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Evaluation of current knowledge, awareness and practice of spirometry among hospital -based Nigerian doctors.

Desalu OO, Busari OA, Onyedum CC, Salawu FK, Obateru OA, Nwogu KC, Salami AK - BMC Pulm Med (2009)

Bottom Line: The acceptance of this test depends on the awareness of its indications and the ability to interpret the results.We carried out a cross-sectional survey among 321 doctors working in Nigerian hospitals between March 2008 and June 2008.Irrespective of access to a spirometer or the type of hospital they were employed in, doctors reported that unavailability of a spirometer was the greatest barrier to its use (62.5%) followed by lack of awareness about its usefulness (17.2%).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, University of Ilorin Teaching Hospital Ilorin, Nigeria. femuy1967@yahoo.co.uk

ABSTRACT

Background: Spirometry is a cost-effective diagnostic tool for evaluation of lung function and for case-finding in a resource-limited setting. The acceptance of this test depends on the awareness of its indications and the ability to interpret the results. No studies have assessed the knowledge of spirometry among Nigerian doctors. The aim of this study was to evaluate the current knowledge, awareness and practice of spirometry among hospital-based Nigerian doctors.

Methods: We carried out a cross-sectional survey among 321 doctors working in Nigerian hospitals between March 2008 and June 2008. Information on knowledge, awareness, practice of and barriers to spirometry were obtained using a pre-tested, self-administered structured questionnaire and the data were then analysed.

Results: Of the 321 doctors that participated, 108 (33.6%) reported that they have good knowledge of spirometry. One hundred and ninety-five (60.7%) were aware of the importance of spirometry in aiding the diagnosis of respiratory diseases; 213(66.4%) were aware of the importance of spirometry in determining the severity of diseases. Medical school was the most common source of knowledge on spirometry (64.5%). Eighty-one (25.2%) doctors reported having a spirometer in their hospitals. Doctors having access to a spirometer used it more frequently for aiding the diagnosis of COPD (40.7% vs.27.5%) and for monitoring of asthma (18.5% vs.11.3%) than those without access to a spirometer. The doctors working in University Teaching Hospitals and Federal Medical Centres (FMC) (22.4% vs. 4.5%) and those having access to a spirometer (40.7 vs.11.3%) were very confident of interpreting spirometry results compared to those working in District and General Hospitals and without access to a spirometer. Irrespective of access to a spirometer or the type of hospital they were employed in, doctors reported that unavailability of a spirometer was the greatest barrier to its use (62.5%) followed by lack of awareness about its usefulness (17.2%).

Conclusion: The knowledge and practice of spirometry were poor among hospital-based Nigerian doctors because of unavailability of spirometers in most hospitals. These findings have implications for further evaluation, planning and management of patient care in respiratory disease. Spirometers should be made available in all hospitals, and the knowledge of spirometry should be improved among doctors.

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Barriers to spirometry practice among doctor.
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Figure 1: Barriers to spirometry practice among doctor.

Mentions: Irrespective of the doctors' access to a spirometer or the type of hospital they worked in, unavailability, 207 (62.5%) was the greatest barrier to the use of spirometry followed by lack of awareness of its usefulness, 57(17.2%). Other reported barriers are given in table 4 and illustrated in figure 1.


Evaluation of current knowledge, awareness and practice of spirometry among hospital -based Nigerian doctors.

Desalu OO, Busari OA, Onyedum CC, Salawu FK, Obateru OA, Nwogu KC, Salami AK - BMC Pulm Med (2009)

Barriers to spirometry practice among doctor.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2803443&req=5

Figure 1: Barriers to spirometry practice among doctor.
Mentions: Irrespective of the doctors' access to a spirometer or the type of hospital they worked in, unavailability, 207 (62.5%) was the greatest barrier to the use of spirometry followed by lack of awareness of its usefulness, 57(17.2%). Other reported barriers are given in table 4 and illustrated in figure 1.

Bottom Line: The acceptance of this test depends on the awareness of its indications and the ability to interpret the results.We carried out a cross-sectional survey among 321 doctors working in Nigerian hospitals between March 2008 and June 2008.Irrespective of access to a spirometer or the type of hospital they were employed in, doctors reported that unavailability of a spirometer was the greatest barrier to its use (62.5%) followed by lack of awareness about its usefulness (17.2%).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, University of Ilorin Teaching Hospital Ilorin, Nigeria. femuy1967@yahoo.co.uk

ABSTRACT

Background: Spirometry is a cost-effective diagnostic tool for evaluation of lung function and for case-finding in a resource-limited setting. The acceptance of this test depends on the awareness of its indications and the ability to interpret the results. No studies have assessed the knowledge of spirometry among Nigerian doctors. The aim of this study was to evaluate the current knowledge, awareness and practice of spirometry among hospital-based Nigerian doctors.

Methods: We carried out a cross-sectional survey among 321 doctors working in Nigerian hospitals between March 2008 and June 2008. Information on knowledge, awareness, practice of and barriers to spirometry were obtained using a pre-tested, self-administered structured questionnaire and the data were then analysed.

Results: Of the 321 doctors that participated, 108 (33.6%) reported that they have good knowledge of spirometry. One hundred and ninety-five (60.7%) were aware of the importance of spirometry in aiding the diagnosis of respiratory diseases; 213(66.4%) were aware of the importance of spirometry in determining the severity of diseases. Medical school was the most common source of knowledge on spirometry (64.5%). Eighty-one (25.2%) doctors reported having a spirometer in their hospitals. Doctors having access to a spirometer used it more frequently for aiding the diagnosis of COPD (40.7% vs.27.5%) and for monitoring of asthma (18.5% vs.11.3%) than those without access to a spirometer. The doctors working in University Teaching Hospitals and Federal Medical Centres (FMC) (22.4% vs. 4.5%) and those having access to a spirometer (40.7 vs.11.3%) were very confident of interpreting spirometry results compared to those working in District and General Hospitals and without access to a spirometer. Irrespective of access to a spirometer or the type of hospital they were employed in, doctors reported that unavailability of a spirometer was the greatest barrier to its use (62.5%) followed by lack of awareness about its usefulness (17.2%).

Conclusion: The knowledge and practice of spirometry were poor among hospital-based Nigerian doctors because of unavailability of spirometers in most hospitals. These findings have implications for further evaluation, planning and management of patient care in respiratory disease. Spirometers should be made available in all hospitals, and the knowledge of spirometry should be improved among doctors.

Show MeSH
Related in: MedlinePlus