关键词: Adolescent health health-care policy national guidelines preparticipation physical evaluation sport medicine

来  源:   DOI:10.4103/jfcm.jfcm_154_23   PDF(Pubmed)

Abstract:
BACKGROUND: The preparticipation physical evaluation (PPE) monograph is a vital resource for medical providers aimed at ensuring the safety and well-being of athletes during sports participation by screening for injuries and disease risk factors. However, the concept of PPE is relatively new in Saudi Arabia, where primary care physicians (PCPs) often lack the proper training for it. This study\'s aim was to assess PCPs\' knowledge and practice of PPE and identify associated factors.
METHODS: A self-administrated web-based questionnaire was distributed to PCPs in the Eastern Province of Saudi Arabia. The questionnaire covered the various aspects of PPE knowledge (including general principles, components, contraindications of sports participation, concerning history and physical findings, electrocardiography interpretations, and ethical considerations) as well as PPE practice. Initial treatment of data included descriptive statistics.; Chi-square tes or Fisher\'s exact test as, as appropriate, were used to determine association of knowledge and practices with various independent variables.
RESULTS: Of the 240 contacted PCPs, 192 responded yielding a response rate of 80%; 50.5% had no prior PPE training. About 43% of the PCPs had not encountered PPE during their examination, but the remainder performed monthly PPE. Notably, 82.8% demonstrated a poor level of knowledge regarding PPE and only 43% had a satisfactory level of practice.
CONCLUSIONS: This study revealed that a significant proportion of PCPs displayed poor knowledge of PPE and <½ of our sample showed satisfactory practice levels. Recommendations to establish the local guidelines regarding PPE for PCPs to follow should be emphasized and PPE training integrated into both undergraduate and postgraduate family medicine curricula. These measures are crucial for the enhancement of the safety of athletes in Saudi Arabia.
摘要:
背景:参与前身体评估(PPE)专著是医疗提供者的重要资源,旨在通过筛查损伤和疾病危险因素来确保运动员在运动参与期间的安全和福祉。然而,PPE的概念在沙特阿拉伯相对较新,初级保健医生(PCP)经常缺乏适当的培训。本研究的目的是评估个人防护装备的知识和实践,并确定相关因素。
方法:向沙特阿拉伯东部省的PCP分发了一份自我管理的基于网络的问卷。问卷涵盖个人防护装备知识的各个方面(包括一般原则,组件,体育参与的禁忌症,关于历史和身体发现,心电图解释,和道德考虑)以及PPE实践。数据的初始处理包括描述性统计。;卡方检验或费希尔精确检验为,在适当的情况下,用于确定知识和实践与各种自变量的关联。
结果:在240个联系的PCP中,192响应,响应率为80%;50.5%的人之前没有进行过PPE训练。大约43%的PCP在检查期间没有遇到PPE,但其余的执行每月PPE。值得注意的是,82.8%的人对PPE的知识水平很差,只有43%的人的实践水平令人满意。
结论:这项研究表明,相当大比例的PCP表现出对PPE的知识不足,<1/2的样本表现出令人满意的实践水平。应强调建立有关PCP遵循的地方PPE指南的建议,并将PPE培训纳入本科和研究生家庭医学课程。这些措施对于提高沙特阿拉伯运动员的安全至关重要。
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