本文選題：心力衰竭　切入點(diǎn)：問卷調(diào)查　出處：《中國循環(huán)雜志》2017年10期

【摘要】：目的:我國內(nèi)科醫(yī)生對心力衰竭診斷、治療知識的掌握程度。方法:依據(jù)《2014年中國心力衰竭診斷治療指南》編寫問卷,問題形式包括15道不定項(xiàng)選擇題和10道填空題。向參加中國心力衰竭注冊登記研究的88家醫(yī)院的內(nèi)科醫(yī)生進(jìn)行了問卷調(diào)查,以正確率和分值表示醫(yī)生對各個知識點(diǎn)的掌握程度。結(jié)果:共2146名醫(yī)生完成了調(diào)查問卷,平均年齡為(35.6±7.6)歲,其中女性56.2%,男性43.8%。住院醫(yī)師、主治醫(yī)師、副主任醫(yī)師、主任醫(yī)師分別占28.2%、43.6%、20.3%、7.9%。心血管專科醫(yī)師、普通內(nèi)科醫(yī)師和全科醫(yī)師分別占62.1%、28.8%和9.1%。社區(qū)醫(yī)院、二級醫(yī)院、三級醫(yī)院的醫(yī)生分別占5.4%、26.5%、68.2%。15道選擇題的平均正確率僅為32.6%。關(guān)于抗心力衰竭藥物目標(biāo)劑量的10個填空題的平均正確率為42.5%。職稱級別較高的醫(yī)生對心力衰竭指南的掌握程度明顯優(yōu)于職稱相對較低者(P0.001)。不同級別醫(yī)院醫(yī)師對心力衰竭指南的遵從和掌握程度差異有統(tǒng)計(jì)學(xué)意義(P0.001)。不同執(zhí)業(yè)范圍醫(yī)生對心力衰竭防治知識的掌握程度的差異也有統(tǒng)計(jì)學(xué)意義(P0.001)。結(jié)論:我國內(nèi)科醫(yī)生對心力衰竭診斷治療知識的掌握程度欠佳,需進(jìn)一步加強(qiáng)心力衰竭知識的系統(tǒng)學(xué)習(xí)。
[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 鹵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.
【作者單位】： 中國醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院國家心血管病中心阜外醫(yī)院心力衰竭中心;
【分類號】：R541.6

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