辽宁省医护人员循征医学认知现状调查

Cognition of evidence-based medicine among medical staff in Liaoning province

目的了解辽宁省医护人员循证医学认知现状,探讨开展循证医学教育途径。方法对辽宁省10家三级甲等医院1 010名医护人员进行问卷调查和循证医学知识测试。结果获有效问卷929份,医护人员对循证医学很了解77人,占8.3%,比较了解300人,占32.3%,一般了解426人,占45.9%,不了解126人,占13.6%;学历、职业、职称、职务、英语水平、计算机水平、使用数据库和阅读医学文献的频次是医护人员获得循证医学知识的主要影响因素;认为应该在专科阶段开设循证医学课程为220人,占23.7%,本科阶段开设为539人,占58.0%,在研究生阶段开设为150人,占16.1%。结论辽宁省医护人员对循证医学了解程度低,应加强循证医学知识教育,提高临床服务质量。

Objective To investigate the cognition of evidence-based medicine（EBM） among medical staffs in Liao-ning province and to explore the way to carry out EBM education.Methods A total of 1010 medical staff in 10 third-class first-grade hospitals in Liaoning province were investigated with a self-designed questionnaire on personal information,related knowledge background,the cognition of EBM and its influencing factors.Results There were 929 valid questionnaires.Of all participants,77 persons（8.3%） knew the EBM very much;300 persons（32.3%） knew EBM a little better;426 persons（45.9%） knew EMB generally;126 persons（13.6%） didn＇t knew EBM.The main factors of impacting medical staff to gain EBM knowledge were education,occupation,professional title,position,English proficiency,computer level,the frequency of using database,and reading medical literature.The proportions of the medical staff considering that EBM should be put into the diploma course,undergraduate crrriculum,and postgraduate course were 23.7%,58.0%,and 16.1%,respectively.Conclusion The cogniton of EBM is poor among medical staff and EBM education should be strengthened.