Knowledge, Attitude, and Perception Toward Evaluation of Acute Heart Failure Among Emergency Medicine Residents in Riyadh, Saudi Arabia.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2024-12-28 eCollection Date: 2024-12-01 DOI:10.7759/cureus.76500
Saeed Nassar, Haneen Alkhanbashi, Ahmed M Alkhars, Tawfiq Almezeiny
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Abstract

Background: Acute heart failure (AHF) poses significant challenges in clinical practice due to its varied clinical presentations and complex management strategies. Adequate confidence levels among medical residents in diagnosing and managing AHF are crucial for timely and effective patient care.

Study aim: This cross-sectional study aimed to assess medical residents' knowledge, attitude, and perception levels in diagnosing and managing AHF and explore factors influencing their confidence levels.

Methodology: A total of 52 medical residents from various specialties participated in the study. Based on different clinical parameters, participants completed a questionnaire assessing their confidence levels in diagnosing AHF. Descriptive statistics were used to summarize confidence levels, while chi-square tests explored associations between demographic/clinical factors and confidence levels.

Results: The majority of residents exhibited high confidence levels in diagnosing heart failure (HF) based on history and physical examination findings alone (22 (42.3%) and 16 (30.8%), respectively). However, confidence levels were lower when relying solely on laboratory tests and imaging modalities for diagnosis (17 (32.7%) and 18 (34.6%), respectively). Factors such as symptoms (e.g., dizziness) and availability of ultrasound equipment were associated with higher confidence levels (p < 0.05). However, demographic factors such as age, gender, and residency year did not significantly influence confidence levels (p > 0.05).

Conclusion: Our study highlights variations in confidence levels among medical residents in diagnosing and managing AHF. While clinical assessment remains paramount, targeted educational interventions focusing on interpreting diagnostic tests and imaging findings are warranted to enhance residents' confidence levels and improve patient care.

沙特阿拉伯利雅得急诊科居民对急性心力衰竭评估的知识、态度和认知。
背景:急性心力衰竭(AHF)由于其多样的临床表现和复杂的治疗策略,在临床实践中提出了重大挑战。住院医生在诊断和管理AHF方面有足够的信心水平对于及时有效的患者护理至关重要。研究目的:本横断面研究旨在评估住院医师对AHF诊断和管理的知识、态度和感知水平,并探讨影响其信心水平的因素。方法:共有52名来自不同专业的住院医师参与了研究。根据不同的临床参数,参与者完成一份问卷,评估他们诊断AHF的信心水平。描述性统计用于总结置信水平,而卡方检验探讨人口统计学/临床因素与置信水平之间的关系。结果:大多数居民仅根据病史和体检结果诊断心力衰竭(HF)的置信度较高(分别为22例(42.3%)和16例(30.8%))。然而,仅依靠实验室检查和影像学诊断时,置信度较低(分别为17例(32.7%)和18例(34.6%))。症状(如头晕)和超声设备的可用性等因素与较高的置信度相关(p < 0.05)。然而,年龄、性别和居住年限等人口统计学因素对置信水平没有显著影响(p > 0.05)。结论:我们的研究强调了住院医生在诊断和管理AHF方面的信心水平的变化。虽然临床评估仍然是最重要的,但有针对性的教育干预侧重于解释诊断测试和成像结果,以提高居民的信心水平,改善患者护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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