评估儿科住院医师对2019年全球哮喘防治创议（GINA）轻度哮喘治疗指南的实施情况：一项半干预性研究。
Assessment of the Implementation of Global Initiative for Asthma (GINA) 2019 Guidelines for Treatment of Mild Asthma Among Pediatric Registrars: A Quasi-Interventional Study.
作者信息
Abashar Iman Bashir Hamid, Salih Omaima Abdel Majeed Mohamed, Joda Tarteel Abbas Abaker, Alsedig Mai Fathi Awadalla, Omer Alaa T, Ahmed Hayat A, Hemmeda Lina, Esmaeel Mariam Alazraa M, Mohamed Ahmed Khabab Abbasher Hussien
机构信息
Asthma Clinic Mohammed Alamin Hamid Pediatric Hospital, Omdurman, Sudan.
Departments of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Omdurman, Sudan.
出版信息
J Asthma Allergy. 2024 Apr 5;17:339-347. doi: 10.2147/JAA.S442573. eCollection 2024.
BACKGROUND AND AIMS
It is essential to have proper treatment and management for asthma in order to minimise symptoms, lessen the burden, and lower the chance of exacerbations. To better control asthma, the purpose of this study was to evaluate and enhance paediatric registrars' understanding and application of asthma treatment.
METHODS
The Sudan Medical Specialisation Board (SMSB) paediatric registrars provided data for this quasi-interventional study between April and September of 2021. Twice, both before to and following the intervention education sessions, the questionnaire was delivered. SPSS version 28 was used to analyse the data after it had been cleaned up in an Excel document.
RESULTS
203 (or 77.8%) of the 261 were women. A substantial rise from 8.1 ± 4.12 SD to 18 ± 5.03 SD in the mean overall knowledge score of registrars between the pre-and post-intervention periods. A significant difference (p=0.001) was observed in the post-intervention phase, with first-year registrars (R1) demonstrating higher scores than their senior colleagues. The registrars' total knowledge scores did not differ significantly from one another during the pre-intervention period. The Global Initiative of Asthma (GINA) guidelines of management were implemented to a certain extent, according to the study. Of the registrars, 148 (56.7%) and 203 (77.8%) evaluated step one management in children ages 5 and under; 66 (25.3%) and 213 (81.6%) evaluated step one management in children ages 6 to 11; and 66 (25.3%) and 213 (81.6%) evaluated step one management in children ages 6 to 11 in pre- and post-intervention, respectively.
CONCLUSION
Given that the intervention in this study greatly increased registrars' knowledge, doctors should obtain training on the GINA 2019 recommendations through conferences, workshops, and academic programmes. To find out why R1 outperforms their older counterparts, more investigation has to be done.
背景与目的
为了将哮喘症状降至最低、减轻负担并降低病情加重的几率，对哮喘进行恰当的治疗与管理至关重要。为了更好地控制哮喘，本研究旨在评估并提高儿科住院医师对哮喘治疗的理解与应用。
方法
苏丹医学专业委员会（SMSB）的儿科住院医师为这项2021年4月至9月间的准干预性研究提供了数据。在干预教育课程前后各发放一次问卷。数据在Excel文档中清理后，使用SPSS 28版进行分析。
结果
261名住院医师中有203名（77.8%）为女性。干预前后期住院医师的平均总体知识得分从8.1±4.12标准差大幅提高到18±5.03标准差。在干预后期观察到显著差异（p=0.001），一年级住院医师（R1）的得分高于其资深同事。在干预前期，住院医师的总体知识得分彼此之间没有显著差异。研究表明，哮喘全球倡议（GINA）管理指南在一定程度上得到了实施。在住院医师中，148名（56.7%）和203名（77.8%）分别在干预前后评估了5岁及以下儿童的一级管理；66名（25.3%）和213名（81.6%）评估了6至11岁儿童的一级管理。
结论
鉴于本研究中的干预极大地提高了住院医师的知识水平，医生应通过会议、研讨会和学术项目接受关于GINA 2019建议的培训。为了弄清楚R1比年长同事表现更好的原因，还需要进行更多调查。
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