基于罗马IV标准的印尼儿科医生对婴儿反流的理解和管理

IF 0.2 Q4 PEDIATRICS
F. B. H. Jonathan, A. T. Sridevi, B. A. Wicaksono, Dewi Friska, B. Hegar
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引用次数: 0

摘要

背景婴儿反流的诊断标准在罗马IV标准中已经有很好的阐述,儿科医生也已经被告知这些标准。然而,作为一种功能性障碍,婴儿反流容易误诊和处理不当。目的了解儿科医生对婴儿反流的诊断知识和治疗方法。方法采用基于罗马IV婴儿反流诊断标准和标准化管理指南的问卷调查进行横断面分析研究。问卷由专家在面部层面进行验证,并使用30名测试受访者进行信度和相关性测试。然后将问卷以电子方式随机分发给131名儿科医生,他们是印度尼西亚儿科学会DKI雅加达分会的成员,并在2005-2019年期间从儿科住院医师毕业。结果67名(51%)儿科医生报告在日常临床实践中应用Rome IV标准。使用Rome IV作为知识来源的儿科医生的诊断知识得分均值和中位数分别为14.87分(SD 2.540)和16分(范围8-20),使用Rome IV与儿科医生的诊断理解无显著相关性(P=0.110),治疗知识得分均值和中位数分别为9.10分(SD 2.264)和10分(范围4-12)。使用ROME IV与儿科医生的治疗方法之间无显著相关性(P=0.486)。儿科医生的诊断知识和治疗方法在执业经验、专科机构、工作场所和信息来源方面无显著差异。结论受访儿科医师在处理婴儿罗马式IV型反流方面的诊断和治疗知识得分较高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Indonesian pediatricians’ understanding and management of infant regurgitation based on Rome IV criteria
Background The diagnostic criteria of infant regurgitation have been well elucidated in the Rome IV criteria and pediatricians have been informed of them. However, as a functional disorder, infant regurgitation is susceptible to misdiagnosis and inappropriate management. Objective To assess pediatricians’ diagnostic knowledge of and therapeutic approach to infant regurgitation. Methods We conducted a cross-sectional, analytical study using a questionnaire based on Rome IV criteria for infant regurgitation diagnosis and standardized guidelines for management. The questionnaire was face-level validated by an expert and tested for both reliability and correlation using 30 test respondents. The questionnaire was then distributed electronically to 131 randomized pediatricians, who were members of the Indonesian Pediatric Society DKI Jakarta branch and graduated from pediatric residency within year 2005-2019. Results Sixty-seven (51%) pediatricians reported applying the Rome IV criteria in daily clinical practice. Pediatricians who used Rome IV as their source of knowledge achieved mean and median diagnostic knowledge scores of 14.87 (SD 2.540) and 16 (range 8–20), respectively, with no significant correlation between the usage of ROME IV and the pediatricians’ diagnostic understanding (P=0.110), and mean and median therapeutic knowledge scores of 9.10 (SD 2.264) and 10 (range 4–12), respectively, with no significant correlation between the usage of ROME IV and the pediatricians’ therapeutic approach (P=0.486). Pediatricians’ diagnostic knowledge and therapeutic approach were not significantly different with regards to their practice experience, specialist institution, workplaces, and source of information. Conclusion The majority of pediatricians surveyed have good diagnostic and therapeutic knowledge scores with regards to handling of Rome IV infant regurgitation.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
58
审稿时长
24 weeks
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