Bronchial asthma: assessment of knowledge of senior students. Final results of the ASSA-II study


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Resumo

Background. Bronchial asthma (BA) is one of the most common non-communicable chronic diseases, affecting up to 339 million people worldwide. Asthma is a global health problem, and WHO is coordinating international efforts to control the disease. The pronounced burden of the disease is determined not only by a significant decrease in the quality of life of patients, cases of patient disability, but also by the risk of premature death. To improve the prognosis in BA, it is necessary to adhere to existing guidelines for diagnosis, treatment and prevention, as well as educate patients on how to control the existing disease. That is why it is especially important to conduct research aimed to increasing the practical knowledge of not only doctors, but also future healthcare workers. Objective. Determination of the level of basic knowledge on BA among 5th-6th year students (specialties «General Medicine» and «Pediatrics») of medical universities. Methods. Analysis of an anonymous multicenter questionnaire survey in the framework of the second phase of the ASSA project (Assessment of senior medical students in the field of bronchial asthma), conducted in 2017-2019 in 6 cities of Russia and Ukraine. Results. According to the results of the study, the level of knowledge of senior students in basic issues of etiology, pathogenesis, clinic and treatment of BA is at an above average level. The best results are shown in answers to questions № 2 (BA triggers), № 6 (BA severity) and № 9 (determination of a prolonged asthma attack), the worst - to questions № 1 (BA definition), № 3 (BA pathogenesis) and № 12 (selection of a combination of drugs in one delivery device). Conclusion. The survey showed that senior students have a sufficient knowledge base in the clinical picture and diagnosis of BA, while a number of fundamental issues related to the definition, pathogenesis and treatment of this disease still require more in-depth study.

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Sobre autores

R. Bontsevich

Belgorod State National Research University; Children's Medical Center “Azbuka Zdorovya"; Clinic “Lyubimy Doktor"

Email: dr.bontsevich@gmail.com
Cand. Sci. (Med.), Associate Professor at the Department of Pharmacology and Clinical Pharmacology, Belgorod State National Research University; Therapist, Pulmonologist, Clinical Pharmacologist; Children’s Medical Center «Azbuka Zdorovya», Clinic «Lyubimy Doktor» 85, Pobedy str., Belgorod 308015, Russian Federation

A. Adonina

Belgorod State National Research University; Children's Medical Center “Azbuka Zdorovya"

Belgorod, Russia

A. Mikhno

Children's Medical Center “Azbuka Zdorovya"; Clinical and Diagnostic Center “Medicine 31"

Belgorod, Russia

D. Kutsenko

Children's Medical Center “Azbuka Zdorovya"

Belgorod, Russia

G. Batishcheva

Voronezh N.N. Burdenko State Medical University

Voronezh, Russia

Yu. Dronova

Voronezh N.N. Burdenko State Medical University

Voronezh, Russia

G. Ketova

South Ural State Medical University

Chelyabinsk, Russia

V. Barysheva

South Ural State Medical University

Chelyabinsk, Russia

E. Luchinina

Saratov State Medical University n.a. V.I. Razumovsky

Saratov, Russia

E. Mironenko

Dnipropetrovsk Medical Academy

Dnipro, Ukraine

G. Bikkinina

Bashkir State Medical University

Ufa, Russia

T. Pokrovskaya

Belgorod State National Research University

Belgorod, Russia

Bibliografia

  1. The Global Asthma Report, 2018. Global Asthma Network. URL: http://www.globalasthmanetwork. org
  2. Документальный центр Всемирной Организации Здравоохранения. Информационный бюллетень. Астма. Август 2017.
  3. Chuchalin A.G., Khaltaev N., Аntonov N., et al. Chronic respiratory diseases and risk factors in 12 regions of the Russian Federation. Int J Chron Obstruct Pulmon Dis. 2014;12(9):963-74. doi: 10.2147/COPD.S67283.
  4. Национальная программа «Бронхиальная астма у детей. Стратегия лечения и профилактика». IV издание. М., 2012.
  5. Holgate S.T. A brief history of asthma and its mechanisms to modern concepts of disease pathogenesis. Allergy Asthma Immunol Res. 2010;2(3):165-71. Doi: 10.4168/ aair.2010.2.3.165
  6. Abbo L.M., Cosgrove S.E., Pottinger P.S., et al. Medical Students' Perceptions and Knowledge About Antimicrobial Stewardship: How Are We Educating Our Future Prescribers? Clinical infectious Diseases. 2013;57(5):631-38. doi: 10.1093/cid/ cit370.
  7. Bontsevich R.A., Filinichenko T.S., Gavrilova A.A., et al. Assessment of physicians' and senior medical students' knowledge in treatment of patients with community-acquired pneumonia: Current results of the KNOCAP project. Research Results in Pharmacology. 2018;4(3):27-36. Doi: 10.3897/ rrpharmacology. 4.29454.
  8. Бонцевич Р.А., Щуровская К.В., Покровская Т.Г и др. Оценка базовых знаний в вопросах ХОБЛ у студентов старших курсов - финальные результаты исследования ASCO. Фарматека. 2018;8:72-
  9. Бонцевич Р, Филиниченко Т., Гаврилова А. и др. Оценка базовых знаний о хронической обструктивной болезни легких врачей терапевтического профиля. Текущие результаты проекта ASCO-ii. Врач. 2018;29(12):46-50.
  10. Global Strategy for Asthma Management and Prevention. Revised 2017. The GINA reports. URL: http://www.ginasthma.org
  11. Бонцевич Р.А., Михно А.В., Щуровская К.В. и др. Оценка уровня базовых знаний по бронхиальной астме у студентов старших курсов - финальные результаты исследования ASSA. Фарматека. 2019;26(5):102-9.
  12. Bontsevich R., Mikhno A., Shchurovskaya K., et al. Students' knowledge of bronchial asthma: ASSA1 and ASSA2 results comparison. Eur Respir J. 2019;54(Suppl. 63):PA2164. doi: 10.1183/13993003.congress-2019.PA1477.
  13. Бронхиальная астма. Клинические рекомендации. Российское респираторное общество. 2019.
  14. Авдеев С.Н. Бронхиальная астма в таблицах и схемах. М: Атмосфера, 2005.
  15. Респираторная медицина: руководство: в 3-х томах. Под ред. А.Г Чучалина. М.: Литтера; 2017.
  16. Ritesh A, et al. Guidelines for diagnosis and management of bronchial asthma: Joint ICS/NCCP (I) recommendations. Lung India. 2015;32(Suppl 1):S3-S42. doi: 10.4103/0970-2113.154517.
  17. British Guideline on the Management of Asthma. Thorax. 2008;63(Suppl 4):1-121. Doi: 10.1136/ thx.2008.097741.
  18. Бродская О.Н., Белевский А.С. Факторыдостижения контроля бронхиальной астмы: глобальный и персонифицированный подход. Практическая пульмонология. 2016;4:3-8.
  19. Белевский А.С. Современная терапия бронхиальной астмы, шаг вперед. Астма и аллергия. 2013;3:16-18.
  20. Fritz H., et al. Diagnosis and management of asthma - Statement on the 2015 GINA Guidelines. Wien Klin Wochenschr. 2016;128(15):541-54. doi: 10.1007/s00508-016-1019-4.
  21. Айсанов З.Р, Калманова Е.Н. Эффективность фиксированных комбинаций в достижении контроля бронхиальной астмы: анализ результатов исследования GOAL. Пульмонология и аллергология. 2009;1:16-20.
  22. Ichinose M., et al. Japanese guidelines for adult asthma 2017. Allergol Int. 2017;66(2):163-89. doi: 10.1016/j.alit.2016.12.005. Epub 2017 Feb 11.
  23. Fitzpatrick A.M, Moore W.C., et al. Severe Asthma Phenotypes - How Should They Guide Evaluation and Treatment? J Allergy Clin Immunol Pract. 2017;5(4):901-8. Doi: 10.1016/j. jaip.2017.05.015.
  24. Свидетельство о государственной регистрации базы данных №2020620265 Российская Федерация. Бронхиальная астма: этиопатогенез, диагностика и лечение - уровень знаний студентов. Бонцевич Р.А., Михно А.В., Куценко Д.И.; правообладатель ФГАОУ ВО «Белгородский государственный национальный исследовательский университет». №2020620130 заявл. 10.02.2020; зарегистр. 12.02.2020. - 1с.

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