September 25, 2019 Journal article Open Access

J. M. Darandari; S. K. AlDahi; F. Farahat

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    "description": "<p>Hyperbaric Oxygen (HBO<sub>2</sub>) Therapy has been used for several decades as an adjunctive treatment to standard care for chronic non-healing wounds. However, very little is known about the factors that influenced physicians use of this mode of therapy in their practice. 1st: To assess Physicians Knowledge, Attitude and Practice of HBO<sub>2</sub> Therapy in the treatment of chronic non-healing wounds among physicians, whose practice included wound care, in the Saudi Armed Forces Hospitals during the year 2008. 2nd: To identify the factors associated with their Knowledge, Attitude and Practice of HBO<sub>2</sub> Therapy.<em> </em>110 Physicians participated in a Cross sectional study with an analytical component. Data collection tool was 21-item questionnaire. All of the 110 physicians participated in the study. The results showed that Practice of HBO<sub>2</sub> Therapy was adopted by only a minority (7.3%; 95% C. I = 3.7 &ndash; 13.7) of Physicians who were concentrated in the eastern province. This was despite that the majority of physicians had a high Knowledge (76%; 95% C.I = 76.4&ndash;83.5) and agreed (61.9%; 95% C.I = 52.4&ndash;70.6) with the use of HBO<sub>2</sub> Therapy. Physicians Knowledge was significantly associated with the dependence on various sources of information to stay informed about the evidence of wound care treatment. Physicians Attitude towards HBO<sub>2</sub> Therapy was significantly associated with their Knowledge (P &lt;0.05). Physicians Practice of HBO<sub>2</sub> Therapy was significantly associated with Patients voluntary request of HBO<sub>2</sub> Therapy (P= 0.006), Symposia was a source of information to stay informed about the evidence of wound care treatments (P= 0.007).<em> </em>The low level of Physicians Practice, in contrast to their high Knowledge of and Attitude towards, HBO<sub>2</sub> Therapy in the treatment of chronic non-healing wounds, in the Saudi Armed Forces Hospitals, was mainly due to the unavailability (except in Jubail) and inaccessibility of HBO<sub>2</sub> Therapy despite the availability of multiplace HBO<sub>2</sub> Chambers. It is suggested that Policy procedures and protocols for use of (or referral for) HBO<sub>2</sub> Therapy to be implemented. Also educating both Patients and Physicians and focusing on cost-effectiveness most probably will encourage future use of HBO<sub>2</sub> Therapy.</p>", 
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    "title": "Knowledge, Attitude and Practice of Hyperbaric O2 Therapy in the Treatment of Chronic non-healing Wounds among Physicians", 
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    "keywords": [
      "Hyperbaric Oxygen Therapy, Transcutaneous Oxygen Tensions, Diabetic foot ulcer, chronic non-healing wounds, Attitude towards hyperbaric oxygen therapy, practice of hyperbaric oxygen therapy, diffusion of innovation"
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    "publication_date": "2019-09-25", 
    "creators": [
      {
        "affiliation": "Prince Sultan Armed Forces Hospital, Taif, Saudi Arabia", 
        "name": "J. M.  Darandari"
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      {
        "affiliation": "Preventive Medicine Department, King Salman Armed Forces Hospial, Tabuk City, SA", 
        "name": "S. K. AlDahi"
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      {
        "affiliation": "Community Medicine, Alhada Armed Forces Hospital, Taif.", 
        "name": "F. Farahat"
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