中华医学教育杂志

中华医学教育杂志 ›› 2024, Vol. 44 ›› Issue (2): 109-112.DOI: 10.3760/cma.j.cn115259-20230406-00362

• 临床教学 • 上一篇    下一篇

我国临床医生听诊技术应用现状和需求调查

王紫合1, 刘国梁2, 卢清君3, 张运剑4, 穆新林5, 刘前桂6, 施举红7   

  1. 1首都医科大学2019级五年制临床医学专业,北京 100069;
    2中日友好医院呼吸与危重症医学科,北京 100029;
    3国家远程医疗与互联网医学中心,北京 100029;
    4北京积水潭医院呼吸与危重症医学科,北京 100035;
    5北京大学人民医院呼吸与危重症医学科,北京 100007;
    6北京老年医院呼吸内科,北京 102488;
    7中国医学科学院 北京协和医院呼吸与危重症医学科,北京 100005
  • 收稿日期:2023-04-06 出版日期:2024-02-01 发布日期:2024-01-30
  • 通讯作者: 刘国梁, Email: LiuGL2050@sina.com
  • 基金资助:
    国家重点研发计划重大慢性非传染性疾病防治研究(2016YFC1304602)

Survey on the current situation and demand for the application of auscultation technology among clinical doctors in China

Wang Zihe1, Liu Guoliang2, Lu Qingjun3, Zhang Yunjian4, Mu Xinlin5, Liu Qiangui6, Shi Juhong7   

  1. 1Five-year Program of Clinical Medicine, Enrolled in 2019, Capital Medical University, Beijing 100069, China;
    2Department of Respiratory and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China;
    3National Center for Telemedicine and Internet Medicine, Beijing 100029, China;
    4Department of Respiratory and Critical Care Medicine, Beijing Jishuitan Hospital, Beijing 100035, China;
    5Department of Respiratory and Critical Care Medicine, Peking University People′s Hospital, Beijing 100007, China;
    6Department of Respiratory Medicine, Beijing Geriatric Hospital, Beijing 102488, China;
    7Department of Respiratory and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100005, China
  • Received:2023-04-06 Online:2024-02-01 Published:2024-01-30
  • Contact: Liu Guoliang, Email: LiuGL2050@sina.com
  • Supported by:
    National Key Research and Development Project Prevention and Treatment of Major Chronic Non Communicable Diseases (2016YFC1304602)

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摘要： 目的 了解我国临床医生听诊技术应用现状和需求调查,为开展临床听诊技术教育培训提供参考依据。方法 2021年2月1日至2023年2月1日,选择来自全国30个省、自治区和直辖市的257家医疗机构的12 000名临床医生为研究对象,通过问卷调查了解其听诊技术应用现状和培训需求,并应用描述性统计和卡方检验进行统计学处理。结果 参与调查的12 000名临床医生中,8 951名(74.6%)临床医生在门诊使用听诊器,8 473名(70.6%)临床医生经常(每周＞5次)使用听诊器,10 780名(89.8%)临床医生常用的听诊部位为肺部,8 284名(69.0)临床医生学习听诊技术以临床自学为主,认为熟练掌握听诊技术者3 918名(32.7%),认为听诊技术重要者11 390名(94.9%),认为需要进行听诊技术培训者10 888名(90.7%)。结论 临床医生经常使用听诊技术,但对听诊技术自我评价较低且培训需求较高,应当广泛开展规范化听诊技术培训。

关键词: 听诊, 问卷调查, 临床医生, 培训需求, 听诊器

Abstract: Objective To understand the current situation and training needs of auscultation technique among clinicians in China, and to inform future clinical auscultation technology education and training. Methods From February 1, 2021 to February 1, 2023, a total of 12 000 clinicians from 257 medical institutions in 30 provinces, autonomous regions, and municipalities across the country were enrolled in this study. A questionnaire survey was conducted to understand the current status of auscultation technology application and training needs, and descriptive statistics and chi square tests were used for statistical processing. Results Among the 12 000 doctors who participated in the survey, 8 951(74.6%) physicians used stethoscopes in outpatient settings, 8 473(70.6%) physicians frequently(>5 times a week) used stethoscopes, 10 780(89.8%) physicians commonly used the lungs as the site of auscultation, and 8 284(69.0%) physicians primarily learned auscultation techniques through clinical self-learning. In addition, 3 918(32.7%) physicians believed that they were proficient in auscultation techniques, 11 390(94.9%) physicians believed that stethoscopes were important, 10 888(90.7%) physicians believed that training in stethoscopes was necessary. Conclusions Clinicians often use auscultation techniques, but have a low self-evaluation of auscultation techniques and a high demand for training. It is recommended to widely carry out standardized auscultation training.

Key words: Auscultation, Questionnaire survey, Clinical doctor, Training needs, Stethoscope

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