沙特阿拉伯利雅得的初级保健医生在对 2 型糖尿病患者进行旅行前咨询方面的知识、态度和实践。
Knowledge, attitudes, and practices of primary health care physicians regarding the pre-travel counselling of patients with type 2 diabetes in Riyadh, Saudi Arabia.
机构信息
King Fahad Specialist Hospital, Buraydah, Saudi Arabia.
Department of Family and Community Medicine, King Khalid University Hospital, Box 2925, Riyadh, PO, 11461, Saudi Arabia.
出版信息
BMC Fam Pract. 2020 Sep 24;21(1):200. doi: 10.1186/s12875-020-01273-z.
BACKGROUND
Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and practices of primary health care (PHC) physicians regarding pre-travel counselling for patients with type 2 diabetes.
METHODS
This cross-sectional study was conducted in PHC centres under the Ministry of Health in Riyadh, Saudi Arabia, during the period 2018-2019. A cluster multistage random sampling technique was used to recruit physicians. The data were collected through a self-administered questionnaire.
RESULTS
Three hundred and eighty-five primary health care physicians were recruited. This study showed that more than half (57.9%) of PHC physicians had poor knowledge scores. Additionally, the following characteristics were significantly associated with poor knowledge: being younger in age, being male, being Saudi, being a general practitioner, and having limited (0-5 years) experience. A total of 183 (47.5%) subjects showed disagreement attitudes towards the importance of pre-travel counselling among patients with diabetes. Furthermore, these disagreement attitudes were significantly associated with being older and having more years of experience. The majority (62.6%) of the physicians had poor practice scores. Poor practices were detected among physicians who were younger, male, and Saudi and who had a general practitioner specialty and degree.
CONCLUSIONS
It could be concluded that a gap was detected in the knowledge and practices of primary health care physicians regarding pre-travel counselling for people with type 2 diabetes. Therefore, it is necessary to create easily accessible travel medicine education programmes for Saudi PHC providers to improve the management of travellers with diabetes.
背景
旅行已成为沙特生活不可或缺的一部分。糖尿病患者在旅行中面临许多挑战，这些挑战可能对血糖控制产生不利影响。然而，以前没有研究调查过沙特的旅行前咨询。本研究旨在评估初级保健（PHC）医生对 2 型糖尿病患者旅行前咨询的知识、态度和实践。
方法
本横断面研究于 2018 年至 2019 年期间在沙特阿拉伯利雅得卫生部的 PHC 中心进行。采用聚类多阶段随机抽样技术招募医生。通过自我管理问卷收集数据。
结果
共招募了 385 名初级保健医生。本研究表明，超过一半（57.9%）的 PHC 医生知识得分较差。此外，以下特征与较差的知识显著相关：年龄较小、男性、沙特人、全科医生以及经验有限（0-5 年）。共有 183 名（47.5%）受试者对糖尿病患者旅行前咨询的重要性持不同意见。此外，这些不同意见与年龄较大和经验较多显著相关。大多数（62.6%）医生的实践评分较差。在年龄较小、男性和沙特人、具有全科医生专业和学位的医生中发现了较差的实践。
结论
可以得出结论，初级保健医生在 2 型糖尿病患者旅行前咨询方面的知识和实践存在差距。因此，有必要为沙特 PHC 提供者创建易于访问的旅行医学教育计划，以改善糖尿病旅行者的管理。
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