Knowledge, attitude and adherence of Spanish healthcare professionals to asthma management recommendations during pregnancy.
Allergol Immunopathol (Madr)
; 41(2): 114-20, 2013.
Article
em En
| MEDLINE
| ID: mdl-22340959
ABSTRACT
BACKGROUND:
The aim of the present study was to evaluate the knowledge, attitude and adherence to asthma management recommendations during pregnancy of Spanish health care professionals.METHODS:
A multiple choice survey with 14 questions was designed. Items assessed opinion about asthma guidelines and attitudes towards treatment, spirometry, specific immunotherapy and labour in pregnant asthmatic patients. Test completion was voluntary, individual, and anonymous.RESULTS:
A total of 1000 questionnaires were fulfilled respiratory medicine specialists (19.8%); allergy specialists (17.2%); primary care physicians (46.1%); and gynaecologists/obstetricians (16.9%). Guidelines were considered useful by 96.5% although 64% admitted that they followed them seldom or never. Most physicians (55.9%) answered that they would maintain asthma therapy in clinically stable patients. Almost 30% of physicians would not perform spirometry in pregnant asthma patients. 19% declared they would interrupt specific immunotherapy which had proven safe and effective. Univariate analysis revealed low adherence to be associated with the following variables age, primary care or gynaecology/obstetrician specialisation, number of asthmatics attended per month, and declared use of guidelines for pregnant asthmatic patients. Multivariate analysis showed that being a primary care physician and a gynaecologist/obstetrician, attending a low number of asthma patients per month, and poor use of spirometry during pregnancy are associated to low adherence to asthma guidelines.CONCLUSION:
Even though the majority of Spanish physicians surveyed seem to consider guidelines useful, their adherence to those is very low if translated to managing pregnant asthmatic patients. Educational strategies seem unavoidable and should be targetted mainly to primary care and gynaecology/obstetrician physicians.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Asma
/
Fidelidade a Diretrizes
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
/
Pregnancy
País/Região como assunto:
Europa
Idioma:
En
Revista:
Allergol Immunopathol (Madr)
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Espanha