Paediatrica Indonesiana Knowledge of pediatrician on ... [PDF]

Paediatrica Indonesiana November ‡

VOLUME 50

NUMBER 6

Original Article

Knowledge of pediatrician on gastroesophageal reflux/gastroesophageal reflux disease in children: a preliminary study Edward Surjono, Agus Firmansyah, Jose RL Batubara

Abstract Background Background Gastroesophageal reflux (GER) is involuntary movement of gastric content into esophagus due to transient lower esophageal sphincter relaxation. This condition usually ignored by physician. Many GER cases have severe complication before properly managed. Ten years after incorporating *(5LQWR,QGRQHVLDSHGLDWULFWUDLQLQJFXUULFXOXPWKHNQRZOHGJH of GER among pediatrician need to be measured. Objectives 7RPHDVXUHSHGLDWULFLDQ·VNQRZOHGJHRI*(5*(5' in children. Methods 7KLV ZDV D FURVV VHFWLRQDO VWXG\ XVLQJ TXHVWLRQQDLUH and interview. Result7KHUHZHUHUHVSRQGHQWVZKRILOOHGWKHTXHVWLRQQDLUH DQGEHLQJLQWHUYLHZHG7KHPDMRULW\RIUHVSRQGHQWVZHUHEHWZHHQ \HDUVROG 5HVSRQGHQWVZKRJUDGXDWHGEHIRUHWKH \HDU  ZHUH  DQG DIWHU  ZHUH   0DMRULW\ RI UHVSRQGHQWV ZHUH JHQHUDO SHGLDWULFLDQ   DQG  working in teaching hospitals Among pediatricians graduated DIWHU\HDUDQGFRXOGJDYHPRUHWKDQ FRUUHFWDQVZHUWRTXHVWLRQVDERXWJHQHUDONQRZOHGJHGLDJQRVLV DQGPDQDJHPHQWRI*(5'DVFRPSDUHGWRDQG  VXEMHFWV JUDGXDWHG EHIRUH \HDU  0RUH SHGLDWULFLDQV JUDGXDWHGEHIRUH\HDUDQVZHUHGWKHTXHVWLRQVRQJHQHUDO NQRZOHGJHGLDJQRVLVDQGPDQDJHPHQWFRUUHFWO\FRPSDUHG WRWKRVHJUDGXDWHGDIWHU\HDUDQGYV   DQG  UHVSHFWLYHO\  )LIW\ILYH RI    respondents who working in teaching hospital gave more than  FRUUHFW DQVZHU WR TXHVWLRQV DERXW *(5' &RPSDUHG WR WKRVHZRUNLQJLQQRQWHDFKLQJKRVSLWDOVRQO\ZHUHDEOH WRFRUUHFWO\DQVZHUPRUHWKDQRITXHVWLRQV Conclusions %HWWHU NQRZOHGJH DERXW *(5*(5' DUH IRXQG among pediatricians graduated after the topics has been introduced to the curriculum and among those practicing in teaching hospitals. [Paediatr Indones. 2010;50:336-9]. Keywords: knowledge, pediatrician, gastroesophageal reflu

336‡Paediatr Indones, Vol. 50, No. 6, November 2010

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astroesophageal reflux (GER) is the involuntary movement of gastric content into esophagus due to transient lower esophagus relaxation. This is a common symptoms in infant and children. GER leads to severe FRPSOLFDWLRQVVXFKDVGHFUHDVHGTXDOLW\RIOLIHIDLOXUHWR WKULYHDQGUHFXUUHQWUHVSLUDWRU\SUREOHPV3HGLDWULFLDQ should have good knowledge to recognize and manage the condition properly. Most people do not pay attention when dealing with children with regurgitation RUYRPLWLQJXQWLOWKHFRQGLWLRQEHFRPHVZRUVH Pediatrician should recognize whether a GER symptom is physiologic or pathologic. The topics was formally incorporated to Indonesian medical doctor DQGSHGLDWULFVUHVLGHQF\FXUULFXOXPLQ\HDUDQG UHVSHFWLYHO\6HYHUDOVWXGLHVVKRZHGWKDWWKH NQRZOHGJHRISHGLDWULFLDQDERXW*(5*(5'ZDVQRW sufficient.,Q,QGRQHVLDVLQFH*(5'ZDVLQWURGXFHG WRSHGLDWULFUHVLGHQF\FXUULFXOXPWKHUHZDVQRVWXG\ evaluating its effect on pediatrician knowledge. This study aimed to measure knowledge about GER among pediatricians to improve the education as needed.

)URP WKH 'HSDUWPHQW RI &KLOG +HDOWK 0HGLFDO 6FKRRO 8QLYHUVLW\ RI ,QGRQHVLD&LSWR0DQJXQNXVXPR+RVSLWDO-DNDUWD,QGRQHVLD Reprint request to(GZDUG6XUMRQR0''HSDUWPHQWRI&KLOG+HDOWK 0HGLFDO6FKRRO8QLYHUVLW\RI,QGRQHVLD&LSWR0DQJXQNXVXPR+RVSLWDO -O'LSRQHJRUR-DNDUWD,QGRQHVLD7HO(PDLO [email protected]

Edward Surjono et al:.QRZOHGJHRISHGLDWULFLDQRQJDVWURHVRSKDJHDOUHIOX[GLVHDVHLQFKLOGUHQ

Methods This was a cross sectional study conducted in Jakarta DQG VXUURXQGLQJ DUHDV IURP 0DUFK WR -XO\  Ethical approval for this study was obtained from the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answered incorrect and number of respondents who could answer correctly either whole or specific TXHVWLRQV EDVHG RQ JUDGXDWLRQ \HDU DQG ZRUNLQJ institution (teaching hospital and non teaching hospital).

FRQWLQXLQJ PHGLFDO HGXFDWLRQ   DV VHHQ LQ Table 2. The result of total correct answers based on graduation year and working institution are described Table 1. Characteristics of subjects n (%) Age (years) < 35 35-