摘要
目的 了解内科医生掌握我国心力衰竭（心衰）指南主要知识的程度，为心衰知识的推广转化工作提供参考。 方法 依据我国2007年＂慢性心力衰竭诊断治疗指南＂和2010年＂急性心力衰竭诊断治疗指南＂编写心衰知识问卷，问题形式包括选择题20道和填空题10道。以回答正确率表示各知识点被掌握的程度。 结果 400名来自北京等多个城市的内科医生完成了调查问卷，其中心血管病专科医生208人，非心血管病专科医生192人。在20道选择题中，回答正确率在60%以下、60%～80%之间和80%以上的问题分别为8个（40%）、8个（40%）和4个（20%）。关于10个具体的血管紧张素转换酶抑制剂（ACEI）、血管紧张素Ⅱ受体拮抗剂（ARB）和β受体阻滞剂的目标剂量的填空题，正确率只有49%。回答正确率低于60%的8个选择题分别是：①心肌重构的具体内容，②对诊断心衰有提示意义的症状，③对诊断心衰有肯定意义的检查，④美国心脏学会（AHA）心衰分期，⑤急性心衰的Forrester血液动力学分级，⑥ACEI和ARB在心衰患者中的应用目的，⑦应用ACEI或ARB有循证医学证据的具体心脏病，⑧ACEI、ARB和β受体阻滞剂的使用方法。 结论 我国内科医生总体而言对心衰指南掌握程度较差，需加强心衰知识的系统学习。
Objective To obtain the knowledge status on recommended heart failure （HF） guidelines among Chinese physicians. Methods Questionnaire on heart tailure including 20 multiple choice questions and 10 fill in the blank questions was designed based on the Chinese guidelines for the diagnosis and treatment of chrunie heart failure in 2007 and the Chinese guidelines for the diagnosis and treatment of acute heart failure in 2010. The rate of correct answer for each item was calculated and compared among physicians specialized for cardiovascular diseases and not. Results The Questionnaire was completed in 400 physicians, including 208 physician specialized for cardiovascular disease and 192 physicians not specialized in cardiovascular disease. The rate of correct answer for 20 multiple choice questions was lower than 60% in 8 questions, 60% - 80% in 8 questions, higher than 80% in 4 questions. The rate of correct answers for 10 fill in the blank questions focusing on the aimed dosage of 10 ACEI/ARB/β-blockers was 49%. The 8 multiple choice questions with correct answer rate 〈 60% are detailed items of myocardial remodeliug,symptoms suggestive of HF, diagnosis tools for patie,ts with suspected HF, the AHA stages of heart failure,the Forrester＇s helnodynamie classes of acute heart failure, the goals of ACEI/ARBs treatment in patients with HF, names of heart diseases which might benefit from ACEI/ARBs treatment defined by evidenced based lnedicine,amt detailed application methods of ACEI/ARBs and β-bloekers for HF patients.In general, the rate of correct answer was significantly higher in physicians specialized for cardiovascular disease compared physicians not specialized for cardiovascular disease. Conclusion There is a considerable knowledge gap on the Chinese guidelines for the diagnosis and treatment of chronic heart failure and the Chinese guidelines for the diagnosis and treatment of acute heart failure among Chinese physicians. Efforts must be made to educate physicians to improve their knowledge and improv
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2013年第9期766-770,共5页
Chinese Journal of Cardiology
基金
首都医学科研发展基金资助项目（2009-1005）
关键词
心力衰竭
充血性
指南[文献类型]
问卷调查
医务人员
医院
Heart failure, congestive
Guidelinebooks [ publication type ]
Questionnaires
Medical staff, hospital
