Yousef Haneen A, Koura Manal, Yousef Abdullah A
Department of Family and Community Medicine, College of Medicine, University of Dammam, Dammam, Kingdom of Saudi Arabia.
Department of Pediatrics, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia.
J Family Community Med. 2015 Jan-Apr;22(1):1-7. doi: 10.4103/2230-8229.149567.
The prevalence of bronchial asthma (BA) is increasing in the Kingdom of Saudi Arabia. Primary health care (PHC) centers follow the national protocol, which is based on the severity of the disease for the management of asthma. The Saudi initiative for asthma (SINA) management adopted from the global initiative for asthma guidelines, which was recommended by several recent studies, is based on the control level of asthma.
To assess the knowledge of PHC physicians and family medicine (FM) residents in Al-Khobar, about the management of BA.
A cross-sectional study was conducted in all PHC centers and the university FM clinic in Al-Khobar. All PHC physicians and 3(rd) and 4(th) year FM residents were included in the study. A self-administered questionnaire developed according to SINA guidelines was used to assess theoretical knowledge of BA, and a predesigned checklist was used to assess the different inhaler techniques. Scoring was established and collected data were analyzed.
Only 8% of the sample had good theoretical knowledge of BA; 41% had poor knowledge. The knowledge of the residents was better than that of the PHC physicians. The mean knowledge score was significantly better among those using guidelines compared to the rest. About 23% had good knowledge of inhaler techniques. Knowledge of PHC physicians and FM residents about dry powder inhalers was deficient, and PHC physicians had little knowledge of metered dose inhalers with spacers.
The knowledge of physicians about the management of BA was deficient. The national guidelines based on the level of control for asthma management should be updated and physicians given periodic training.
沙特阿拉伯王国支气管哮喘（BA）的患病率正在上升。初级卫生保健（PHC）中心遵循基于疾病严重程度的国家哮喘管理方案。沙特哮喘倡议（SINA）管理方案借鉴了全球哮喘防治创议指南，该指南被最近的几项研究所推荐，其基于哮喘的控制水平。
评估胡拜尔市初级卫生保健医生和家庭医学（FM）住院医师对BA管理的知识掌握情况。
在胡拜尔市所有初级卫生保健中心和大学家庭医学诊所进行了一项横断面研究。所有初级卫生保健医生以及三年级和四年级的家庭医学住院医师均纳入研究。使用根据SINA指南编制的自填式问卷评估对BA的理论知识，并使用预先设计的清单评估不同的吸入器技术。建立评分标准并对收集的数据进行分析。
样本中只有8%对BA有良好的理论知识；41%知识掌握较差。住院医师的知识掌握情况优于初级卫生保健医生。与其他人员相比，使用指南的人员的平均知识得分明显更高。约23%对吸入器技术有良好的知识掌握。初级卫生保健医生和家庭医学住院医师对干粉吸入器的知识掌握不足，初级卫生保健医生对带储雾罐的定量吸入器了解甚少。
医生对BA管理的知识掌握不足。应更新基于哮喘控制水平的国家指南，并定期对医生进行培训。
