安大略省北部医疗保健提供者在预防复发性肾结石方面的知识、态度和实践模式。
Knowledge, attitudes, and practice patterns among healthcare providers in the prevention of recurrent kidney stones in Northern Ontario.
作者信息
Bos Derek, Abara Emmanuel, Parmar Malvinder S
机构信息
Division of Urology, McMaster University, Hamilton, ON;
Clinical Sciences Division, Northern Ontario School of Medicine, Sudbury, ON; and the Richmond Hill Urology Practice and Prostate Institute, Richmond Hill, ON;
出版信息
Can Urol Assoc J. 2014 Nov;8(11-12):E795-804. doi: 10.5489/cuaj.1455.
INTRODUCTON
Kidney stone recurrence is common. Preventive measures can lead to improved quality of life and costs savings to the individual and healthcare system. Guidelines to prevent recurrent kidney stones are published by various urological societies. Adherence to guidelines amongst healthcare professionals in general is poor, while adherence to preventive management guidelines regarding stone disease is unknown. To understand this issue, we conducted an online study to assess the knowledge, attitudes, and practice patterns of healthcare practitioners in Northern Ontario.
METHODS
We used the database of healthcare providers affiliated with the Northern Ontario School of Medicine, in Sudbury (East Campus) and Thunder Bay (West Campus), Ontario. We designed the survey based on current best practice guidelines for the management of recurrent kidney stones. Questions covered 3 domains: knowledge, attitudes, and practice patterns. Demographic data were also collected. The survey was distributed electronically to all participants.
RESULTS
A total of 68 healthcare providers completed the survey. Of these, most were primary care physicians (72%). To keep uniformity, we analyzed the data of this homogenous group. A total of 70% of the respondents were aware of the current guidelines; however, only 43% applied their knowledge in clinical practice. Most participants lacked confidence while answering most items in the attitude domain.
CONCLUSIONS
Most primary care physician respondents were aware of the appropriate preventive measures for recurrent kidney stones; however, they do not appear to apply this knowledge effectively in clinical practice. A low response rate is a limitation of our study. Further studies involving a larger sample size may lead to information sharing and collaborative care among healthcare providers.
引言
肾结石复发很常见。预防措施可提高生活质量，并为个人和医疗系统节省成本。各种泌尿外科学会都发布了预防复发性肾结石的指南。总体而言，医疗保健专业人员对指南的遵守情况较差，而对于结石病预防管理指南的遵守情况尚不清楚。为了解这一问题，我们开展了一项在线研究，以评估安大略省北部医疗从业者的知识、态度和实践模式。
方法
我们使用了安大略省萨德伯里（东校区）和桑德贝（西校区）安大略医学院附属医疗服务提供者的数据库。我们根据复发性肾结石管理的当前最佳实践指南设计了该调查。问题涵盖三个领域：知识、态度和实践模式。还收集了人口统计学数据。该调查以电子方式分发给所有参与者。
结果
共有68名医疗服务提供者完成了调查。其中，大多数是初级保健医生（72%）。为保持一致性，我们分析了这个同质群体的数据。共有70%的受访者了解当前指南；然而，只有43%的人在临床实践中应用了他们的知识。大多数参与者在回答态度领域的大多数问题时缺乏信心。
结论
大多数初级保健医生受访者了解复发性肾结石的适当预防措施；然而，他们似乎并未在临床实践中有效应用这些知识。低回复率是我们研究的一个局限性。进一步涉及更大样本量的研究可能会促进医疗服务提供者之间的信息共享和协作护理。
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