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医疗服务提供者对特发性正常压力脑积水的认知水平。

Awareness level of idiopathic normal pressure hydrocephalus among health-care providers.

作者信息

Algahtani Abdulhadi Yahya, Ashqar Alaa Adel, Munhish Fadi Abdu, Albattah Ghaida Abdullah, Imran Wafa Mohammad, Alshardan Mohammad M, Almotairi Fawaz S

机构信息

Department of Neuroscience, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia.

King Saud bin Abdulaziz University for Health Sciences, College of Medicine, Jeddah, Saudi Arabia.

出版信息

Surg Neurol Int. 2024 Jul 5;15:234. doi: 10.25259/SNI_302_2024. eCollection 2024.

Abstract

BACKGROUND

Idiopathic normal pressure hydrocephalus (iNPH) is a disease that primarily affects the geriatric population. It was first introduced by Adams . in 1965. A gradual decline in cognitive function, urinary incontinence, and gait disturbances characterizes the disease. This condition is believed to be underdiagnosed, and awareness of such pathology is vital, as the treatment is very effective and can reverse the symptoms.

METHODS

This questionnaire-based cross-sectional study aimed to assess awareness levels regarding iNPH among non-neuroscience healthcare providers in Saudi Arabia.

RESULTS

A total of 269 healthcare providers participated in this study, with data collected through an online questionnaire. About 80.6% of the participants had heard of the disease, while 56.5% were aware of the disease symptomology. About 50% of physicians did not encounter iNPH patients in clinical practice. Previous clinical exposure to iNPH patients correlates significantly with an awareness of disease symptoms, investigation, treatment modalities, and outcome. Clinical experience positively impacts physicians' awareness as it correlates with a better understanding of diagnostic methods and disease outcomes.

CONCLUSION

The study highlights the need for targeted educational interventions, especially among family physicians and general practitioners with no previous experience with iNPH patients, as well as interdisciplinary collaboration to address gaps in awareness and enhance early diagnosis of iNPH patients.

摘要

背景

特发性正常压力脑积水(iNPH)是一种主要影响老年人群的疾病。它于1965年由亚当斯首次提出。认知功能逐渐下降、尿失禁和步态障碍是该疾病的特征。这种疾病被认为诊断不足,了解这种病理情况至关重要,因为治疗非常有效且可以逆转症状。

方法

这项基于问卷的横断面研究旨在评估沙特阿拉伯非神经科学医疗服务提供者对iNPH的认知水平。

结果

共有269名医疗服务提供者参与了本研究,通过在线问卷收集数据。约80.6%的参与者听说过该疾病,而56.5%的人了解该疾病的症状。约50%的医生在临床实践中未遇到过iNPH患者。以前临床接触过iNPH患者与对疾病症状、检查、治疗方式和结果的认知显著相关。临床经验对医生的认知有积极影响,因为它与对诊断方法和疾病结果的更好理解相关。

结论

该研究强调需要有针对性的教育干预措施,特别是针对以前没有iNPH患者诊疗经验的家庭医生和全科医生,以及跨学科合作,以弥补认知差距并加强iNPH患者的早期诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a2b/11301787/d951439402ca/SNI-15-234-g001.jpg

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