新疆喀什地区呼吸内科医师循证医学实践情况及相关因素调查

摘要

Objective To investigate pulmonary physicians' evidence-based medicine (EBM) practice regarding aware-ness and application and relevant factors as well in Kashi of Xinjiang. Methods Pulmonary physicians in hospitals in Kashi of Xinjiang were requested to take part in the survey using questionnaires from March 8th to March 11th 2013. Results Questionnaires were returned by 85 doctors with a response rate of 70.83%. Statistical results showed that ①85 cases of respondents average age of (40.59±7.93) years, and more than 35.29% Han, Uighurs accounted for 37.65%.②60.71% of the pulmonary physicians were familiar with EBM. They know about EBM mainly from academic confer-ences or seminars. Single factor analysis showed that the awareness of EBM showed strong correlation with the hospital grade (P < 0.01), belong to a pecialist (P <0.01), do bronchoscope (P< 0.05), do clinical research (P < 0.01) and take part in EBM conference more than twice (P< 0.01). Multiariable analysis found that Xin-jiang Kashgar region pulmonary physicians related to strong awareness of EBM was the number of take part in EBM conference (P<0.01), followed by the level of the hospital (P<0.05).③63.29%accumulated clinical experience mainly from practical experience, 54.88% of doctors mainly depended on practical experience to make clinical deci-sion, 61.97% of doctors mainly depended on practical experience to improve the bronchoscopy, followed by the text-books. Conclusion Pulmonary physicians in Kashi of Xinjiang are lack of awareness of EBM, the practice of medicine is actually influenced by empirical medicine, lack of acceptance of new knowledge of EBM. In order to improve the awareness of EBM, hold EBM academic conferences or seminars in Kashi of Xinjiang is beneficial.%目的：探讨新疆喀什地区呼吸内科医师对循证医学的知晓度及运用情况，明确其影响因素。方法采用问卷调查的方法，于2013年3月8~11日对新疆喀什地区主要从事呼吸内科专业的医师进行问卷调查。结果发放问卷120份，共收有效问卷85份，有效回收率为70.83%。统计分析结果显示：①85例被调查者平均年龄(40.59±7.93)岁，其中，汉族占35.29%，维吾尔族占37.65%。②60.71%的呼吸内科医师表示对循证医学了解，其了解循证医学的最主要途径是学术会议或讲座。单因素分析显示，对循证医学知晓率与所在医院等级(P<0.01)、属于专科医生(P<0.01)、会做支气管镜(P<0.05)、做过临床研究(P<0.01)、参加循证医学会议次数≥2次(P<0.01)密切相关。多因素析发现，与新疆喀什地区呼吸内科医师对循证医学知晓率强相关的是参加循证医学会议的次数(P<0.01)，其次是医师所在医院的等级(P<0.05)。③63.29%的被调查者积累临床经验的主要途径是实践经验，54.88%的被调查医师临床决策的主要来源是实践经验，61.97%的被调查医师认为其提高支气管镜技术的主要途径是实践经验，排在第2位都是教科书。结论新疆喀什地区呼吸内科医师对循证医学知晓度不足，大多数医师行医模式仍以经验医学为基础，对循证医学新知识的接受程度不足；在喀什当地举办循证医学相关学术会议是提高呼吸内科医师循证医学认知度最好的方法和手段。