Niroomand Mahtab, Ghasemi Seyedeh Najmeh, Karimi-Sari Hamidreza, Khosravi Mohammad Hossein
Division of Endocrinology, Department of Internal Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Diabetes Metab J. 2017 Jun;41(3):179-186. doi: 10.4093/dmj.2017.41.3.179.
A number of studies investigated the general practitioners' and family physicians' knowledge, attitude, and practice (KAP) on diabetes. However, studies on internists' KAP on diabetes management are limited. This study aimed to investigate the Iranian internists' KAP on diabetes mellitus and its management.
A cross-sectional study was conducted on a random sample of internists who participated in the 26th annual congress of internists in Tehran, Iran. The level of KAP and affecting factor was evaluated by a validated instrument.
One-hundred internists with the mean age of 41.98±9.26 years were evaluated. Totally, the physicians possessed 66.29%±19.5%, 50.44%±19.39%, and 64.5%±15.3% of the scores in KAP, respectively. The time since graduation in general medicine had significant negative correlation with their knowledge and practice, that was along with the subjects' age (P<0.05). The KAP level had not significant difference between subjects participated in a continuing medical education (CME) program during the last year compared to subjects did not participated (P>0.05). Attitude, and practice scores were significantly higher in physicians who were working at diabetes clinic (P<0.05), and attitude was more in physicians working at teaching hospitals compared to those who were not working (57.82 vs. 47.72, P=0.020).
According to our results, subjects' age and time since graduation in general medicine and specialty were inversely correlated by knowledge and practice. So internists with older age seems to be in priority for educational programs. And holding CME programs in current forms seems to be not suitable to increase the KAP regarding diabetes.
多项研究调查了全科医生和家庭医生对糖尿病的知识、态度和实践（KAP）。然而，关于内科医生对糖尿病管理的KAP研究有限。本研究旨在调查伊朗内科医生对糖尿病及其管理的KAP。
对参加伊朗德黑兰第26届内科医生年会的内科医生随机样本进行横断面研究。通过经过验证的工具评估KAP水平和影响因素。
评估了100名平均年龄为41.98±9.26岁的内科医生。总体而言，医生在KAP方面的得分分别为66.29%±19.5%、50.44%±19.39%和64.5%±15.3%。普通医学毕业时间与他们的知识和实践呈显著负相关，这与受试者的年龄有关（P<0.05）。与未参加继续医学教育（CME）项目的受试者相比，去年参加CME项目的受试者的KAP水平没有显著差异（P>0.05）。在糖尿病诊所工作的医生的态度和实践得分显著更高（P<0.05），与不在教学医院工作的医生相比，在教学医院工作的医生的态度得分更高（57.82对47.72，P=0.020）。
根据我们的结果，受试者的年龄以及普通医学和专科毕业时间与知识和实践呈负相关。因此，年龄较大的内科医生似乎应优先参加教育项目。以目前形式举办CME项目似乎不适合提高关于糖尿病的KAP。
