临床医生对临床研究方法学掌握情况调查研究  

Investigation of Clinicians’ Grasp on Clinical Research Methodology

作　　者：马冰[1] 王海龙[1] 周波[1] 吴晓梅[1] 孙皓[1] 时景璞[1] MA Bing;WANG Hailong;ZHOU Bo;WU Xiaomei;SUN Hao;SHI Jingpu(Research Room of Clinical Epidemiology and Evidence-Based Medicine,The First Affiliated Hospital of China Medical University,ShenyangLiaoning 110001,China)

机构地区：[1]中国医科大学附属第一医院临床流行病与循证医学研究室

出　　处：《中国继续医学教育》2019年第19期1-3,共3页China Continuing Medical Education

基　　金：国家科技支撑计划课题(名称:临床研究方法学和共性技术示范应用研究,编号:2013BAI09B14)

摘　　要：目的了解临床医生对临床研究方法学知识的掌握情况,为今后提高和改进临床研究方法学的教学工作提供科学依据。方法采用自编问卷,对辽宁省17家三甲医院副高级以上职称的1073名临床医生进行调查。结果88.7%的临床医生认为开展临床研究是必要的;63.7%表示对临床研究工作感兴趣;72.7%的临床医生学习临床研究方法学知识是通过参加学会讲座,其余的是通过学校的系统学习、自学或参加学习班;临床医生对常用设计方案的熟悉程度由高到低依次为随机对照试验、病例对照研究、病例报告及队列研究。对随机方法的调查中,按照熟悉程度由高到低依次为单纯随机、分层随机和区组随机,其中有9.3%的人不了解随机;对偏倚的调查中,按照熟悉程度由高到低依次为选择偏倚、信息偏倚、混杂偏倚,其中有15.9%的人不了解偏倚。对统计分析软件的调查中,按照熟悉程度高低依次为SPSS、Excel、SAS,其中有8.9%的不了解任何统计分析软件。大学附属医院和省级医院对方法学的掌握程度要好于市级医院。结论临床医生已经意识到了临床研究的重要性,但对临床研究的兴趣及方法学掌握情况还有待于进一步提高,应通过对改进临床研究方法的在校教学及继续教育来改变这种现状。Objective Understand clinicians’ grasp situation of clinical research knowledge of methodology, to provide scientific basis for improving the teaching work of clinical scientific research methodology in the future. Methods The investigation was made on 1073 clinicians with senior titles or above in 17 third class hospital in Liaoning province, using a self-designed questionnaire. Results 88.7% clinicians considered clinical research to be important, but only 63.7% expressed interest in clinical research. 72.7% clinicians learn clinical research methodologies by attending academic seminars, the other including systematic study, selfstudy, or attending class. The clinical physician is familiar with the typical design from high to low in turn to random control trials, case-control studies, case reports and cohort studies. For random method, according to the degree of familiarity, it is simple random, stratified random, and block random. 9.3% clinicians are unfamiliar with random. For bias, according to the degree of familiarity, it is selection bias, information bias, and confounding bias. 15.9% clinicians are unfamiliar with bias. For statistical software, according to the degree of familiarity, it is SPSS, Excel and SAS.8.9% clinicians are unfamiliar with any statistical software. University affiliated hospitals and provincial hospitals have a better command of methodology than municipal hospitals. Conclusion Clinicians have realized the importance of clinical research, but their interest and grasp of methodology in clinical research still need to be further improved. This situation should be changed by improving the teaching of clinical research methods in school and continuing education.

关 键 词：临床医生 临床研究 方法学 问卷调查 掌握情况 教学 

分 类 号：G642[文化科学—高等教育学]