内科医生对心力衰竭指南知识的掌握情况调查  

A Knowledge Survey on Heart Failure Guidelines in Physicians

作　　者：甘天翊[1] 刘妮妮[1] 张宇辉[1] 吕蓉[1] 赵雪梅[1] 黄宇晖 张健[1] GAN Tian-yi LIU Ni-ni ZHANG Yu-hui LV Rong ZHAO Xue-mei HUANG Yu-hui ZHANG Jian.(Heart Failure Center, National Center for Cardiovascular Disease and Fuwai Hospital, CAMS and PUMC, Beijing （100037）, China)

机构地区：[1]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,北京市100037

出　　处：《中国循环杂志》2017年第10期952-955,共4页Chinese Circulation Journal

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(P<0.001)。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(P<0.001)。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(P<0.001)。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。） Objective： To conduct a knowledge survey on heart failure （HF） guidelines for HF diagnosis and treatment in physicians in China. Methods： A questionnaire including15 multiple-choice and 10 blank-filling questions was developed based on Chinese HF diagnosis and treatment guidelines 2014. The survey was conducted in physicians who registered at Chinese HF study from 88 hospitals in China and the knowledge level was presented by the correction rate of questionnaire survey. Results： A total of 2146 physicians finished the survey including 56.2% female and 43.8% male with the mean age of （35.6±7.6） years. The ratios of resident, attending physician, associate chief physician and chief physician were 28.2%, 43.6%, 20.3% and 7.9% respectively; the ratios of cardiovascular specialists, physician and general practitioners were 62.1%, 28.8%and 9.1% respectively. Physicians from community hospital, 2nd grade hospital and 3rd grade hospital were 5.4%, 26.5%, and 68.2% respectively. The correct answer for 15 multiple-choice questions was only 32.6% and for 10 blank-filling questions regarding the target doses of anti-HF drugs was 42.5%. Physicians with the higher professional title had greater awareness of HF guidelines than those with the lower title, P〈0.001. The compliance and command to HF guidelines were different among hospital levels, P〈0.001; the command to HF prevention and treatment were different among physicians in different practice scopes, P〈0.001. Conclusion： The knowledge for HF diagnosis and treatment had deficiency in physicians in China, further systemically study should be enforced.

关 键 词：心力衰竭 问卷调查 医师 

分 类 号：R54[医药卫生—心血管疾病]