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Yıl:2016; Cilt: 3; Sayı: 1>> Özet
TAM METİN
Türk Uyku Tıbbı Dergisi; 2016;3(1):14-19
İzmir İlindeki Göğüs Hastalıkları Uzmanlarının Obstrüktif Uyku Apne Sendromu Tanı ve Tedavisine Yaklaşımları
ÖO Tapan, S Genç, U Tapan, AÖ Alpaydın, BO İtil
Dokuz Eylül Üniversitesi, İzmir
Amaç: Çalışmamızda İzmir ilindeki göğüs hastalıkları uzmanlarının obstrüktif uyku apne sendromu (OUAS) tanı ve tedavisi ile ilgili yaklaşımlarını değerlendirmeyi amaçladık. Gereç ve Yöntem: İzmir ilindeki yaklaşık 120 göğüs hastalıkları uzmanının 78’i OUAS ilişkili 24 soruluk (altısı demografik verilere, dördü eğitim bilgilerine, dokuzu tutum ve davranış özelliklerine, beşi bilgi düzeyine yönelik) anket formunu cevapladılar. Bulgular: Katılımcıların %67,9’u kadındır. Ortalama yaş 41,06±5,63; ortalama uzmanlık yılı 11,16±6,09’dur. Hekimlerin %52,6’sı eğitim ve araştırma hastanelerinde, %32,1’i devlet hastanelerinde, geriye kalanlar da özel ve üniversite hastanelerinde çalışmaktadır. Aylık ortalama poliklinik hasta sayısı 714,10±3,24, obstrüktif uyku apne (OUA) ilişkili semptomla polikliniğe başvuran hasta sayısı 14,85±2,15’tir. Yüzde 64,1’i uzmanlık eğitimlerini uyku laboratuvarı olan bir merkezde almışlardır ve uzmanlık yılı 10’dan az olanlarda bu oran daha yüksektir. Yüzde 24,4’ü uyku bozuklukları pratik eğitimi almıştır. Uzmanlık sırasında uyku bozuklukları eğitimlerine katılım oranı %48,7’dir. Yüzde 26,9’u uyku hekimliği yapmıştır. Poliklinikte OUA ilişkili semptom sorgulama oranı %67,9, preoperatif değerlendirme sırasında %38,5’tir. Hekimlerin %97,4’ü OUA semptomlu olguları uyku ünitelerine yönlendirmektedir. Yüzde 65,4’ünün çalıştıkları hastanelerde uyku ünitesi mevcuttur. Anketimizdeki OUAS tanı ve tedavisine yönelik soruların doğru yanıtlanma oranı %95’in üzerindedir. Sonuç: OUAS önemli bir hastalıktır. Günlük göğüs hastalıkları polikliniğine başvuran hastaların %2,07‘sinde OUA semptomları vardır ve riskli hastaların belirlenmesi önemlidir. Hekimler kendilerini, OUAS’lı hasta takibinde, tanı konulmasındaki kadar yeterli hissetmemektedir. Göğüs hastalıkları uzmanlık eğitimi sırasında uyku bozuklukları pratik eğitimi yetersizdir. Pre-operatif hasta değerlendirilmesinde OUA semptom sorgulanması yaygın değildir.
Attitudes of Pulmonologists about Obstructive Sleep Apnea Syndrome and its Treatment in İzmir
Objective: We aimed to evaluate pulmonary medicine physicians’ attitudes about obstructive sleep apnea syndrome (OSAS) and its treatment in Izmir. Materials and Methods: About 78 of 120 pulmonary medicine physicians in Izmir answered the questionnaire containing 24 items (demographics: 6, education: 4, attitudes: 9, knowledge: 5). Results: 67.9% of the participants were female. Mean age was 41.06±5.63, mean working year was 11.16±6.09. 52.6% worked in training and research hospitals, 32.1% in state hospitals, and the rest in private and university hospitals. Monthly patient number was 714.10±3.24, patients number with OSA symptoms was 14.85±2.15. 64.1% had completed speciality education in hospitals with sleep disorders centers and this ratio was higher in physicians whose working year was less than 10. 24.4% had practiced sleep study during this education. Participation in sleep study courses after speciality education was 48.7%. 26.9% worked as sleep specialist. 67.9% usually asked patients OSA symptoms and 38.5% asked preoperative OSA symptoms. 97.4% usually referred patients to sleep centers. 65.4% had been working in hospitals with sleep disorders centers. The ratio of correct answers in knowledge part of the questionnaire was 95%. Conclusion: OSAS is a major pulmonary disease and it is important in order to find out the patients with OSA risk. 2.07% of patients in clinics have OSA symptoms. Physicians’ confidence in diagnosis is more than managing patients with OSA. Practical part of sleep study is not enough in speciality education. Asking OSA symptoms is not common in preoperative examination.

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