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沙特阿拉伯塔布克地区基层医疗医生对纤维肌痛的认知、态度和实践情况

Knowledge, Attitude, and Practice Regarding Fibromyalgia Among Primary Care Physicians in Tabuk, Saudi Arabia.

作者信息

Alatawi Amirah, Moria Hassan A, Alharfy Abdulrahman Arshed, Sehly Mohammed Jameel, Alotaibi Jalawi Talal A, Alshammari Yousef Salem, Albalawi Abdulrahim Oudah A, Alanazi Saif Marzoug, Sehly Abdulrahman Jameel

机构信息

Department of Family and Community Medicine, Faculty of Medicine, University of Tabuk, Tabuk, SAU.

Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, SAU.

出版信息

Cureus. 2023 Feb 17;15(2):e35097. doi: 10.7759/cureus.35097. eCollection 2023 Feb.

Abstract

BACKGROUND

Adequately informed family physicians have the greatest potential to correctly identify the diagnosis of fibromyalgia (FM) and develop an initial treatment plan. Therefore, it is substantial to determine the levels of weakness and inaccuracy among primary care physicians regarding FM diagnostic criteria and management strategies.

AIM

This study aimed to assess the knowledge, attitude, and practices regarding FM among primary care physicians in Tabuk, Saudi Arabia.

METHODS

This cross-sectional study included family physicians who were board-certified or registered in the family medicine training program and working at the government family healthcare centers in Tabuk. A pre-designed, structured questionnaire was distributed either in written form or as an online survey.

RESULTS

This study included 52 primary healthcare physicians. Twenty-two (42.3%) participants incorrectly recorded localized pain as a diagnostic symptom, and 45 (86.5%) incorrectly recorded nonsteroidal anti-inflammatory drugs (NSAIDs), prednisolone, and/or opioids as drugs that are used for treating FM. Only 59.6% were confident in recognizing the symptoms of FM, and 55.8% were confident in differentiating FM from other similar diseases.

CONCLUSIONS

The primary healthcare physicians working in the government's primary healthcare centers in Tabuk City, Saudi Arabia, have low levels of knowledge about diagnostic criteria and treatment strategies for FM. These findings highlight the need for continuous professional development involving family physicians in the primary healthcare setting with suitable continuous medical education (CME) programs concerning FM.

摘要

背景

充分了解情况的家庭医生最有可能正确诊断纤维肌痛(FM)并制定初步治疗方案。因此,确定初级保健医生在FM诊断标准和管理策略方面的薄弱程度和不准确程度至关重要。

目的

本研究旨在评估沙特阿拉伯塔布克市初级保健医生对FM的知识、态度和实践。

方法

这项横断面研究纳入了获得委员会认证或参加家庭医学培训项目注册且在塔布克市政府家庭医疗中心工作的家庭医生。通过书面形式或在线调查分发预先设计的结构化问卷。

结果

本研究纳入了52名初级保健医生。22名(42.3%)参与者将局部疼痛错误记录为诊断症状,45名(86.5%)参与者将非甾体抗炎药(NSAIDs)、泼尼松龙和/或阿片类药物错误记录为用于治疗FM的药物。只有59.6%的人对识别FM症状有信心,55.8%的人对区分FM与其他类似疾病有信心。

结论

在沙特阿拉伯塔布克市政府初级保健中心工作的初级保健医生对FM诊断标准和治疗策略的了解程度较低。这些发现凸显了在初级保健环境中让家庭医生参与持续专业发展并开展有关FM的适当继续医学教育(CME)项目的必要性。

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Fibromyalgia: the underdiagnosed disease of pain.纤维肌痛:未被充分诊断的疼痛性疾病。
Reumatologia. 2021;59(1):64. doi: 10.5114/reum.2021.103452. Epub 2021 Feb 28.
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Psychological impact of fibromyalgia: current perspectives.纤维肌痛的心理影响:当前观点
Psychol Res Behav Manag. 2019 Feb 13;12:117-127. doi: 10.2147/PRBM.S178240. eCollection 2019.
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Facts and myths pertaining to fibromyalgia.与纤维肌痛相关的事实与误解。
Dialogues Clin Neurosci. 2018 Mar;20(1):53-62. doi: 10.31887/DCNS.2018.20.1/whauser.

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