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。
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.
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