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评估医生在热性惊厥管理方面的知识和态度。

Assessment of physicians knowledge and attitudes in the management of febrile seizures.

作者信息

Bashiri Fahad A, Al Shalawi Anfal A, Hamad Muddathir H, Al Saif Hadeel F, Saeed Elshazaly, Al Shehri Amjad F, Alhasan Khalid A

机构信息

Division of Neurology, Department of Pediatrics, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail:

出版信息

Neurosciences (Riyadh). 2018 Oct;23(4):314-319. doi: 10.17712/nsj.2018.4.20180097.

Abstract

OBJECTIVE

To assess the knowledge and attitudes of physicians in different specialties who are involved in the care of children with FS.

METHODS

We assessed knowledge and attitudes in the management of Febrile seizure (FS) among physicians working in different specialties in the Kingdom of Saudi Arabia using a questionnaire-based cross-sectional study conducted from September-December 2016.

RESULTS

Of the 300 physicians who responded to the questionnaire, 178 (59.3%) were males, 119 (39.7%) were consultants, 92 (30.7%) were specialists, and 89 (29.7%) were residents. The majority were general pediatric consultants. Our study showed that the consultants were more aware of the definition of simple FS in comparison to other groups of physicians, and the difference was statistically significant. However, there was no difference between pediatric neurologists and general pediatricians. There was a statistically significant difference among various specialties in the perceived need to perform routine lumbar puncture, neuroimaging, and serum electrolyte determination in the evaluation of children with FS. On the other hand, there was no difference in the perceived need to perform an electroencephalogram among physicians in different specialties.

CONCLUSION

The study highlighted the wide variation in knowledge and attitudes of physicians in different specialties with different levels of experience toward the management of FS. The use of clinical practice guidelines will help minimize this diversity.

摘要

目的

评估参与热性惊厥(FS)患儿护理的不同专科医生的知识水平和态度。

方法

我们采用基于问卷的横断面研究,于2016年9月至12月对沙特阿拉伯王国不同专科工作的医生进行了热性惊厥(FS)管理方面的知识和态度评估。

结果

在300名回复问卷的医生中,178名(59.3%)为男性,119名(39.7%)为顾问医生,92名(30.7%)为专科医生,89名(29.7%)为住院医生。大多数是普通儿科顾问医生。我们的研究表明,与其他医生群体相比,顾问医生对简单FS的定义了解更多,差异具有统计学意义。然而,儿科神经科医生和普通儿科医生之间没有差异。在对FS患儿进行评估时,不同专科医生在进行常规腰椎穿刺、神经影像学检查和血清电解质测定的必要性认知方面存在统计学差异。另一方面,不同专科医生在进行脑电图检查的必要性认知上没有差异。

结论

该研究强调了不同专科、不同经验水平的医生在FS管理方面的知识和态度存在广泛差异。使用临床实践指南将有助于减少这种差异。

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Febrile seizures.热性惊厥
Pediatr Ann. 2013 Dec;42(12):249-54. doi: 10.3928/00904481-20131122-09.
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