Author/Editor		Šuškovič, Stanislav
Title		Znanje slovenskih zdravnikov in medicinskih sester o astmi
Translated title		Asthma knowledge of physicians and medical nurses in Slovenia
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. 9
Publication year		2003
Volume		str. 493-7
Language		slo
Abstract		Background. For proper management of asthmatic patients medical personnel should have an adequate knowledge of asthma. This study presents asthma knowledge of physicians of different specialties and of medical nurses. Methods. The present study included 123 randomly selected medical nur.ses (60 of them finished the Asthma school educational course at University Institute of Pulmonary and Allergic Diseases, Golnik), 101 GPs, 41 pulmonologists, 62 pediatricians and 24 physicians of school medicine. Their level of knowledge of clinical picture, pharmacology, treatment, education and classification of severity of asthma were studied. Results. Pulmonologists had the highest level of knowledge of all studied parameters (72.5%) while the lowest total knowledge was found in general practitioners (62.7%). Medical nurses showed the modest total knowledge (53%). Physicians mastered the best clinical picture of asthma (83.5%) and its prevention (79.5%). They knew less about the treatment (70.4%), pharmacology (61.8%) or education (69.1). Physicians had a very low level of knowledge of classifying severity of persistent asthma (38.3%). Medical nurses, who finished Asthma school, had much greater level of knowledge (56.7%) than medical nurses with other additional education (31.8%) or without any additional education (30.4%). Self-management plan was found in 56.4% of pediatricians, 58.5% of pulmonologists and in only 23.3% of GPs. Conclusions. The level of knowledge of tested medical personnel was low, especially in GPs and school physicians. It is important to perform educational courses, as medical nurses, who finished Asthma school of University Institute of Pulmonary and Allergic Diseases Golnik, had much higher level of knowledge compared to other tested medical nurses. It would be obligatory to raise the level of knowledge of asthma of GPs and school physicians.
Summary		Izhodišča. Za obravnavo bolnikov z astmo je potrebna visoka raven znanja o astmi. V raziskavi smo preučevali raven znanja o astmi pri različno izobraženih zdravnikih in pri medicinskih sestrah. Metode. Iz vseh področij Slovenije smo enakomerno in naključno anketirali 351 zdravstvenih delavcev, od tega 123 medicinskih sester, 101 zdravnika družinske medicine, 41 pnevmologov, 62 pediatrov in 24 zdravnikov šolske medicine. 60 anketiranih medicinskih sester je zaključilo golniško Astma šolo. Preučevali smo znanje anketiranih o klinični sliki astme, farmakologiji protiastmatskih zdravil, zdravljenju astme, edukaciji bolnikov z astmo, preventivi astme in klasifikaciji težavnosti astme. Rezultati. Pnevmologi so statistično značilno najbo je odgovorili na vprašanja celotnega testa (72,5%), najslabše znanje so pokazali zdravniki družinske medicine (62,7%). Medicinske sestre so v povprečju pravilno odgovorile na 53% vprašanj. Zdravniki se najbolje poznali klinično sliko astme (83,5 %), slabše zdravljenje astme (70,4%), farmakologijo astme (61,8%), edukacijo (69,1%), bolje pa preventivo astme (79,5%). Najslabše so obvladali opredelitev teže persistentne astme (38,2%). Sestre, ki so zaključile golniško Astma šolo, so statistično značilno bolje obvladale astmo (56,7%) od tistih z drugačno dodatno izobrazbo (31,8%) ali brez dodatne izobrazbe (30,4%). Plan za samozdravljenje astme je imelo 65,4% pediatrov, 58,5% pnevmologov in samo 23,2% družinskih zdravnikov. Plan za samozdravljenje astme je bil statistično značilno pogosteje prisoten v zdravstvenih ustanovah, kjer so medicinske sestre opravile golniško Astma šolo. Zaključki. Znanje anketiranih zdravnikov je nezadovoljivo, kar velja zlasti za zdravnike družinske medicine in šolske zdravnike. Zdravnike, še posebej družinske in šolske, je treba intenzivno poučevati o astmi.
Descriptors		ASTHMA PHYSICIANS NURSES EDUCATIONAL MEASUREMENT QUESTIONNAIRES SLOVENIA