Türkiye’deki yenidoğan hekimlerinin klinik ultrasonografi kullanımı ve bakışının değerlendirildiği ulusal anket çalışması
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Date
2021-01-29
Authors
Ceran, Burak
Çakır, Ufuk
Solak, Yavuzalp
Tayman, Cüneyt
Journal Title
Journal ISSN
Volume Title
Publisher
Bursa Uludağ Üniversitesi
Abstract
Giriş: Türkiye’deki yenidoğan hekimlerinin klinik ultrasonografi (US) kullanımı, görüş ve deneyimleri hakkında bilgi bulunmamaktadır. Çalışmamızın amacı ülkemizdeki yenidoğan hekimlerinin klinik US kullanımı konusundaki, tutum, tercih, kullanım sıklığı ve bakış açılarının değerlendirilmesidir. Gereç ve Yöntem: Çalışma Türkiye’deki yenidoğan hekimlerinin anket yoluyla elektronik ortamda 01 Şubat-1 Mart 2020 tarihleri arasında katılımı ile gerçekleştirildi. Katılımcıların yaş, cinsiyet, görev yapılan sağlık kurumu, yenidoğan yoğun bakımdaki deneyim süresi ve akademik unvan bilgileri kaydedildi. Ankete katılan katılımcılara, klinikte US kullanıp kullanmadığı, kullanıyorsa hangi vücut bölgesi ve hangi girişim için kullandığı, bunun için eğitim alıp almadığı gibi sorular yöneltildi. Klinik US ile ilgili tutumları 5 noktalı Likert skalası ile değerlendirildi. Bulgular: Çalışmaya 120 yenidoğan hekimi katıldı. Katılımcıların yaş ortalaması 40,38±5,24 yıl olarak bulundu. Katılımcıların kliniklerinde %90 (n=108) oranında US cihazı bulunurken katılımcılar arasında US yapma sıklığı %69,1 (n=83) olarak tespit edildi. Klinikte US cihazı mevcudiyeti, kullanımı, klinik US eğitimine katılım, pediatrik radyoloji rotasyonunun yenidoğan yan dal eğitim programında yer alması, kranial US, abdominal US ve santral ven kateterizasyonu için US kullanımı konusunda akademik ünvana göre cevaplarda gruplar arası fark bulunmadı (p>0,05). Akciğer US kullanımı yan dal araştırma görevlisi grubunda (%86,7) diğer akademik ünvanlara oranla anlamlı olarak daha yüksek oranda bulundu (p<0,05). Sonuç: Çalışmamız alanındaki ilk ulusal çalışmadır; Ülkemizde kritik hasta grubu olan yenidoğanların tanısı, izlemi ve tedavisinde önemli yeri olan US’nin yenidoğan hekimleri tarafından yeterince etkin kullanılmadığı tespit edilmiştir.
Introduction: There is no information about the clinical ultrasonography (US) use, opinion and experiences in neonatal physicians in Turkey. The aim of our study is to evaluate the attitudes, preferences, frequency of use and perspectives of neonatal physicians in our country regarding clinical use of US. Materials and Methods: The study was conducted through a survey with the participation of neonatal physicians in Turkey with electronically between 1 February to 1 March 2020. The information about participants’ age, gender, type of institution, experience period in neonatal intensive care and academic title were recorded. The participants were asked questions such as whether they use US in the clinic, if they are using, which part of body and for which intervention, and whether they received training for this purpose. The attitudes about Clinical US were evaluated using a 5-point Likert scale. Results: 120 neonatal physicians participated in the study. The average age of the participants was determined as 40.38 ± 5.24 years. While 90% (n=108) of the participants had US devices in their clinics, the use of frequency of US among the participants was found as 69.1% (n=83). There was no difference between groups in the answers according to academic title about US device availability in the clinic, use of, participation in clinical US training, pediatric radiology rotation in the neonatal fellow education program,use of US for cranial US, abdominal US and central vein catheterization (p>0,05). Lung US use was found at a significantly higher rate in the neonatology fellows group (86.7%) compared to other academic titles (p<0.05). Conclusions: The study is the first national study in its field. It has been determined that US, which has an important role in the diagnosis, monitoring and treatment of the critically ill group in Turkey, is not used effectively by neonatal physicians.
Introduction: There is no information about the clinical ultrasonography (US) use, opinion and experiences in neonatal physicians in Turkey. The aim of our study is to evaluate the attitudes, preferences, frequency of use and perspectives of neonatal physicians in our country regarding clinical use of US. Materials and Methods: The study was conducted through a survey with the participation of neonatal physicians in Turkey with electronically between 1 February to 1 March 2020. The information about participants’ age, gender, type of institution, experience period in neonatal intensive care and academic title were recorded. The participants were asked questions such as whether they use US in the clinic, if they are using, which part of body and for which intervention, and whether they received training for this purpose. The attitudes about Clinical US were evaluated using a 5-point Likert scale. Results: 120 neonatal physicians participated in the study. The average age of the participants was determined as 40.38 ± 5.24 years. While 90% (n=108) of the participants had US devices in their clinics, the use of frequency of US among the participants was found as 69.1% (n=83). There was no difference between groups in the answers according to academic title about US device availability in the clinic, use of, participation in clinical US training, pediatric radiology rotation in the neonatal fellow education program,use of US for cranial US, abdominal US and central vein catheterization (p>0,05). Lung US use was found at a significantly higher rate in the neonatology fellows group (86.7%) compared to other academic titles (p<0.05). Conclusions: The study is the first national study in its field. It has been determined that US, which has an important role in the diagnosis, monitoring and treatment of the critically ill group in Turkey, is not used effectively by neonatal physicians.
Description
Keywords
Yenidoğan, Ultrasonografi, Tıp eğitimi, Neonatal, Ultrasonography, Medical education
Citation
Ceran, B. vd. (2021). ''Türkiye’deki yenidoğan hekimlerinin klinik ultrasonografi kullanımı ve bakışının değerlendirildiği ulusal anket çalışması''. Güncel Pediatri Dergisi, 19(1), 113-120.