北京市延庆地区医生急性ST段抬高型心肌梗死救治认知现状及影响因素分析  

Analysis on Cognition Status Quo and Influencing Factors of Beijing Yanqing District Doctors on Acute ST-Segment Elevation Myocardial Infarction Treatment

作　　者：刘泽 王立新[1] 杨丽[1] 李富军 郭丽君[2] Liu Ze;Wang Lixin;Yang Li;Li Fujun;Guo Lijun(Department of Cardiology,Beijing Yanqing District Hospital(Peking University Third Hospital Yanqing Hospital),Beijing 102100,China;Department of Cardiology,Peking University Third Hospital,Beijing 100096,China)

机构地区：[1]北京市延庆区医院(北京大学第三医院延庆医院)心内科,北京102100 [2]北京大学第三医院心内科,北京100096

出　　处：《中国社区医师》2023年第27期167-168,F0003,共3页Chinese Community Doctors

基　　金：首都医科大学教育教学改革研究课题(编号:2021yjjx044)。

摘　　要：目的:调查北京市延庆地区医生急性ST段抬高型心肌梗死(STEMI)救治认知现状,分析其影响因素。方法:选取2022年3月5日—2022年3月18日延庆地区11家卫生机构185名医生作为研究对象,均进行问卷测试,分析问卷测试结果,总结延庆地区医生STEMI救治认知水平的独立影响因素。结果:185名医生对STEMI心电图诊断、STEMI危险分层、心电图记录时间节点、首次医疗接触至导丝通过时间节点的测试正确率较低,均<40%,其中STEMI危险分层测试正确率最低,仅为6.5%(12/185)。STEMI救治知识测试及格率为35.14%(65/185),其中学历、职称是医生STEMI救治知识测试及格的独立影响因素(P<0.05)。结论:延庆地区医生STEMI救治认知水平较低,需对该地区医生,尤其是低学历、低职称医生加强STEMI救治专业知识的培训和考核,同时及时更新学习指南、规范STEMI救治流程、优化早期再灌注策略,以提高延庆地区基层医生的STEMI救治认知水平,从而提高延庆地区整体STEMI救治水平。Objective:To investigate the status quo of cognition of Beijing Yanqing District doctors on acute ST-segment elevation myocardial infarction(STEMI)treatment,and analyze the influencing factors.Methods:From March 5 to March 18 in 2022,a total 185 doctors in 11 health institutions of Yanqing District were selected as the study subjects and questionnaire test was performed.The results of the questionnaire test were analyzed.The independent influencing factors of the cognition level of Yanqing District doctors on STEMI treatment were summarized.Results:The test correct rates of STEMI ECG diagnosis,STEMI risk stratification,ECG recording time node,from first medical contact to guidewire passing time node were low among 185 doctors,which were<40%,and the STEMI risk stratification test had the lowest correct rate,which was only 6.5%(12/185).The passing rate of STEMI treatment knowledge test was 35.14%(65/185),of which educational background and professional title were independent influencing factors of the doctors passing STEMI treatment knowledge test(P<0.05).Conclusion:The cognition level of Yanqing District doctors on STEMI treatment is low,and it is necessary to strengthen the training and assessment of professional knowledge of STEMI treatment for doctors in this region,especially doctors with low educational background and low professional titles,and promptly update the learning guideline,standardize the STEMI treatment process,and optimize the early reperfusion strategy,so as to improve the cognition level of Yanqing District primary-level doctors on STEMI treatment,and accordingly improve the overall STEMI treatment level in Yanqing.

关 键 词：急性ST段抬高型心肌梗死 认知现状 影响因素 

分 类 号：R542.22[医药卫生—心血管疾病]