Pengetahuan Dokter dan Perawat Tentang Sport-Related Concussion: Survei Deskriptif Kuantitatif di Layanan Kesehatan Primer Provinsi Sumatera Utara

Abstract

Introduction. Primary care is the first contact for sport‑related concussion; clinicians’ knowledge shapes recognition and management. Objective. To map knowledge among early‑career physicians and nurses and identify remediable gaps. Methods. Cross‑sectional survey in North Sumatra primary care using a 25‑item instrument spanning definition/pathophysiology, diagnosis, and management; 136 clinicians participated (68 physicians, 68 nurses; graduation 2022–2025). Non‑parametric analyses were used: Friedman with Kendall’s W for within‑person domain differences, Mann–Whitney U for two‑group comparisons (effect size r), and Kruskal–Wallis for multicategory factors. Reliability was assessed with Cronbach’s α. Results and Discussion. Median total score was 80 [IQR 24], range 36–100. Nurses outperformed physicians (U=769; Z=−6.74; p<0.001; r=0.58, large). Domains differed (Friedman p<0.001; Kendall’s W≈ 0.20): definition/pathophysiology highest, diagnosis intermediate, and management lowest with the widest dispersion—indicating a practice‑oriented knowledge gap. Reading the 2022 consensus (p=0.001; r=0.27) and non‑formal education (p=0.040; r=0.18) correlated with higher scores; graduation year, facility type, and practice location were non‑significant, whereas training institution showed moderate heterogeneity (p≈0.005; ε²≈0.22). The instrument showed acceptable internal consistency (α=0.764) and a ceiling effect in the definition/pathophysiology domain, suggesting the need for harder items. Conclusion. Knowledge among early‑career primary‑care clinicians is moderate‑to‑high yet uneven; management is the principal deficit and should be prioritized in consensus‑based training and curricular standardization across institutions.