Abbas Reem A, Alghobashy Ashgan A
Department of Community, Occupational and Environmental Medicine, Faculty of Medicine, Zagazig University , Zagazig City, Sharqia Governorate 44519 , Egypt.
JRSM Short Rep. 2012 Dec;3(12):86. doi: 10.1258/shorts.2012.012093. Epub 2012 Dec 31.
To study the effect of an educational intervention on paediatricians' knowledge, attitudes and practices regarding children's environmental health and to identify the sources of information and common environmental history taking constrains.
Before and after study.
Zagazig University Paediatric Hospital.
Practising paediatricians from all specialty units.
The outcome of a specifically designed educational programme about paediatric environmental health was assessed using structured pre- and post-test questionnaires.
Nearly half the participants were aware about most of the paediatric environmental health-related topics. Textbooks/guidelines (85.7%) and the Internet (64.3%) were the main sources of information. The participants demonstrated relatively strong positive attitudes towards the importance of children's environmental health. However, less than half of them (44.6%) reported environmental history taking as a routine practice; where lack of time (94.6%), wide range of hazardous exposures (91.1%) and lack of expertise and training (91.1%) were the main constrains. Significant improvement in participants' knowledge, attitudes and practices was revealed after the educational programme.
There is a demand for continuous medical education about environmental health in paediatric practice, particularly environmental and occupational history taking.
研究一项教育干预措施对儿科医生关于儿童环境健康的知识、态度和实践的影响，并确定信息来源以及常见的环境病史采集限制因素。
前后对照研究。
扎加齐格大学儿童医院。
各专科病房的执业儿科医生。
使用结构化的测试前和测试后问卷评估一项专门设计的关于儿科环境健康的教育项目的效果。
近一半的参与者知晓大多数与儿科环境健康相关的主题。教科书/指南（85.7%）和互联网（64.3%）是主要的信息来源。参与者对儿童环境健康的重要性表现出相对较强的积极态度。然而，不到一半的人（44.6%）报告将环境病史采集作为常规做法；其中时间不足（94.6%）、广泛的有害暴露（91.1%）以及缺乏专业知识和培训（91.1%）是主要限制因素。教育项目实施后，参与者的知识、态度和实践有显著改善。
儿科实践中对环境健康的持续医学教育有需求，特别是环境和职业病史采集方面。
