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印度麻醉医师对阻塞性睡眠呼吸暂停及其认知与态度——一项调查研究

Obstructive sleep apnoea and its knowledge and attitude among Indian anaesthesiolgists - A survey study.

作者信息

Solanki Sohan Lal, Karan Nupur, Parab Swapnil Y

机构信息

Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

出版信息

Indian J Anaesth. 2019 Aug;63(8):648-652. doi: 10.4103/ija.IJA_183_19.

Abstract

BACKGROUND AND AIMS

Obstructive sleep apnoea (OSA) has an estimated prevalence of 2%-4% in adult population and is increasing. Most of these are detected late which is the cause for higher perioperative morbidity. This survey was aimed to seek the level of knowledge and attitude of Indian anaesthesiologists towards OSA.

METHODS

The OSA Knowledge and Attitude (OSAKA) questionnaire (23-statements) was distributed to the anaesthesiologists attending the difficult airway conference in December 2017. The first section has 18 statements pertaining to OSA knowledge. The second section consists of five statements to evaluate self-confidence in the management of OSA. Age, gender, professional title, type of hospital, years of experience, and bariatric experience were analysed.

RESULTS

205 out of 350 participants responded. In all, 201 (57.4%) fully completed responses were analysed. The mean ± standard deviation knowledge and attitude scores were 12.01 ± 2.88 (66.72% ± 16%) and 18.16 ± 3.75 (72.64% ± 15%) respectively. On exclusion of junior residents ( = 56), knowledge and attitude scores of qualified anaesthesiologists were 12.7 ± 2.55 (70.55% ± 14.16%) and 18.78 ± 3.91 (75.12% ± 15.64%), respectively. Anaesthesiologists with bariatric experience had a significantly higher attitude score when compared with those who do not practice bariatric surgeries ( < 0.01). There is weak but significant, positive linear correlation between knowledge and attitude score (r= 0.370, < 0.01).

CONCLUSION

Deficit of adequate knowledge about OSA exists among Indian anaesthesiologists. Experience of managing cases with OSA seems to improve knowledge and attitude towards OSA.

摘要

背景与目的

据估计,阻塞性睡眠呼吸暂停(OSA)在成年人群中的患病率为2%-4%,且呈上升趋势。其中大多数病例发现较晚,这是围手术期发病率较高的原因。本次调查旨在了解印度麻醉医生对OSA的认知水平和态度。

方法

2017年12月,向参加困难气道会议的麻醉医生发放了OSA知识与态度(OSAKA)问卷(共23个陈述)。第一部分有18个与OSA知识相关的陈述。第二部分由5个陈述组成,用于评估对OSA管理的自信程度。分析了年龄、性别、职称、医院类型、工作年限和肥胖症治疗经验等因素。

结果

350名参与者中有205人做出回应。总共对201份(57.4%)完整回复进行了分析。知识和态度得分的平均值±标准差分别为12.01±2.88(66.72%±16%)和18.16±3.75(72.64%±15%)。排除初级住院医生(n = 56)后,合格麻醉医生的知识和态度得分分别为12.7±2.55(70.55%±14.16%)和18.78±3.91(75.12%±15.64%)。与未从事肥胖症手术的麻醉医生相比,有肥胖症治疗经验的麻醉医生态度得分显著更高(P<0.01)。知识得分与态度得分之间存在微弱但显著的正线性相关(r = 0.370,P<0.01)。

结论

印度麻醉医生对OSA的充分知识存在欠缺。处理OSA病例的经验似乎能提高对OSA的知识水平和态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1892/6691647/a42a4374c2f8/IJA-63-648-g001.jpg

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