临床医生低钠血症相关知识知晓情况及学习要求现状调查

The status of hyponatremia knowledge and learning requirements of clinicians

目的了解临床医生低钠血症相关知识知晓情况及学习要求现状。方法2020年8月2日00:00至2020年8月12日00:00应用“问卷星”收集资料,比较不同医院级别、专业技术职务级别、学历水平调查对象对低钠血症相关知识认知的差异,对各个问题的回答情况进行汇总和描述性分析,应用SAS9.4统计软件进行数据分析,P<0.05表示差异有统计学意义。结果共调查450人,其中在三级医院工作354人(78.67%),拥有高级及副高级专业技术职务123人(27.33%),拥有博士及硕士研究生学位287人(63.78%)。调查对象所在医院级别越高、专业技术职务级别越高、学历水平越高回答问题正确率越高。88.44%(398/450)的调查对象认为低钠血症进行治疗时患者病情在1周内被纠正,认为1~3 d者占56.22%(253/450),4~7 d者占32.22%(145/450);52.00%(234/450)的调查对象认为低钠血症的纠正率大于60%;82.22%(370/450)的调查对象在从业过程中未接受过低钠血症专业知识培训,且认为“有必要”对医务人员进行低钠血症相关知识培训;69.56%(313/450)的调查对象通过医学书籍获得相关知识,72.23%(325/450)的调查对象更希望通过线上或新媒体方式进行学习。结论低钠血症是临床最常见电解质紊乱类型,临床医生对低钠血症相关知识的知晓率并不高,是导致患者预后不良的一个重要因素,因此,提高临床医生对低钠血症的认知、通过新的学习方式进行学习、提高低钠血症治愈率、改善患者预后、降低医疗花费迫在眉睫。

Objective To investigate the status of hyponatremia knowledge and learning requirements of clinicians.Methods Data were collected from 00:00 on August 2,2020 to 00:00 on August 12,2020 by using the"Questionnaire Star",to compare the differences in the knowledge of hyponatremia among respondents of different hospital levels,professional and technical positions,and educational levels,and summarized and descriptive analyzed the responses to each question.SAS9.4 software was used for data analysis,and P<0.05 indicated statistically significant differences.Results A total of 450 people were surveyed,of whom 354(78.67%)worked in the tertiary hospitals;123(27.33%)held senior and associate senior professional and technical positions;and 287(63.78%)held doctoral and master′s degrees.The higher the level of the hospital,the higher the level of the professional and technical position and the higher of the level of education,the higher the correct rate of answering questions.There were 88.44%(398/450)of the respondents who believed that the patient′s condition was corrected within one week during the hyponatremia treatment,and 56.22%(253/450)thought that it was one to three days and 32.22%(145/450)thought it was four to seven days;52.00%(234/450)of the respondents thought that the correction rate of the hyponatremia was greater than 60%;82.22%(370/450)of the respondents did not receive professional training on hyponatremia during their employment and considered it"necessary"to provide the medical staff with hyponatremia related train;69.56%(313/450)of the respondents obtained the relevant knowledge through medical books,and 72.23%(325/450)of the respondents preferred to learn through online or new media.Conclusion Hyponatremia is the most common type of electrolyte disorder in the clinic.Low awareness of hyponatremia among clinicians is an important factor leading to poor prognosis of the patients.Therefore,it is urgent to improve clinicians′awareness of hyponatremia,to learn through new methods,to improve the cure rate of hyponatremia,to improve patients′prognosis and to reduce medical costs.