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泰国妇产科住院医师对唐氏综合征筛查的知识与态度

The knowledge and attitudes of Thai obstetrics and gynaecology residents towards Down syndrome screening.

作者信息

Kor-anantakul Ounjai, Awapark Penwadee, Suwanrath Chitkasaem, Suntharasaj Thitima, Hanprasertpong Tharangrut

机构信息

Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.

出版信息

J Med Assoc Thai. 2013 Jan;96(1):7-12.

PMID:23720971
Abstract

OBJECTIVE

To survey the knowledge and attitudes towards Down syndrome screening in the final year of training of Thai obstetrics and gynaecology residents.

MATERIAL AND METHOD

A self-administered structured questionnaire of knowledge and attitudes towards Down syndrome screening was developed One hundred thirty six residents were asked to respond to the questionnaire on their last day of the Thai board examination in the year 2006 and 2007. The data was analyzed using SPSS for windows version 15.0.

RESULTS

Eighty-two completed questionnaires surveys were returned (60% response rate). The mean total score of knowledge of Down syndrome and its screening test was 81%. Eighty percent of respondents (65/82) had positive attitudes towards counseling for screening Down syndrome for all pregnant women. Fifty-four percent (44/82) had negative attitudes towards Down syndrome screening for all pregnant women. Sixty percent (49/82) favored nuchal translucency measurement by ultrasonography for screening in the first trimester Training institutes, age, sex, and the counseling experience of residents did not affect the attitudes.

CONCLUSION

The final-year Thai Obstetrics and Gynaecology residents had good knowledge and positive attitudes towards Down syndrome screening. More than half of the residents had negative attitudes towards the screening of all pregnant women. Educational programs and training are needed to address these deficiencies before screening programs are widely implemented.

摘要

目的

调查泰国妇产科住院医师培训最后一年中对唐氏综合征筛查的知识和态度。

材料与方法

编制了一份关于唐氏综合征筛查知识和态度的自填式结构化问卷。在2006年和2007年泰国委员会考试的最后一天,136名住院医师被要求回答该问卷。使用SPSS for windows 15.0版本对数据进行分析。

结果

共收回82份完整的问卷调查(回复率60%)。唐氏综合征及其筛查测试知识的平均总分是81%。80%的受访者(65/82)对为所有孕妇进行唐氏综合征筛查咨询持积极态度。54%(44/82)的受访者对为所有孕妇进行唐氏综合征筛查持消极态度。60%(49/82)的受访者赞成在孕早期通过超声测量颈项透明层进行筛查。培训机构、年龄、性别以及住院医师的咨询经验均未影响态度。

结论

泰国妇产科住院医师最后一年对唐氏综合征筛查有良好的知识和积极的态度。超过一半的住院医师对为所有孕妇进行筛查持消极态度。在广泛实施筛查项目之前,需要开展教育项目和培训来解决这些不足。

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World J Pediatr. 2017 Apr;13(2):152-157. doi: 10.1007/s12519-016-0093-z. Epub 2017 Jan 15.