Mohammed Sedik Rozhan Nabaz, Abdulateef Darya Saeed, Lateef Jamal Mohammed Hussein
Branch of Medical Education, College of Medicine, University of Sulaimani, Sulaimaniyah, Iraq.
JAR Pediatric Teaching Hospital, Sulaimaniyah, Iraq.
Medicine (Baltimore). 2025 Apr 25;104(17):e42160. doi: 10.1097/MD.0000000000042160.
Accurate blood pressure measurement in pediatric patients is crucial for the proper diagnosis and management of hypertension in children. Understanding the level of attitude, knowledge, and practices (AKP) of medical students and physicians on pediatric blood pressure (BP) measurement and hypertension is essential. This is to assess their awareness of this subject which is often overlooked and where research is lacking. This study aims to evaluate the extent of AKP, among medical students and pediatric doctors regarding hypertension and BP measurement in children, and to determine the impact of educational sessions on their AKP. In a cross-sectional study, a self-designed questionnaire composed of several questions about AKP was prepared and validated. After obtaining informed consent, the questionnaire was distributed online to medical students and pediatric physicians with 168 responses, 140 medical students, and 28 pediatric physicians. This was followed by an educational awareness session about measuring blood pressure and hypertension in children. After the session, a post-awareness questionnaire was administered, gathering 145 responses. The average scores for AKP were calculated, and pre- and post-awareness session responses were compared within each group, P < .05 was regarded as significant. Among the medical students, 53.6% were somewhat aware of pediatric hypertension; 29.3% measured BP during their pediatric course, and 85% did not participate in pediatric hypertension education. Among physicians, 12.5% were exposed to pediatric patients with hypertension in the past year, 25% never measured BP in routine pediatric visits, and only 25% used normative BP tables. Average scores (out of 5) for attitude, knowledge, and practices were 3.57 (0.55), 2.51 (0.71), and 2.42 (0.68), respectively, with significantly higher scores in post-educational session, 4.56 (0.47), 4.06 (0.72), and 4.25 (0.76), respectively. The AKP among medical students and pediatric physicians regarding pediatric hypertension are inadequate, ranging from little to moderate. The impact of educational sessions is significant and very useful and should be incorporated into the teaching of medical students especially in the last years of study and ground meetings of pediatric physicians.
准确测量儿科患者的血压对于正确诊断和管理儿童高血压至关重要。了解医学生和医生对儿科血压(BP)测量及高血压的态度、知识和实践(AKP)水平至关重要。这是为了评估他们对这个经常被忽视且缺乏研究的主题的认识。本研究旨在评估医学生和儿科医生对儿童高血压和血压测量的AKP程度,并确定教育课程对他们AKP的影响。在一项横断面研究中,准备并验证了一份由几个关于AKP的问题组成的自行设计的问卷。在获得知情同意后,问卷通过网络分发给医学生和儿科医生,共收到168份回复,其中140名医学生和28名儿科医生。随后开展了一次关于儿童血压测量和高血压的教育宣传活动。活动结束后,进行了一次活动后问卷调查,共收到145份回复。计算了AKP的平均得分,并在每组内比较了活动前后的回复,P < 0.05被视为具有统计学意义。在医学生中,53.6%对儿童高血压有所了解;29.3%在儿科课程期间测量过血压,85%未参加过儿童高血压教育。在医生中,12.5%在过去一年中接触过患有高血压的儿科患者,25%在常规儿科就诊时从未测量过血压,只有25%使用过正常血压表。态度、知识和实践的平均得分(满分5分)分别为3.57(0.55)、2.51(0.71)和2.42(0.68),在教育活动后得分显著更高,分别为4.56(0.47)、4.06(0.72)和4.25(0.76)。医学生和儿科医生对儿童高血压的AKP不足,程度从低到中等。教育课程的影响显著且非常有用,应纳入医学生的教学中,特别是在学习的最后几年以及儿科医生的基层会议中。