بررسی تطبیقی دانش، نگرش و عملکرد مختصصین اطفال و پزشکان عمومی نسبت به عفونت ادراری اطفال

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشیار، گروه کودکان، دانشکده‌ی پزشکی، مرکز تحقیقات ارتقای سلامت کودکان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشیار، مددکار اجتماعی، مرکز تحقیقات علوم رفتاری، مرکز تحقیقات آموزش در علوم پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشجوی پزشکی، کمیته‌ی تحقیقات دانشجویی، مرکز تحقیقات ارتقای سلامت کودکان، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 مربی آموزشی، مرکز تحقیقات آموزش در علوم پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

5 استادیار، مرکز تحقیقات ارتقای سلامت کودکان، گروه کودکان، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: عفونت ادراری یکی از شایع‌ترین بیماری‌های عفونی اطفال می‌باشد که با تشخیص به موقع و درمان صحیح و پی‌گیری کافی می‌توان از بروز عوارض آن جلوگیری کرد. این موضوع اهمیت بررسی دانش، نگرش و عملکرد (Knowledge-Attitude-Practice یا KAP) مناسب پزشکان را روشن می‌کند. هدف ما در این مطالعه، مقایسه‌ی KAP پزشکان عمومی‌ (به عنوان سطح اول سیستم درمانی) و متخصصین اطفال (به عنوان سطح دوم سیتم درمانی) در زمینه‌ی برخورد با عفونت ادراری بود.روش‌ها: برای انجام این مطالعه‌ی KAP، پرسش‌نامه‌‌ای شامل 15سؤال برای اولین بار توسط نفرولوژیست‌های کودکان و متخصصین آمار طراحی شد. این پرسش‌نامه‌‌ها بین متخصصین اطفال و پزشکان عمومی در طی جلسات بازآموزی (آموزش مدون) توزیع گردید و 70 نفر از متخصصین و 149 نفر از پزشکان عمومی وارد مطالعه شدند.یافته‌ها: میانگین نمره‌ی دانش پزشکان عمومی ‌2/1 ± 7/2 و متخصصین اطفال 2/1 ± 6/3 و میانگین نمره‌ی عملکرد پزشکان عمومی ‌2/1 ± 1/2 و متخصصین اطفال 1/1 ± 9/2 بود (01/0 > P). میانگین نمره‌ی نگرش پزشکان عمومی و متخصصین اطفال به ترتیب 1/2 ± 1 /15 و 9/1 ± 2/15 بود و این تفاوت معنی‌دار نبود (7/0 = P).نتیجه‌گیری: تفاوت در میزان آموخته‌ها می‌تواند توجیه کننده‌ی تفاوت در سطح دانش در هر دو گروه باشد. برای تغییر نگرش پزشکان نسبت به عفونت ادراری به خصوص عوارض دیررس و غیر قابل درمان آن باید در دروس تدریس شده در این زمینه و کلاس‌های بازآموزی و روش تدریس مسایل فوق تجدید نظر کرد.

کلیدواژه‌ها

عنوان مقاله [English]

A Comparative Study of Knowledge, Attitude and Practice among Pediatricians and General Practitioners toward Urinary Tract Infection in Children

نویسندگان [English]

  • Alaleh Gheisari 1
  • Gholam Reza Ghassemi 2
  • Reihaneh Jannesari 3
  • Nikoo Ymani 4
  • Alireza Merikhi 5
1 Associate Professor, Department of Pediatrics, Child Health Promotion Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Behavioral Sciences Research Center, Medical Education Research Center (MERC), Isfahan University of Medical Sciences, Isfahan, Iran
3 Student of Medicine, Student Research Committee, Child Health Promotion Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Lecturer, Medical Education Research Center, Department of Medical Education, Isfahan University of Medical Sciences, Iran
5 Assistant Professor, Department of Pediatrics, Child Health Promotion Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Urinary tract infection (UTI) is not uncommon in infants and children. Delayed initiation of empiric therapy may be accompanied with severity of infection and high likelihood of kidney scars leading to hypertension and chronic kidney disease. However, correct management could prevent these complications. There is scarce published data on knowledge, attitude and practice (KAP) of pediatricians and general practitioners (GPs) about UTI. In this survey, we aimed to compare KAP of GPs (as the first level of health system) and pediatricians (the second level of health system) considering different aspects of managing patients with UTI.Methods: In this KAP study, a 15-item questionnaire was designed by pediatric nephrologists and statisticians. The questionnaires were distributed among GPs and pediatricians who attended the continuous medical education (CME). Finally, 70 pediatricians and 149 GPs were included in our study.Findings: Mean knowledge score of GPs and pediatricians were 2.7 ± 1.2 and 3.6 ± 1.2, respectively. Mean scores of practice among GPs was and pediatricians were 2.1 ± 1.2 and 2.9 ± 1.1, respectively. There were significant differences in scores of knowledge and practice between the two groups. However, mean scores of attitude were not significantly different between GPs and pediatricians (15.1 ± 2.1 vs. 15.2 ± 1.9).  Conclusion: Controversies in UTI management, accepted references for education of GPs and pediatricians in CME courses, and patients' feedback received by pediatricians who work for higher levels of health systems make differences in KAP between pediatricians and GPs. 

کلیدواژه‌ها [English]

  • Knowledge
  • Attitude
  • Practice
  • KAP study
  • Urinary tract infection

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 29، شماره 168 - شماره پیاپی 168
بهمن و اسفند 1390
صفحه 2457-2467

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سابقه مقاله

  • تاریخ دریافت: 23 اردیبهشت 1390
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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