ASTHMA KNOWLEDGE OF PHYSICIANS AND MEDICAL NURSES IN SLOVENIA

  • Stanislav Šuškovič Klinični oddelek za pljučne bolezni in alergijo Bolnišnica Golnik 4204 Golnik
Keywords: pulmonologists, general practitioners, pediatricians, education, severity of asthma

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 nurses (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.

Downloads

Download data is not yet available.

References

Moy JN, Grant EN, Turner-Roan K, Li T, Weiss KB. Asthma care practices, perceptions, and beliefs of Chicago-area asthma specialists. Chicago Asthma Surveillance Initiative Project Team. Chest 1999; 116 (4 Suppl 1): 154S–62S.

Rovithis E, Lionis C, Schiza SE, Bouros D, Karokis A, Vlachonikolis YY, Siafakas NM. Assessing the knowledge of bronchial asthma among primary health care physicians in Crete: a pre- and post-test following an educational course. BMC Med Educ 2001; 1: 2–2.

Amirav I, Goren A, Pawlowski NA. What do pediatricians in training know about the correct use of inhalers and spacer devices? J Allergy Clin Immunol 1994; 94: 669–75.

Tsang KW, Lam WK, Ip M, Kou M, Yam L, Lam B, Cheung M, Lauder IJ, Kumana CR. Inability of physicians to use metered-dose inhalers. J Asthma 1997; 34: 493–8.

Rebuck D, Dzyngel B, Khan K, Kesten RN, Chapman KR. The effect of structured versus conventional inhaler education in medical housestaff. J Asthma 1996; 33: 385–93.

Alicea E, Casal J, Nazario S, Rodriguez W. Asthma knowledge among internal medicine residents. PR Health Sci J 1999; 18: 19–21.

Tomson Y, Hasselstrom J, Tomson G, Aberg H. Asthma education for Swedish primary care physicians—a study on the effects of »academic detailing« on practice and patient knowledge. Eur J Clin Pharmacol 1997; 53: 191–6.

Janson S, Weiss K. What nurses in primary care practices know about asthma care: results from a national survey. J Asthma 2002; 39: 667–71.

National Heart, Lung, and Blood Institute. International consensus report on diagnosis and treatment of asthma. Eur Respir J 1992; 5: 601–41.

WHO/NHLBI Workshop Report. Global strategy for asthma management and prevention. Publication No. 95–3659. Bethesda: National Institutes of Health, National Heart, Lung, and Blood Institute, 1995.

Expert Panel Report 2. Guidelines for the diagnosis and management of asthma. Publication No. 97-4051. NIH 1997.

Wu AW, Young Y, Skinner EA, Diette GB, Huber M, Peres A, Steinwachs D. Quality of care and outcomes of adults with asthma treated by specialists and generalists in managed care. Arch Intern Med 2001; 161: 2554–60.

Harrold LR, Field TS, Gurwitz JH. Knowledge, patterns of care, and outcomes of care for generalists and specialists. J Gen Intern Med 1999; 14: 499–511.

Serrier P, Muller D, Sevin C, Mechin H, Chanal I. Evaluation of an educational program on asthma for pharmacists. Presse Med 2000; 29: 1987–91.

Blackstien-Hirsch P, Anderson G, Cicutto L, McIvor A, Norton P. Implementing continuing education strategies for family physicians to enhance asthma patients’ quality of life. J Asthma 2000; 37: 247–57.

How to Cite
1.
Šuškovič S. ASTHMA KNOWLEDGE OF PHYSICIANS AND MEDICAL NURSES IN SLOVENIA. TEST ZdravVestn [Internet]. 1 [cited 5Aug.2024];72(9). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1865
Section
Professional Article

Most read articles by the same author(s)