学生支气管哮喘知识:ASSA-1与ASSA-2结果比较

R. Bontsevich, A. Mikhno, K. Shchurovskaya, N. Goncharova, G. Batisheva, V. Barysheva, G. Ketova, O. Myronenko, G. M. Bikkinina, Zhanna Zhdanova, T. Pokrovskaia
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摘要

本研究的目的是评估医学本科生支气管哮喘(BA)基础知识的动态。材料与方法:继多中心研究ASSA-1(2014 - 2015, 7个城市,521个医学专业)之后,我们于2017年启动ASSA-2项目。目前,我们获得了来自8个俄罗斯和乌克兰中心的249名大学生的测试结果。采用12道单选题问卷对BA的定义、发病机制、诊断和治疗等基础知识进行评估。结果:两组(ASSA-1和ASSA-2)的平均正确率均无显著提高(74.0% ~ 72.6%),不同题目的正确率在56.8% ~ 49.2% ~ 93.9% ~ 90.0%之间。在两组(ASSA-1和ASSA-2)中,最困难的问题仍与准确的BA定义有关(56.8%-49.2%),p各组在以下问题中没有表现出任何显著的动态:发病机制(70.8% ~ 66.3%)、仪器和实验室指标(65.6% ~ 65.7%)、主要诊断方法(85.6% ~ 87.6%)、严重程度(80.6% ~ 77.1%)、BA自控力(74.5% ~ 71.9%)、哮喘状态定义(93.9% ~ 90.0%)、哮喘发作治疗(78.9% ~ 77.7%)、固定联合用药(61.4% ~ 60.2%)。与ASSA-1组相比,ASSA-2组对BA基线治疗的认知明显增加(75.9%-64.5%,p)。结论:尽管在支气管哮喘领域有大量的培训和科学文献,但知识水平仍不理想。因此,高等学校应该更深入地研究文学学士课程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Students’ knowledge of bronchial asthma: ASSA-1 and ASSA-2 results comparison
The Aim: of study is to assess the dynamics of medical undergraduates’ knowledge of bronchial asthma (BA) basics. Materials and Methods: Following up our multicenter research ASSA-1 (‘14-‘15, 7 cities, 521 medical majors), we started ASSA-2 project in 2017. Currently, we obtained the results from 249 undergraduates tested in 8 Russian and Ukrainian centers. The knowledge of BA basics such as definition, pathogenesis, diagnostics and treatment was evaluated by applying the 12 single-choice questions survey. Results: The average level of correct answers in both groups (ASSA-1 and ASSA-2) was not significantly increased (74.0%-72.6%), and varied from 56.8%-49.2% to 93.9%-90.0% in different questions. The most difficult questions were still related to exact BA definition in both groups (ASSA-1 and ASSA-2) 56.8%-49.2%, p The groups did not demonstrate any significant dynamics in the following questions: pathogenesis (70.8%-66.3%), instrumental and laboratory markers (65.6%-65.7%), main diagnosis methods (85.6%-87.6%), severity levels (80.6%-77.1%), self-control over BA (74.5%-71.9%), status asthmaticus definition (93.9%-90.0%), asthma attack therapy (78.9%-77.7%), fixed combination drugs (61.4%-60.2%). The knowledge of BA baseline therapy had significantly increased among ASSA-2 group in comparison to ASSA-1 (75.9%-64.5%, p Conclusion: It was revealed that despite the availability of plenty training and scientific literature in the area of bronchial asthma, the level of knowledge remains unsatisfactory. Thus, BA subject should be studied more thoroughly in higher schools.
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