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2018年利雅得家庭医学住院医师对自闭症谱系障碍儿童护理的认知与便利性

Perception and convenience of caring for children with autism spectrum disorder among family medicine residents in Riyadh 2018.

作者信息

Alshammari Maha S, Afify Ayman A M, Abdelhay Osama

机构信息

Department of Family Medicine Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

Department of Data and Information Management and Analysis, United Nations High Commissioners for Refugees, Amman, Jordan.

出版信息

J Family Med Prim Care. 2019 Jun;8(6):1902-1907. doi: 10.4103/jfmpc.jfmpc_328_19.

Abstract

BACKGROUND

Autism spectrum disorder (ASD) is a group of childhood pervasive neurodevelopmental disorders characterized predominantly by persistent moderate to severe impairment in social skills, communication, and associated with restricted repetitive or stereotyped behaviors. Early diagnosis of this disorder is paramount, which then allows for a timely intervention to facilitate a positive prognosis. To the best of our knowledge, there is no study that has investigated the perception of ASD among family medicine residents in Saudi Arabia.

OBJECTIVE

To determine the level of awareness of childhood autism among family medicine residents in Riyadh.

SETTINGS AND DESIGN

A cross-sectional study was conducted in nine teaching primary healthcare centers in Riyadh.

MATERIALS AND METHODS

The questionnaire was adopted from Unigwe study and distributed to 344 available physicians, of which 277 were received back completed.

RESULTS

Only 28 physicians (10.1%) answered positively if they had previously attended any ASD workshops or conferences. In addition, only 29 participants (10.5%) correctly answered 50% or more questions. The question that yielded the lowest scoring was "Recognizing the signs and symptoms of autism in individuals with good language and no apparent intellectual difficulties", while the question with the highest scoring was "Identifying stress in the parents and carers of my patients with autism." The regression analysis showed no association between the scores and the physicians' characteristics.

CONCLUSIONS

The results show a low awareness level and moderate to low level of confidence in the physicians ability to recognize, identify, or communicate in regards to ASD. We recommend integrating lectures and clinical exposure of ASD to the residency training program curriculum.

摘要

背景

自闭症谱系障碍(ASD)是一组儿童期广泛性神经发育障碍,主要特征为社交技能、沟通方面持续存在中度至重度损害,并伴有局限的重复或刻板行为。对该疾病进行早期诊断至关重要,这能够及时进行干预以促进良好预后。据我们所知,尚无研究调查沙特阿拉伯家庭医学住院医师对ASD的认知情况。

目的

确定利雅得家庭医学住院医师对儿童自闭症的认知水平。

设置与设计

在利雅得的九个教学初级医疗保健中心进行了一项横断面研究。

材料与方法

问卷采用了Unigwe的研究版本,并分发给344名在职医生,其中277份问卷回收并填写完整。

结果

只有28名医生(10.1%)回答称他们之前参加过任何ASD研讨会或会议。此外,只有29名参与者(10.5%)正确回答了50%或更多问题。得分最低的问题是“识别语言能力良好且无明显智力障碍个体的自闭症体征和症状”,而得分最高的问题是“识别我的自闭症患者父母及照料者的压力”。回归分析表明得分与医生的特征之间无关联。

结论

结果显示医生对ASD的认知水平较低,且在识别、鉴别或交流ASD方面的信心处于中低水平。我们建议将ASD的讲座和临床实习纳入住院医师培训项目课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/6618206/f7e1abc80fae/JFMPC-8-1902-g001.jpg

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