首页|基于遗忘曲线的传染科住培医师对乙肝规范化诊疗的认知调查

基于遗忘曲线的传染科住培医师对乙肝规范化诊疗的认知调查

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目的 评估临床住培医师对乙肝规范化诊疗的特定知识点掌握情况,探讨传染科轮转及延续性学习的效果。方法 采用问卷调查的形式对2020年8月至2023年8月参加海军军医大学第一附属医院内科及全科专业住培基地的规范化培训学员进行问卷调查,调查内容包括一般资料和乙肝规范化诊疗知识。结果 本研究共发放调查问卷168份,其中有效问卷137份,有效率为81。5%。根据轮转传染科情况分为三组,其中未轮转过传染科的学员为A组(n=53),传染科轮转结束半年内的学员为B组(n=39),传染科轮转结束超过半年的学员为C组(n=45)。三组住培学员的乙肝规范化诊疗知识了解程度各方面问题比较,差异有统计学意义(P<0。05)。A组与B组学员的其中10个问题(涉及乙肝的基本认识、流行病学、病原学、临床表现、用药、预后等)的了解程度比较,差异有统计学意义(P<0。017);而随着规培结束后时间的延长,C组学员在关于乙肝的预后与停药标准方面的正确率低于B组,差异有统计学意义(P<0。017);B组与C组的其他知识点掌握情况比较,差异无统计学意义(P>0。017),C组学员对部分知识点的掌握存在遗忘现象。结论 传染科轮转能有效提高学员对常见传染性疾病诊治的掌握,但仍需进一步加强教学质量,同时应组织定期学习以减少遗忘速度,提高住培效果。
Investigation on the cognition of standardized diagnosis and treatment of hepatitis B by standardized training physicians of resident physicians in infectious disease department based on forgetting curve
Objective To evaluate the mastery of specific knowledge of standardized diagnosis and treatment of hepatitis B among clinical standardized training residents,and to explore the effect of rotation and continuous learning in infectious disease de-partment.Methods A questionnaire survey was conducted among the trainees who participated in the standardized training base of internal medicine and general practice in the First Affiliated Hospital of Naval Medical University from August 2020 to August 2023.The contents of the survey included general information and knowledge of standardized diagnosis and treat-ment of hepatitis B.Results A total of 168 questionnaires were distributed in this study,of which 137 were valid,with an ef-fective rate of 81.5%.They were divided into three groups according to the rotation of infectious disease department,includ-ing group A(n=53)without rotation of infectious disease department,group B(ni=39)within half a year after the rotation of infectious disease department,and group C(n=45)over half a year after the rotation of infectious disease department.There were statistically significant differences in the knowledge of standardized diagnosis and treatment of hepatitis B among the three groups(P<0.05).There were statistically significant differences in the understanding degree of 10 questions(related to the basic understanding of hepatitis B,epidemiology,etiology,clinical manifestations,medication,prognosis,etc.)between group A and group B(P<0.017).With the extension of the training time,the correct rates of the prognosis and withdrawal criteria of hepatitis B in group C were lower than those in group B,and the differences were statistically significant(P<0.017).There were no significant differences in the mastery of other knowledge points between group B and group C(P>0.017),and there was forgetting phenomenon in the mastery of some knowledge points in group C.Conclusion The rotation of infectious disease department can effectively improve the mastery of the diagnosis and treatment of common infectious diseases,but the teaching quality still needs to be further strengthened.At the same time,regular learning should be orga-nized to reduce the forgetting speed and improve the effect of standardized training.

Standardized training of residentDepart-ment of Infectious DiseasesViral hepatitis BContinuing educationForgetting curve

董旭、朱彤、陈怡、许明晓、葛玲玲、徐爱静

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海军军医大学第一附属医院感染科,上海 200433

住院医师规范化培训 传染科 乙型病毒性肝炎 继续教育 遗忘曲线

海军军医大学第一附属医院教学研究与改革项目

CHJG2020011

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(9)
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