摘要
目的了解北京市城区基层医生心力衰竭的知识水平。方法于2008年7—9月,采用不记名闭卷笔试的方法对北京市城区共354名基层医生进行了心力衰竭临床知识水平的调查。结果354名医生中经常通过网络获得专业知识的医生共154人(43.5%),存在工作时间短、学历高、职称低、年龄小的特点。在所有问题中,回答正确率最高的问题是"心力衰竭症状识别"(62.1%),回答正确率最低的问题是"利尿剂的不良反应"(21.2%)。网络学习组与常规学习组医生在"心力衰竭分期"、"心力衰竭的一般治疗"、"血管紧张素转换酶抑制剂(ACEI)或血管紧张素受体阻滞剂(ARB)的适应证"、"β-受体阻滞剂的适应证"以及关于患者自我监测指标的所有问题上差异均有统计学意义(P<0.05)。结论基层医生心力衰竭的知识处于较低水平,以网络通信平台为技术支撑,及时更新基层医生的临床知识可能是提高基层医生医疗质量的一个可行措施。
Objective To survey the knowledge levels of status of heart failure for physicians in district and community hospitals in Beijing. Methods The knowledge levels of heart failure for 354 physicians in district and community hospitals of Beijing were investigated with an unregistered and closed - book examination from July to September 2008. Results There were 154 （43.5%） among all the 354 physicians who had used the network to learn the professional knowledge, and they were characterized by lesser seniority, higher degree, lower title and younger. The highest correctly answered rate was 62. 1% of the question on recognition of heart failure symptom, and the lowest correctly answered rate was 21.2% of the question on untoward reac- tion of diuretics. The levels of knowledge on heart failure stages, heart failure general treatment, indications of angiotensin eon- versing enzyme inhibitor or angiotensin receptor blocker, indications of β - blockers and self - monitor showed significant differ- ences between physicians who leaned by using network and those who learned by eonventional means （ P 〈 0. 05 ）. Conclusion The knowledge level of heart failure of physicians in district and community hospitals is lower. It is a feasible way to take network platform as the technical support, to timely renew the clinical knowledge of physicians at grass - roots, in order to improve their medical quality.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第10期1042-1043,1049,共3页
Chinese General Practice
关键词
基层医生
心力衰竭
北京
Physicians in district and community hospitals
Heart failure
Beijing
