基层医疗保健医生对新生儿高胆红素血症的认知：单中心经验
Knowledge of Neonatal Hyperbilirubinemia Among Primary Health Care Physicians: A Single-Center Experience.
作者信息
Mostafa Mostafa A, Kamal Naglaa M, Eltaher Sherif, Hamed Yahia, Abdelaziz Hany, Abdelghany Walid, Aser Efat, Fawzy Eman, Sherief Laila M
机构信息
Department of Pediatrics, Faculty of Medicine, Benha University, Benha, Egypt.
Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.
出版信息
Clin Med Insights Pediatr. 2019 Mar 3;13:1179556518824375. doi: 10.1177/1179556518824375. eCollection 2019.
BACKGROUND AND OBJECTIVES
To evaluate the knowledge of the primary health care physicians (PHCP) in Kalubia governorate, Egypt, about the causes, diagnosis, complications, and treatment of neonatal hyperbilirubinemia (NHB).
METHODS
Cross-sectional survey distributed by interview to 500 physicians working in the primary health care (PHC) sector in Kalubia.
RESULTS
Out of 500 distributed surveys, 419 (84%) PHCP completed the questionnaire. They represent 174 (90%) out of 193 PHC units and centers. About 18% were males and 82% females with mean age of 28.5 ± 5.2 years, and mean duration of work was 3.3 ± 4.4 years. All of the respondents have patients with NHB in their daily practice. The knowledge of the PHCP was good in some aspects about NHB; however, it was poor and may be even hazardous in other aspects.
CONCLUSIONS
Many areas of defects are detected in PHCP knowledge about NHB. Pre-service and continuous training of the PHCP about the diagnosis and management of NHB are essential.
背景与目的
评估埃及卡卢比亚省基层医疗保健医生（PHCP）对新生儿高胆红素血症（NHB）的病因、诊断、并发症及治疗的了解情况。
方法
通过访谈对卡卢比亚省基层医疗保健（PHC）部门工作的500名医生进行横断面调查。
结果
在分发的500份调查问卷中，419名（84%）基层医疗保健医生完成了问卷。他们代表了193个基层医疗保健单位和中心中的174个（90%）。约18%为男性，82%为女性，平均年龄为28.5±5.2岁，平均工作年限为3.3±4.4年。所有受访者在日常工作中都有新生儿高胆红素血症患者。基层医疗保健医生在新生儿高胆红素血症的某些方面知识掌握良好；然而，在其他方面则较差，甚至可能存在危险。
结论
在基层医疗保健医生对新生儿高胆红素血症的知识方面发现了许多缺陷领域。对基层医疗保健医生进行关于新生儿高胆红素血症诊断和管理的岗前培训及持续培训至关重要。
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