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埃及苏伊士运河大学家庭医生在基层医疗中对不孕症管理的态度与实践

Family physicians' attitude and practice of infertility management at primary care--Suez Canal University, Egypt.

作者信息

Eldein Hebatallah Nour

机构信息

Department of Family Medicine, Faculty of Medicine, Suez Canal University, Egypt.

出版信息

Pan Afr Med J. 2013 Jul 23;15:106. doi: 10.11604/pamj.2013.15.106.1762. eCollection 2013.

Abstract

INTRODUCTION

The very particular natures of infertility problem and infertility care make them different from other medical problems and services in developing countries. Even after the referral to specialists, the family physicians are expected to provide continuous support for these couples. This place the primary care service at the heart of all issues related to infertility.

THE AIM OF THE WORK

to improve family physicians' attitude and practice about the approach to infertility management within primary care setting.

METHODS

This study was conducted in the between June and December 2010. The study sample comprised 100 family physician trainees in the family medicine department and working in family practice centers or primary care units. They were asked to fill a questionnaire about their personal characteristics, attitude, and practice towards support, investigations, and treatment of infertile couples.

RESULTS

Hundred family physicians were included in the study. They were previously received training in infertility management. Favorable attitude scores were detected among (68%) of physicians and primary care was considered a suitable place for infertility management among (77%) of participants. There was statistically significant difference regarding each of age groups, gender and years of experience with the physicians' attitude. There was statistically significant difference regarding gender, perceiving PHC as an appropriate place to manage infertility and attitude towards processes of infertility management with the physicians' practice.

CONCLUSION

Favorable attitude and practice were determined among the study sample. Supporting the structure of primary care and evidence-based training regarding infertility management are required to improve family physicians' attitude and practice towards infertility management.

摘要

引言

不孕症问题及不孕症护理的特殊性质使其有别于发展中国家的其他医疗问题及服务。即便转诊至专科医生处,家庭医生仍需为这些夫妇提供持续支持。这使得初级保健服务成为所有与不孕症相关问题的核心。

工作目的

改善家庭医生在初级保健环境中对不孕症管理方法的态度及实践。

方法

本研究于2010年6月至12月期间进行。研究样本包括100名在家庭医学科接受培训并在家庭医疗中心或初级保健单位工作的家庭医生学员。他们被要求填写一份关于其个人特征、对支持、检查及治疗不孕夫妇的态度和实践的问卷。

结果

100名家庭医生纳入研究。他们之前接受过不孕症管理培训。68%的医生态度得分良好,77%的参与者认为初级保健是不孕症管理的合适场所。医生态度在年龄组、性别和工作年限方面均存在统计学显著差异。医生实践在性别、将初级卫生保健视为管理不孕症的合适场所的认知以及对不孕症管理流程的态度方面存在统计学显著差异。

结论

研究样本中确定了良好的态度和实践。需要支持初级保健结构并开展关于不孕症管理的循证培训,以改善家庭医生对不孕症管理的态度和实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cf/3828067/eb3bbfeeb44b/PAMJ-15-106-g001.jpg

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