Ozoh Obianuju B, Ojo Oluwadamilola O, Iwuala Sandra O, Akinkugbe Ayesha O, Desalu Olufemi O, Okubadejo Njideka U
Department of Medicine, College of Medicine, University of Lagos, Lagos, Lagos State, Nigeria.
Department of Medicine, College of Medicine, University of Ilorin, Ilorin, Kwara State, Nigeria.
Sleep Breath. 2017 May;21(2):521-527. doi: 10.1007/s11325-016-1407-z. Epub 2016 Sep 12.
The knowledge and attitude of doctors in Nigeria towards obstructive sleep apnea is not known. We evaluated the level of knowledge and attitude regarding OSA among resident doctors in Internal Medicine and general practitioners in Nigeria.
A cross-sectional survey among doctors during continuing medical education programs was conducted. The Obstructive Sleep Apnea Knowledge and Attitude (OSAKA) questionnaire was used to obtain information.
Two hundred seventy-three doctors (235 resident doctors and 38 general practitioners) participated in the study. The mean knowledge score was 10.7 ± 2.6 (out of a maximum possible of 18) for all participants corresponding to 59 ± 14.4 % knowledge. There was no significant difference in the mean score of resident doctors (10.8 ± 2.5) compared to general practitioners (10.0 ± 2.8), (t = 2.6, p = 0.10). Over 70 % of the participants wrongly responded that uvuloplasty was an effective treatment and less than 40 % correctly answered that continuous positive airway pressure treatment was first line for severe obstructive sleep apnea. The mean score on the attitude segment was 3.4 ± 0.6 (maximum possible score of 5) for all participants and 3.4 ± 0.6 and 3.3 ± 0.5, respectively, for the residents and the general practitioners (p = 0.47). Increasing age was negatively associated with level of knowledge, while increasing number of years in medical practice and higher level of residency training was positively associated with higher knowledge scores.
The knowledge of obstructive sleep apnea among resident doctors and general practitioners in Nigeria is inadequate. There is need to improve training on sleep disorders in Nigeria both at continuing medical education programs and during residency training.
尼日利亚医生对阻塞性睡眠呼吸暂停的知识和态度尚不清楚。我们评估了尼日利亚内科住院医生和全科医生对阻塞性睡眠呼吸暂停（OSA）的知识水平和态度。
在继续医学教育项目期间对医生进行了横断面调查。使用阻塞性睡眠呼吸暂停知识与态度（OSAKA）问卷获取信息。
273名医生（235名住院医生和38名全科医生）参与了研究。所有参与者的平均知识得分是10.7±2.6（满分18分），对应59±14.4%的知识掌握程度。住院医生的平均得分（10.8±2.5）与全科医生（10.0±2.8）相比无显著差异，（t = 2.6，p = 0.10）。超过70%的参与者错误地回答悬雍垂成形术是一种有效的治疗方法，不到40%的人正确回答持续气道正压通气治疗是重度阻塞性睡眠呼吸暂停的一线治疗方法。所有参与者态度部分的平均得分是3.4±0.6（满分5分），住院医生和全科医生的平均得分分别为3.4±0.6和3.3±0.5（p = 0.47）。年龄增长与知识水平呈负相关，而医疗实践年限增加和住院医师培训水平提高与更高的知识得分呈正相关。
尼日利亚住院医生和全科医生对阻塞性睡眠呼吸暂停的知识不足。在继续医学教育项目和住院医师培训期间，尼日利亚都需要加强睡眠障碍方面的培训。
