血压和肾功能恶化的药物。只有40名（8.42%）参与者正确回答了所有这三个问题。而97名（20.42%）参与者这三个问题都回答错误。没有参与者正确回答所有11个问题。只有1名参与者能正确回答10个问题，14名参与者正确回答9个问题，18名参与者正确回答8个问题。大多数参与者（442名）正确回答的问题为7个或更少。最后一年学生给出的正确答案平均数为5.2±1.6，实习生为4.4±1.6，住院医生为5.04±2.0。医科学生、实习生和住院医生的正确答案数量之间存在统计学显著差异。
本研究突出了巴基斯坦初级医生和未来医生在高血压知识方面存在的明显不足问题，应予以严肃对待。
