Gandeh M B, Milaat W A
PHC Department, Ministry of Health, Jeddah, Saudi Arabia.
J Family Community Med. 1999 Jan;6(1):35-44.
To assess the status of knowledge, attitude and practice (KAP) of doctors and nurses in Primary Health Care (PHC) centers with regard to hypertension in pregnancy and to identify factors associated with KAP in Al-Khobar, Saudi Arabia.
Using a self-administered comprehensive questionnaire, all available doctors and nurses in PHC centers of the Al-Khobar area were approached to determine their knowledge, attitude and practice in hypertension during pregnancy. Questionnaires were validated and pilot tested. Each section of the questionnaire was scored and the mean scores calculated. Factors affecting each section were identified by means of multiple regression analysis.
A total of 36 doctors and 91 nurses were enrolled in the study. Saudis formed 22.2% of the doctors and 47.3% of nurses. Mean years of practice after graduation were 12.6 and 8.7 years for doctors and nurses, respectively. Saudi nurses spend only 3 weeks in the obstetrics ward during the whole period of their internship. All Saudi nurses hold only diplomas and not many courses on the hypertensive disorder are offered to both doctors and nurses after graduation. The practice of doctors particularly in the management of patients after reaching a diagnosis and educating them on diet and salt intake was poor. Furthermore, their knowledge was also poor. Though their level of knowledge was poor, the nurses' practice was satisfactory, particularly in taking history and physical examination. The attitude of both doctors and nurses towards hypertensive disorders was in general, positive and satisfactory towards health education. Nurses' nationality and duration of post-internship training were the factors that influenced their attitude and scores on knowledge.
The study revealed that both doctors and nurses working in the PHC lacked training and knowledge in this area of their work. It is therefore necessary to give PHC doctors and nurses refresher courses on common and serious problems like hypertension. A longer period of training in action management is needed to improve the knowledge and practice of doctors and nurses working in antenatal clinics in this area.
评估沙特阿拉伯胡拜尔市初级卫生保健（PHC）中心的医生和护士在妊娠高血压方面的知识、态度和实践（KAP）状况，并确定与KAP相关的因素。
采用自填式综合问卷，对胡拜尔地区PHC中心所有在职医生和护士进行调查，以确定他们在妊娠高血压方面的知识、态度和实践情况。问卷经过验证和预测试。对问卷的每个部分进行评分并计算平均分。通过多元回归分析确定影响每个部分的因素。
共有3名医生和91名护士参与了该研究。沙特籍医生占22.2%，护士占47.3%。医生和护士毕业后的平均从业年限分别为12.6年和8.7年。沙特护士在整个实习期间仅在产科病房实习3周。所有沙特护士均只有文凭，毕业后医生和护士接受的高血压疾病相关课程不多。医生在诊断后对患者的管理以及对患者进行饮食和盐摄入方面教育的实践较差。此外，他们的知识也很匮乏。尽管护士的知识水平不高，但她们的实践令人满意，尤其是在病史采集和体格检查方面。医生和护士对高血压疾病的态度总体上积极，对健康教育也较为满意。护士的国籍和实习后培训时长是影响其态度和知识得分的因素。
研究表明，在PHC工作的医生和护士在该工作领域均缺乏培训和知识。因此，有必要为PHC医生和护士提供关于高血压等常见和严重问题的进修课程。需要更长时间的行动管理培训，以提高该地区产前诊所医生和护士的知识和实践水平。
