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沙特阿拉伯吉赞地区家庭医生和全科医生对介入放射学的认知情况

Interventional Radiology Awareness Among Family Physicians and General Practitioners in Jazan Region, Saudi Arabia.

作者信息

Hendi Ali M, Jarram Raed E, Jadah Abdulmajeed A, Majhali Jalal H, Mojiri Mohammed E, Moafa Fahad Y, Jandali Yara A, Hakami Fouad I, Hakami Nouf M, Tahiri Salma A, Humedi Entisar M, Mutaen Amani A, Al Alhadi Njoud A, Arawi Almutasim A, Shawish Ali M

机构信息

Department of Radiology, Jazan University, Jazan, SAU.

College of Medicine, Jazan University, Jazan, SAU.

出版信息

Cureus. 2024 Sep 5;16(9):e68715. doi: 10.7759/cureus.68715. eCollection 2024 Sep.

Abstract

Background Interventional radiology (IR) utilizes minimally invasive procedures guided by imaging to diagnose and treat various conditions, offering less invasive alternatives to traditional surgery. Despite its importance, awareness among family medicine practitioners can vary, affecting patient care. While IR has advanced in Saudi Arabia, there are limited data on family medicine practitioners' understanding of IR. This study assesses awareness of IR procedures among family medicine doctors in Jazan and their perceived need for further education. Methods A cross-sectional interview-administered survey was conducted online among family medicine doctors in Jazan via social media. The survey assessed demographic data, awareness of IR procedures, self-rated knowledge, and attitudes towards IR. Participants' understanding of IR training, hospital privileges, outpatient clinics, and recognition by the Saudi Commission for Health Specialties (SCHS) was evaluated. Data were analyzed using descriptive statistics and chi-square tests. Results Out of 395 respondents, the age distribution was as follows: 20-29 years (44.3%), 30-39 years (32.9%), and 40 years or older (22.8%). Gender distribution was as follows: females (44.6%) and males (55.4%). Specialties included family medicine consultants (10.6%), residents (32.4%), specialists (22.8%), and general practitioners (34.2%). Awareness of IR procedures varied: uterine fibroid embolization (58.7%), coronary angiography (57.5%), vascular angioplasty (63.5%), radiofrequency ablation (61.3%), peripheral vascular bypass (61.8%), brain biopsy (56.2%), nephrostomy tube placement (59.5%), varicose veins treatment (63.0%), and cystoscopic tumor resection (54.7%). Self-rated knowledge was as follows: poor (46.8%), adequate (27.1%), good (15.7%), and excellent (10.4%). Most believed that interventional radiologists' training was in radiology (62.8%), with fewer attributing it to vascular surgery (20.5%) or a combination (16.7%). Regarding privileges and facilities, 248 (62.8%) reported hospital admitting privileges for IRs, 251 (63.5%) reported outpatient clinics, and 45 (11.4%) were unsure about admitting privileges. SCHS recognition was confirmed by 267 (67.6%). Referrals to IRs were made by 283 (71.6%), and 260 (65.8%) would increase referrals with more knowledge. The perceived benefit of additional education was as follows: no benefit (48.4%), some benefit (30.6%), and significant benefit (21.0%). Conclusion The study reveals gaps in awareness and knowledge of IR among family medicine doctors in Jazan. While there is recognition of IR's value and a willingness to refer patients, variations in knowledge highlight the need for targeted educational interventions. Improving education on IR could enhance integration into patient care and optimize outcomes.

摘要

背景 介入放射学(IR)利用影像学引导下的微创手术来诊断和治疗各种病症,为传统手术提供了侵入性较小的替代方案。尽管其很重要,但家庭医学从业者的认知程度可能存在差异,这会影响患者护理。虽然沙特阿拉伯的介入放射学有了发展,但关于家庭医学从业者对介入放射学的了解的数据有限。本研究评估了吉赞地区家庭医学医生对介入放射学程序的认知以及他们对继续教育的感知需求。方法 通过社交媒体对吉赞地区的家庭医学医生进行了一项在线横断面访谈式调查。该调查评估了人口统计学数据、对介入放射学程序的认知、自我评估的知识以及对介入放射学的态度。评估了参与者对介入放射学培训、医院特权、门诊诊所以及沙特卫生专业委员会(SCHS)认可情况的理解。使用描述性统计和卡方检验对数据进行了分析。结果 在395名受访者中,年龄分布如下:20 - 29岁(44.3%),30 - 39岁(32.9%),40岁及以上(22.8%)。性别分布如下:女性(44.6%)和男性(55.4%)。专业包括家庭医学顾问(10.6%)、住院医师(32.4%)、专科医生(22.8%)和全科医生(34.2%)。对介入放射学程序的认知各不相同:子宫肌瘤栓塞术(58.7%)、冠状动脉造影(57.5%)、血管成形术(63.5%)、射频消融(61.3%)、外周血管搭桥术(61.8%)、脑活检(56.2%)、肾造瘘管置入术(59.5%)、静脉曲张治疗(63.0%)和膀胱镜肿瘤切除术(54.7%)。自我评估的知识情况如下:差(46.8%)、足够(27.1%)、好(15.7%)和优秀(10.4%)。大多数人认为介入放射科医生的培训是放射学方面的(62.8%),较少有人认为是血管外科方面的(20.5%)或两者结合(16.7%)。关于特权和设施,248人(62.8%)报告介入放射科医生有医院收治特权,251人(63.5%)报告有门诊诊所,45人(11.4%)不确定收治特权情况。267人(67.6%)确认获得了沙特卫生专业委员会的认可。283人(71.6%)会将患者转诊给介入放射科医生,260人(65.8%)表示如果了解更多知识会增加转诊。对继续教育的感知益处如下:无益处(48.4%)、有一些益处(30.6%)和有显著益处(21.0%)。结论 该研究揭示了吉赞地区家庭医学医生在介入放射学认知和知识方面存在差距。虽然认识到介入放射学的价值并愿意转诊患者,但知识的差异凸显了有针对性的教育干预的必要性。改善介入放射学教育可以加强其融入患者护理并优化治疗效果。

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本文引用的文献

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What family physicians should know about interventional radiology?家庭医生应该了解关于介入放射学的哪些知识?
J Family Community Med. 2020 May-Aug;27(2):85-90. doi: 10.4103/jfcm.JFCM_290_19. Epub 2020 Jun 3.
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AJR Am J Roentgenol. 2018 Oct;211(4):730-735. doi: 10.2214/AJR.18.19777. Epub 2018 Jul 31.
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Admission privileges and clinical responsibilities for interventional radiologists.介入放射科医生的入院特权和临床职责。
Cardiovasc Intervent Radiol. 2015 Apr;38(2):257-60. doi: 10.1007/s00270-014-1006-y. Epub 2014 Nov 11.

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