临床实践指南在儿科临床中的运用与实践情况调查  

Investigation on the Application and Practice of Clinical Practice Guidelines in Pediatric Clinic

作　　者：王君 程茜[1] 陈立[1] 李廷玉[1] 代英[1] 

机构地区：[1]重庆医科大学附属儿童医院儿童青少年生长发育与心理健康中心,儿童神经发育与认知障碍重庆市重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,重庆

出　　处：《临床医学进展》2024年第11期686-696,共11页Advances in Clinical Medicine

摘　　要：目的:通过调查儿科医师临床实践指南的运用与实践情况,找出问题并分析原因,探讨促进指南执行的具体措施。方法:采用横断面调查设计,并结合随机抽样方法,通过网络平台发放问卷,调查全国各级儿科医师对临床实践指南的认知、需求、知晓和使用情况。结果:共回收564份问卷,有效问卷562份,大多数儿科医师及医院对指南持积极的认可态度,高年资儿科医师对指南的认可度更高(P P P P Objective: By investigating the application and practice of pediatrician clinical practice guidelines, identifying problems and analyzing the causes, we can explore specific measures to promote the implementation of guidelines. Methods: A cross-sectional survey design and random sampling method were adopted to investigate the cognition, demand, knowledge and use of clinical practice guidelines by pediatricians at all levels in China through questionnaires distributed on the network platform. Results: A total of 564 questionnaires were collected, of which 562 were valid. Most pediatricians and hospitals had a positive attitude toward the guidelines, and senior pediatricians had a higher degree of recognition of the guidelines (P P P P < 0.05). 57.7% of the respondents believed that the difficulty in obtaining guidelines was the most important factor affecting the use of guidelines;89.1% of the respondents considered strengthening publicity and training as the primary measures to promote the use of the guidelines. Conclusions: There are many difficulties in the practical application and promotion of clinical practice guidelines. It is recommended to pay more attention to the needs of primary hospitals and junior physicians, and carry out targeted publicity and training of guidelines. The contact time of clinical practice guidelines for pediatricians in China is late, so it is recommended to introduce evidence-based medicine and clinical practice guidelines in medical education as early as possible.

关 键 词：临床实践指南(CPG) 儿科医师 医学教育 指南运用现状 问卷调查 

分 类 号：R47[医药卫生—护理学]