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沙特阿拉伯吉赞地区基层医疗医生对高血压预防指南的知识掌握情况及依从性评估

Evaluation of Knowledge and Adherence of Primary Healthcare Physicians Regarding Hypertension Prevention Guidelines in the Jazan Region, Saudi Arabia.

作者信息

Gosadi Ibrahim

机构信息

Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.

出版信息

Mater Sociomed. 2020 Dec;32(4):258-262. doi: 10.5455/msm.2020.32.258-262.

Abstract

INTRODUCTION

Adherence to hypertension prevention guidelines can aid in better control of blood pressure.

AIM

This study aims to evaluate knowledge and adherence of Primary Healthcare Centers (PHCs) physicians in the Jazan region, Saudi Arabia about guidelines pertaining to prevention of hypertension.

METHODS

This cross-sectional study targeted PHCs physicians in the Jazan region. A questionnaire was developed based on preventive components of the Saudi Hypertension Management Guidelines (SHMGs) and was completed via interviews to measure demographics, knowledge of PHCs' physicians about prevention of hypertension, and their adherence to guidelines concerning screening for hypertension and provision of lifestyle counselling.

RESULTS

A total of 234 PHC physicians participated in this investigation. The median age of the physicians was 38 and percentages of male and female physicians were similar. The findings suggest a low level of knowledge and practice adherence concerning prevention of hypertension among PHCs physicians in Jazan region where only 24 physicians (10%) knew the recommended amount of daily sodium intake to reduce blood pressure among pre-hypertensive patients. Similarly, only 30 physicians (13%) reported adherence to the SHMGs concerning annual screening for the disease. None of the associations concerning influence of physicians demographics on level of knowledge or practice adherence were statistically significant (P value >0.05).

CONCLUSION

The majority of the recruited physicians were misinformed about several components related to screening for hypertension and dietary needs for lowering blood pressure levels. The low knowledge may explain the low adherence to recommended SHMGs for prevention of the disease.

摘要

引言

遵循高血压预防指南有助于更好地控制血压。

目的

本研究旨在评估沙特阿拉伯吉赞地区初级医疗保健中心(PHC)医生对高血压预防指南的了解和遵循情况。

方法

这项横断面研究以吉赞地区的初级医疗保健中心医生为目标对象。根据沙特高血压管理指南(SHMGs)的预防内容编制了一份问卷,并通过访谈完成,以测量人口统计学特征、初级医疗保健中心医生对高血压预防的知识,以及他们对高血压筛查和提供生活方式咨询指南的遵循情况。

结果

共有234名初级医疗保健中心医生参与了此次调查。医生的中位年龄为38岁,男医生和女医生的比例相似。研究结果表明,吉赞地区初级医疗保健中心医生在高血压预防方面的知识水平和实践遵循程度较低,只有24名医生(10%)知道高血压前期患者降低血压所需的每日钠摄入量推荐量。同样,只有30名医生(13%)报告遵循了关于该疾病年度筛查的沙特高血压管理指南。医生人口统计学特征对知识水平或实践遵循程度的影响,所有关联均无统计学意义(P值>0.05)。

结论

大多数参与研究的医生对与高血压筛查和降低血压水平的饮食需求相关的几个方面了解有误。知识水平低可能解释了对推荐的沙特高血压管理指南预防疾病的遵循程度低的原因。

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National screening programs in Saudi Arabia: Overview, outcomes, and effectiveness.沙特阿拉伯的国家筛查计划:概述、结果和效果。
J Infect Public Health. 2019 Sep-Oct;12(5):608-614. doi: 10.1016/j.jiph.2019.06.001. Epub 2019 Jun 24.
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Factors affecting hypertensive patients' compliance with healthy lifestyle.影响高血压患者健康生活方式依从性的因素。
Patient Prefer Adherence. 2019 Apr 23;13:577-585. doi: 10.2147/PPA.S198446. eCollection 2019.

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