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医学生对原发性免疫缺陷病的认知

AWARENESS OF PRIMARY IMMUNODEFICIENCY DISEASES AMONG MEDICAL STUDENTS.

作者信息

Boyarchuk O, Volyanska L, Kosovska T, Lewandowicz-Uszynska A, Kinash M

机构信息

I. Horbachevsky Ternopil State Medical University, Ukraine; Wroclaw Medical University, Poland.

出版信息

Georgian Med News. 2018 Dec(285):124-130.

Abstract

Primary immunodeficiency diseases (PID) are a group of more than 300 rare, chronic disorders in which a part of the body's immune system is missing or functions improperly. The issue of early diagnosis, timely and effective treatment, prevention of complications and improved prognosis remains extremely relevant. The aim of this study was to assess the awareness of graduating medical university students about the signs of primary immunodeficiency in children and adults. A survey on awareness of primary immunodeficiencies was conducted among sixth year (graduating) students of the Faculty of Medicine of I.Horbachevsky Ternopil State Medical University, Ukraine. Questionnaires were offered to 271 students. The questionnaire consisted of 25 questions. The average percentage of correct answers given by the surveyed students for each question was 59.2% (ranging from 22.5% to 82.3%). The percentage of correct answers to the questions about warning signs of PID in children was 64.4%, and in adults was 54.2% (p=0.0491). The percentage of correct answers to the questions about general signs of PID was 61.6% and about specific signs of PID 51.7% (p=0.0016). The percentages of correct answers among surveyed students ranged from 26 to 88%. 223 (82.3%) medical students gave more than 50% of correct answers to all questions, but only 21 surveyed students (7.7%) gave more than 75% of correct answers. This study has revealed the lack of awareness for PID among medical students. The lowest knowledge was about PID warning signs in adults and the specific signs of PID, especially those concerning verification and management of Nijmegan breakage syndrome and common variable immunodeficiency. This study indicates a significant need to increase knowledge of medical students about primary immunodeficiencies, taking into account low levels of diagnosis of these diseases in Ukraine and the need to raise knowledge and awareness about PID among physicians of all specialties.

摘要

原发性免疫缺陷病(PID)是一组300多种罕见的慢性疾病,人体免疫系统的一部分缺失或功能异常。早期诊断、及时有效治疗、预防并发症以及改善预后等问题仍然极为重要。本研究的目的是评估即将毕业的医科大学生对儿童和成人原发性免疫缺陷体征的认知情况。对乌克兰伊万·霍赫巴切夫斯基捷尔诺波尔国立医科大学医学院六年级(即将毕业)的学生进行了关于原发性免疫缺陷认知情况的调查。向271名学生发放了问卷。问卷包含25个问题。被调查学生对每个问题给出的正确答案平均百分比为59.2%(范围从22.5%至82.3%)。关于儿童PID警示体征问题的正确答案百分比为64.4%,成人的为54.2%(p = 0.0491)。关于PID一般体征问题的正确答案百分比为61.6%,关于PID特定体征问题的为51.7%(p = 0.0016)。被调查学生的正确答案百分比在26%至88%之间。223名(82.3%)医科学生对所有问题给出的正确答案超过50%,但只有21名被调查学生(7.7%)给出的正确答案超过75%。本研究揭示了医科学生对PID认知不足。对成人PID警示体征以及PID特定体征的了解最少,尤其是关于奈梅亨断裂综合征和常见变异型免疫缺陷的诊断与管理方面。考虑到乌克兰这些疾病的低诊断水平以及提高所有专业医生对PID的认知和了解的必要性,本研究表明非常有必要增加医科学生对原发性免疫缺陷的知识。

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