沙特吉达阿卜杜勒阿齐兹国王大学医院儿科医生对早产儿视网膜病变的认知：一项横断面研究。
Knowledge of retinopathy of prematurity among pediatricians in King Abdulaziz University hospital in Jeddah: a cross-sectional study.
机构信息
Department of Ophthalmology, King Abdulaziz University, Jeddah, Saudi Arabia.
Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
出版信息
BMC Ophthalmol. 2023 Mar 13;23(1):99. doi: 10.1186/s12886-023-02829-0.
BACKGROUND
Retinopathy of prematurity (ROP) is a retinal vasoproliferative disorder that affects preterm infants. ROP is a cause of preventable blindness in both developed and developing countries. Pediatricians play a major role in the early detection of ROP, which leads to better overall outcomes for these infants. However, various studies in the literature have reported poor knowledge of the risk factors, prevention, screening, and treatment modalities of ROP among pediatricians. Hence, this study aimed to assess the knowledge and awareness of ROP among pediatricians in Jeddah.
METHODOLOGY
This was a cross-sectional study performed among 66 pediatricians at King Abdulaziz University Hospital (KAUH) in Jeddah. A self-administered questionnaire was distributed, and data were collected from March 2022 to October 2022. The questionnaire included sex, level of training, years of practice, and questions that assessed pediatricians' knowledge of the risk factors for ROP, screening guidelines, referral facilities, and barriers to referral.
RESULTS
Sixty-six pediatricians were included in this study. The cohort showed an equal distribution of males and females (50% each). All of the participants knew that ROP affects the retina (100%). Furthermore, the majority knew that screening should be performed by an ophthalmologist (89.4%), were aware of the risk factors (87.9%), knew that ROP is treatable (90%), and knew that ROP is preventable (70%), and some reported facing obstacles when consulting ophthalmologists (10%). The lack of knowledge was more prevalent among junior residents (56.5%) than among consultants (6%).
CONCLUSION
This is the first study in the western region of Saudi Arabia to assess the knowledge of ROP among pediatricians. The results showed that a lack of knowledge of screening guidelines and service delivery for ROP exists among pediatricians. Hence, awareness of ROP among pediatricians should be raised since pediatricians play a pivotal role in the early detection of ROP.
背景
早产儿视网膜病变（ROP）是一种影响早产儿的视网膜血管增生性疾病。ROP 是发达国家和发展中国家可预防失明的一个原因。儿科医生在 ROP 的早期检测中发挥着重要作用，这可以为这些婴儿带来更好的整体结果。然而，文献中的各种研究报告称，儿科医生对 ROP 的危险因素、预防、筛查和治疗方式知之甚少。因此，本研究旨在评估吉达儿科医生对 ROP 的认识和了解。
方法
这是一项在吉达阿卜杜勒阿齐兹国王大学医院（KAUH）进行的儿科医生横断面研究。分发了一份自我管理问卷，数据于 2022 年 3 月至 2022 年 10 月收集。问卷包括性别、培训水平、从业年限以及评估儿科医生对 ROP 危险因素、筛查指南、转诊设施和转诊障碍的知识的问题。
结果
本研究纳入了 66 名儿科医生。该队列中男性和女性各占 50%。所有参与者都知道 ROP 会影响视网膜（100%）。此外，大多数人都知道筛查应由眼科医生进行（89.4%），了解危险因素（87.9%），知道 ROP 可以治疗（90%），知道 ROP 可以预防（70%），并且一些人报告在咨询眼科医生时遇到障碍（10%）。初级住院医师（56.5%）比顾问（6%）的知识缺乏更为普遍。
结论
这是沙特阿拉伯西部地区首次评估儿科医生对 ROP 的认识的研究。结果表明，儿科医生对 ROP 的筛查指南和服务提供缺乏了解。因此，应该提高儿科医生对 ROP 的认识，因为儿科医生在 ROP 的早期检测中起着关键作用。
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