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沙特阿拉伯卡西姆地区初级卫生保健提供者在无症状高尿酸血症和痛风管理方面的知识与实践

Knowledge and Practice of Primary Health Care Providers in the Management of Asymptomatic Hyperuricemia and Gout in the Qassim Region of Saudi Arabia.

作者信息

Alraqibah Elias A, Alharbi Feras M, Alharbi Nawaf S, Aldekhail Mohammad I, Alahmadi Khaled M, Alresheedi Mohammed A, AlKhattaf Mohammad I

机构信息

Rheumatology, Qassim University, Buraydah, SAU.

Internal Medicine, Qassim University, Buraydah, SAU.

出版信息

Cureus. 2022 Nov 1;14(11):e30976. doi: 10.7759/cureus.30976. eCollection 2022 Nov.

Abstract

Introduction & Aim The most prevalent type of inflammatory arthritis is gout. It develops because of hyperuricemia, which makes monosodium urate (MSU) crystals accumulate in the joints. However, hyperuricemia does not always cause gout. Methodology The following is a cross-sectional study conducted in the Qassim region of Saudi Arabia. 133 PHPs in this region were given a self-administered questionnaire through an online survey. The questionnaire included four sections: Demographic data (i.e., age, gender, years of experience) Knowledge of asymptomatic hyperuricemia; Management practices of asymptomatic hyperuricemia; Knowledge and practice of gout management Results One hundred thirty-three primary healthcare providers took part (males 63.9%; females 36.1%). The proportion of PHPs who attended continuing medical education (CME) on AH or gout was 32.3%. Moreover, 67.7% already knew the guidelines for managing AH or gout. PHPs' level of knowledge regarding the management of AH and gout was good (45.9%), but their level of practice was poor (23.3%). Greater experience and CME attendance on AH and gout contributed to better understanding and higher practice scores. Conclusion Although PHPs' knowledge of managing AH and gout was adequate, this did not reflect in their practice. Physicians with more years of experience who attended CME on AH and gout demonstrated better knowledge and practice than the rest of the PHPs. It is necessary to address the gaps in the practice of our PHPs, which could be done through in-depth training about AH and gout. Our study could guide other researchers to assess the gaps in other clinical practices that PHPs face.

摘要

引言与目的 最常见的炎性关节炎类型是痛风。它是由高尿酸血症引发的,高尿酸血症会使尿酸钠(MSU)晶体在关节中积聚。然而,高尿酸血症并不总是导致痛风。

方法 以下是在沙特阿拉伯卡西姆地区进行的一项横断面研究。通过在线调查向该地区的133名初级医疗保健人员发放了一份自填式问卷。问卷包括四个部分:人口统计学数据(即年龄、性别、工作年限);无症状高尿酸血症的知识;无症状高尿酸血症的管理实践;痛风管理的知识与实践。

结果 133名初级医疗保健人员参与了研究(男性占63.9%;女性占36.1%)。参加过关于无症状高尿酸血症或痛风的继续医学教育(CME)的初级医疗保健人员比例为32.3%。此外,67.7%的人已经了解无症状高尿酸血症或痛风的管理指南。初级医疗保健人员对无症状高尿酸血症和痛风管理的知识水平良好(45.9%),但实践水平较差(23.3%)。更多的经验以及参加关于无症状高尿酸血症和痛风的继续医学教育有助于更好的理解和更高的实践得分。

结论 尽管初级医疗保健人员对无症状高尿酸血症和痛风管理的知识足够,但这并没有体现在他们的实践中。参加过关于无症状高尿酸血症和痛风的继续医学教育且工作年限更长的医生比其他初级医疗保健人员表现出更好的知识和实践能力。有必要弥补我们初级医疗保健人员实践中的差距,这可以通过对无症状高尿酸血症和痛风进行深入培训来实现。我们的研究可以指导其他研究人员评估初级医疗保健人员在其他临床实践中面临的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c9/9624298/7ca5b44a0938/cureus-0014-00000030976-i01.jpg

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