Al-Kabbaa Abdulaziz F, Al-Shamrani Khalid M, Salih Mohamed A
North-West Armed Forces Hospital, Tabuk, Saudi Arabia.
J Family Community Med. 2002 Sep;9(3):21-5.
Asthma is a common disease that is sometimes fatal. Its prevalence, morbidity and mortality are increasing. The objective of this paper was to evaluate the proficiency of primary care physicians in general knowledge, diagnosis, classification of severity and management of asthma along the guidelines of the Saudi National Asthma Protocol, and to analyze the association of their proficiency level with certain professional standards.
This was a cross-sectional study conducted in the Department of Family Medicine and the Main Air Base Clinic at the North-West Armed Forces Hospital in Tabuk City, Saudi Arabia from the 1(st) to the 29(th) of June 2001. All 44 primary care physicians working there at the time were enrolled in the study. A self-administered true/false questionnaire prepared by the Saudi National Asthma Scientific Committee was completed by all physicians. The Passing score was ≥ 50%.
Only 39% of the physicians passed the test as a whole, with 66% passed in general knowledge, 70% in diagnosis, 48% in the classification of severity and 59% in the management of asthma. There was an association between significant achievement and Family Medicine Board Certification as well as some knowledge of the National Asthma Protocol (p ≥ 0.05). No association was observed with attendance of asthma training courses. There was positive significant correlation between the knowledge score, the management scores and the total scores of physicians.
The level of awareness of the National Asthma Protocol among the primary care physicians was low (52%). Their proficiency in general knowledge, diagnosis, classification of severity and management was also low. A higher standard was associated with Family Medicine Board Certification. Further studies to identify the reasons for these deficiencies need to be carried out so that measures could be taken to rectify the situation.
哮喘是一种常见疾病，有时会致命。其患病率、发病率和死亡率都在上升。本文的目的是根据沙特国家哮喘治疗方案的指南，评估基层医疗医生在哮喘的一般知识、诊断、严重程度分级及管理方面的专业水平，并分析他们的专业水平与某些专业标准之间的关联。
这是一项横断面研究，于2001年6月1日至29日在沙特阿拉伯塔布克市西北武装部队医院的家庭医学科和主空军基地诊所进行。当时在那里工作的所有44名基层医疗医生都纳入了研究。所有医生都完成了由沙特国家哮喘科学委员会编制的一份自填式是非题问卷。及格分数为≥50%。
总体上只有39%的医生通过了测试，其中哮喘一般知识方面66%的医生通过，诊断方面70%通过，严重程度分级方面48%通过，管理方面59%通过。显著成绩与家庭医学委员会认证以及对国家哮喘治疗方案的一些了解之间存在关联（p≥0.05）。未观察到与参加哮喘培训课程有关联。医生的知识得分、管理得分与总分之间存在显著正相关。
基层医疗医生对国家哮喘治疗方案知晓率较低（52%）。他们在一般知识、诊断、严重程度分级及管理方面的专业水平也较低。较高的标准与家庭医学委员会认证相关。需要进一步开展研究以确定这些不足的原因，以便能够采取措施纠正这种情况。
