Henry R L, Fitzclarence C A, Henry D A, Cruickshank D
Discipline of Paediatrics, Faculty of Medicine, University of Newcastle, New South Wales, Australia.
J Paediatr Child Health. 1993 Feb;29(1):32-5. doi: 10.1111/j.1440-1754.1993.tb00436.x.
The aim of this study was to examine the level of knowledge about childhood asthma in paediatric nurses, pharmacists and general practitioners to assess their potential value as sources of accurate information for patients with asthma. The main outcome measure was the score obtained on an asthma knowledge questionnaire which had been validated previously. The maximum possible score was 31. Eighty-three general practitioners had a mean score of 28.1 (range 14-31); 82 pharmacists scored a mean of 24.2 (range 15-30) and 30 paediatric nurses had a mean score of 25.5 (range 16-30). General practitioners scored well in most questions but had some worrying deficiencies, particularly in distinguishing preventive therapy from symptom relieving medication. Pharmacists and paediatric nurses had a number of problems in certain important areas. In particular pharmacists as a group were unaware of many of the clinical features of asthma, had misconceptions, such as the need to avoid cow's milk, and recorded incorrect responses to clinical scenarios of acute treatment. Paediatric nurses tended to overestimate the side effects of inhaled medications, and also the value of auscultation. They had poor knowledge of exercise-induced asthma. The data overall suggest that specific educational strategies should be devised for different groups of health professionals who manage children with asthma and suggest that poor knowledge on the part of health care providers may contribute to morbidity.
本研究的目的是调查儿科护士、药剂师和全科医生对儿童哮喘的了解程度，以评估他们作为哮喘患者准确信息来源的潜在价值。主要结局指标是在一份先前已验证的哮喘知识问卷上获得的分数。最高可能分数为31分。83名全科医生的平均分数为28.1（范围14 - 31）；82名药剂师的平均分数为24.2（范围15 - 30），30名儿科护士的平均分数为25.5（范围16 - 30）。全科医生在大多数问题上得分良好，但存在一些令人担忧的不足之处，特别是在区分预防性治疗和缓解症状的药物方面。药剂师和儿科护士在某些重要领域存在一些问题。特别是药剂师群体对哮喘的许多临床特征不了解，存在误解，如需要避免饮用牛奶，并对急性治疗的临床情景给出错误回答。儿科护士往往高估吸入药物的副作用以及听诊的价值。他们对运动诱发性哮喘的了解不足。总体数据表明，应为管理哮喘儿童的不同卫生专业人员群体制定具体的教育策略，并表明医疗保健提供者知识不足可能导致发病率上升。
