内科医生对心力衰竭指南知识的掌握情况调查

发布时间：2018-03-26 01:07

本文选题：心力衰竭　切入点：问卷调查　出处：《中国循环杂志》2017年10期

【摘要】：目的:我国内科医生对心力衰竭诊断、治疗知识的掌握程度。方法:依据《2014年中国心力衰竭诊断治疗指南》编写问卷,问题形式包括15道不定项选择题和10道填空题。向参加中国心力衰竭注册登记研究的88家医院的内科医生进行了问卷调查,以正确率和分值表示医生对各个知识点的掌握程度。结果:共2146名医生完成了调查问卷,平均年龄为(35.6±7.6)岁,其中女性56.2%,男性43.8%。住院医师、主治医师、副主任医师、主任医师分别占28.2%、43.6%、20.3%、7.9%。心血管专科医师、普通内科医师和全科医师分别占62.1%、28.8%和9.1%。社区医院、二级医院、三级医院的医生分别占5.4%、26.5%、68.2%。15道选择题的平均正确率仅为32.6%。关于抗心力衰竭药物目标剂量的10个填空题的平均正确率为42.5%。职称级别较高的医生对心力衰竭指南的掌握程度明显优于职称相对较低者(P0.001)。不同级别医院医师对心力衰竭指南的遵从和掌握程度差异有统计学意义(P0.001)。不同执业范围医生对心力衰竭防治知识的掌握程度的差异也有统计学意义(P0.001)。结论:我国内科医生对心力衰竭诊断治疗知识的掌握程度欠佳,需进一步加强心力衰竭知识的系统学习。
[Abstract]:Objective: to investigate the knowledge of diagnosis and treatment of heart failure among Chinese physicians. Methods: according to the guidelines for diagnosis and treatment of Heart failure in 2014, a questionnaire was compiled. The questions took the form of 15 multiple choice questions and 10 blank questions. A questionnaire survey was conducted among physicians in 88 hospitals that took part in a study on the registration of heart failure in China. Results: a total of 2146 doctors completed the questionnaire, with an average age of 35.6 卤7.6 years. Among them, 56.2 female and 43.8% male. Resident, attending physician, deputy chief physician, Chief physicians accounted for 28.23.6and 20.37.9.The cardiovascular specialists, general physicians and general practitioners accounted for 62.128.8% and 9.1%, respectively. Community hospitals, second-level hospitals, The average correct rate of the multiple choice questions was only 32.6. the average correct rate of 10 empty questions about the target dose of anti-heart failure drugs was 42.5. The doctors with higher professional titles had a good command of heart failure guidelines. The degree of compliance and mastery of the guidelines for heart failure was significantly higher than that of the patients with relatively low professional titles (P 0.001). The degree of doctors' knowledge of prevention and treatment of heart failure in different practice areas was poor. The degree of compliance and mastery of the guidelines for heart failure was significantly different from that of doctors at different levels of hospital. Conclusion: our physicians' knowledge of diagnosis and treatment of heart failure is poor. The systematic learning of heart failure knowledge needs to be further strengthened.
【作者单位】：中国医学科学院北京协和医学院国家心血管病中心阜外医院心力衰竭中心;
【分类号】：R541.6

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