Urological knowledge among primary health care physicians in Saudi Arabia

Anmar Nassir, Abdulaziz Baazeem, Hesham Saada, Mohamed Elkoushy, Hattan Badr, Mawaddah Bahuwyrith, Haitham Melebari, Jomanah Nasser, Raed Azhar
2019 Saudi Medical Journal  
‫األولية‬ ‫الصحية‬ ‫الرعاية‬ ‫أطباء‬ ‫املعرفة‬ ‫أسلوب‬ ‫تقييم‬ ‫األهداف:‬ ‫الشائعة‬ ‫البولية‬ ‫املسالك‬ ‫مبشاكل‬ ‫بالتحكم‬ ‫يتعلق‬ ‫فيما‬ )PHC( ‫السعودية.‬ ‫العربية‬ ‫اململكة‬ ‫في‬ ‫البولية‬ ‫للمسالك‬ ‫مت‬ ‫حيث‬ ‫الرصدية،‬ ‫االستطالعية‬ ‫الدراسة‬ ‫هذه‬ ‫أجريت‬ ‫الطريقة:‬ ‫الغربية،‬ ‫املنطقة‬ ‫في‬ ‫املمارسني‬ PHC ‫أطباء‬ ‫على‬ ‫ذاتي‬ ‫استبيان‬ ‫توزيع‬ ‫االستبيان‬ ‫تكون‬ ‫7102م.‬ ‫يناير‬ ‫شهر‬ ‫في‬ ‫السعودية‬ ‫العربية‬ ‫اململكة‬ ‫ومهارات‬ ‫العامة‬ ‫واملعرفة‬ ‫السكانية‬ ‫التركيبة‬ ‫عن‬ ‫سؤال،‬ 21
more » ... من‬ ‫املمارسة‬ ‫منط‬ ‫لتقييم‬ ‫احلالة‬ ‫سيناريوهات‬ ‫ذلك‬ ‫في‬ ‫مبا‬ ‫البولية،‬ ‫املسالك‬ ‫مجرى‬ ‫قسطرة‬ ‫ذلك‬ ‫في‬ ‫مبا‬ ‫احملددة‬ ‫البولية‬ ‫املسالك‬ ‫حلالة‬ ‫واملواقف‬ ‫احملددة‬ ‫بالزيادة‬ ‫واالعتراف‬ ‫دموية،‬ ‫بيلة‬ ‫وتقييم‬ ‫وتعريف‬ ‫البول،‬ ‫والتحكم‬ ‫املعني،‬ )PSA( ‫البروستاتا‬ ‫مستضد‬ ‫في‬ ‫العمر‬ ‫حسب‬ ‫السفلى.‬ ‫البولية‬ ‫املسالك‬ ‫بأعراض‬ ‫ومبعدل‬ ‫مستطلع‬ 148 ‫قبل‬ ‫من‬ ‫االستبيانات‬ ‫من‬ ‫االنتهاء‬ ‫مت‬ ‫النتائج:‬ ‫مقيمني،‬ ‫أطباء‬ 54.3% ‫على‬ ‫العينه‬ ‫واشتملت‬ ،75.7% ‫بلغ‬ ‫استجابة‬ ‫وخمسون‬ ‫سبعة‬ ‫املتخصصني.‬ ‫من‬ ‫و%4.5‬ ‫العام،‬ ‫للطب‬ ‫ممارس‬ 39% ‫املمارسني‬ ‫من‬ ‫و%86‬ ‫الذكور‬ ‫من‬ ‫كانوا‬ ‫املستطلعني‬ ‫من‬ ‫املئة‬ ‫في‬ ‫على‬ ‫قادرين‬ ‫كانوا‬ ‫أنهم‬ ‫عن‬ ‫املجيبني‬ ‫من‬ ‫أكبر‬ ‫عدد‬ ‫أعرب‬ ‫السعوديني.‬ .)34.3% ‫مقابل‬ 56.5%( ‫اإلناث‬ ‫من‬ ‫أكثر‬ ‫الذكور‬ ‫املرضى‬ ‫قسطرة‬ ‫كانت‬ ‫بدقة.‬ ‫املجهرية‬ ‫الدموية‬ ‫البيلة‬ ‫املجيبني‬ ‫من‬ ‫فقط‬ 6.4% ‫حدد‬ ‫واملثانة‬ ‫النوعي‬ ‫البروستات‬ ‫مستضد‬ ‫الدموية،‬ ‫البيلة‬ ‫حول‬ ‫املعرفة‬ ‫دموية،‬ ‫البيلة‬ ‫بجانب‬ ‫الفئات.‬ ‫جميع‬ ‫في‬ ‫منخفضة‬ ‫النشاط‬ ‫املفرطة‬ ‫جلميع‬ 35% ‫من‬ ‫أقل‬ ‫البولية‬ ‫املسالك‬ ‫االستشارات‬ ‫عن‬ ‫البحث‬ ‫كان‬ ‫األخرى.‬ ‫املرضية‬ ‫الكيانات‬ ‫مقدمي‬ ‫بني‬ ‫البولية‬ ‫املسالك‬ ‫ومهارات‬ ‫املعرفة‬ ‫حتسني‬ ‫يجب‬ ‫اخلامتة:‬ ‫املهارات‬ ‫تعلم‬ ‫السعودية.‬ ‫العربية‬ ‫اململكة‬ ‫في‬ ‫األولية‬ ‫الرعاية‬ ‫احلالي‬ ‫املنهج‬ ‫في‬ ‫الشائعة‬ ‫البولية‬ ‫املسالك‬ ‫ملشاكل‬ ‫التشخيصية‬ ‫املعرفة.‬ ‫مستوى‬ ‫رفع‬ ‫في‬ ‫سيساعد‬ Objectives: To evaluate the general knowledge among primary health care (PHC) physicians regarding the management of common urological problems in Saudi Arabia. Methods: This is an observational prospective study, where a self-administered questionnaire was distributed to practicing PHC physicians in the western region of Saudi Arabia on January 2017. The questionnaire consisted of 21-item questions, inquiring about demographics and general urological knowledge and skills. The management of common urological problems was assessed by case scenarios for specific urological condition, including urethral catheterization, definition and evaluation of hematuria, recognition of agespecific increase in prostatic specific antigen (PSA), and management of lower urinary tract symptoms. Results: A total of 148 questionnaires were distributed, with a response rate of 75.7%, where 112 respondents completed the questionnaires, including 54.3% residents, 39% general practitioners, and 5.4% specialists. Fiftyseven percent of respondents were males and 68% were Saudi practitioners. A higher number of respondents expressed that they were able to catheterize a male than female patient (56.5% versus 34.3%). Only 6.4% of respondents defined microscopic hematuria accurately. Knowledge about hematuria, serum prostate specific antigen and overactive bladder was low in all groups. Apart from hematuria, seeking urological consultations was less than 35% for all other disease entities. Conclusion: Urological knowledge among PHC physicians seems to be insufficient. Significant percentages of the participants were unable to catheterize a female patient, did not know the definition of hematuria; and whether to ask for urological consultations in cases of hematuria, increased PSA, and overactive bladder.
doi:10.15537/smj.2019.5.24080 fatcat:cyuiaoqlibdilcpsl5jrv74zri