Faculty of Medicine, Jazan University, Jazan, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2020 Aug;41(8):841-848. doi: 10.15537/smj.2020.8.25183.
To explore physicians' and nurses' perceptions and attitudes toward sickle cell patients in Jazan, Kingdom of Saudi Arabia (KSA).
A cross-sectional study conducted in Jazan, KSA from November 2018 to March 2019. A convenience sample of nurses and physicians (N=244) from 12 hospitals in Jazan region completed the general perceptions about sickle cell disease patients scale questionnaire. Inferential statistics were conducted as appropriate to compare attitudes among groups within all variables. A p less than 0.05 was considered significant.
The response rate was 81%. The mean age was 33.73±7.89 years. Approximately, half of the participants were nurses (54.9%) and 40.8% were males. In comparison with physicians (39.6%), approximately two-thirds (65.7%) of nurses have more negative attitudes (p=0.000). Emergency healthcare providers have more negative attitudes than providers in the pediatric department (p=0.043). Those treating primarily children had higher positive attitude than those treating adults (p=0.013) or treating both, (p=0.017). Emergency providers (p=0.000), and internal medicine providers (p=0.001), had higher concern-raising behaviors' scale scores than pediatric providers.
Findings highlight a significant proportion of providers in Jazan region, KSA, to have negative attitudes toward and high concerns about drug-seeking behaviors among sickle cell patients. These attitudes can contribute to lower quality of care for people with sickle cell disease. Further studies are recommended to nd out the factors behind these attitudes as well as the adherence to guidelines in the management of sickle cell disease.
探讨沙特阿拉伯吉赞省医生和护士对镰状细胞病患者的看法和态度。
本研究于 2018 年 11 月至 2019 年 3 月在沙特阿拉伯的吉赞进行,采用横断面研究方法。从吉赞地区的 12 家医院中抽取方便样本,共 244 名护士和医生完成了镰状细胞病患者一般看法量表问卷。使用适当的推断统计方法比较了所有变量中组间的态度。p 值小于 0.05 被认为具有统计学意义。
应答率为 81%。参与者的平均年龄为 33.73±7.89 岁。大约一半的参与者是护士(54.9%),40.8%是男性。与医生(39.6%)相比,大约三分之二(65.7%)的护士具有更消极的态度(p=0.000)。急诊医护人员比儿科医护人员具有更消极的态度(p=0.043)。主要治疗儿童的医护人员比治疗成人的医护人员(p=0.013)或同时治疗成人和儿童的医护人员(p=0.017)具有更高的积极态度。急诊医护人员(p=0.000)和内科医护人员(p=0.001)的关注行为量表评分高于儿科医护人员。
研究结果突出表明,沙特阿拉伯吉赞地区的医护人员中存在相当一部分人对镰状细胞病患者的药物寻求行为持消极态度,并对此高度关注。这些态度可能会导致镰状细胞病患者的医疗质量下降。建议进一步研究这些态度背后的原因以及镰状细胞病管理指南的遵循情况。