Division of Gastroenterology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Am J Ther. 2009 Sep-Oct;16(5):404-11. doi: 10.1097/MJT.0b013e31818fa106.
Although physician compliance with the use of gastroprotection among nonsteroidal anti-inflammatory drugs (NSAIDs) users is suboptimal, we previously showed that the combination of an electronic alert with an educational intervention modestly improved rates of gastroprotection at hospital discharge. We sought to assess understanding of risk factors for NSAID-related upper gastrointestinal (GI) complications among junior and senior residents, some of whom had previously been exposed to the targeted educational intervention. We developed a 21-question survey based on known risk factors for upper GI complications from NSAIDs. Cumulative scores were calculated based on answers to knowledge-based questions. Among 78 eligible physicians, 72 participated (35 interns, 37 residents). Mean composite scores were 10.31 for interns and 12.30 for residents (P < 0.0001). Eight residents previously exposed to the targeted educational intervention tended to higher scores than 29 residents who were not (12.25 vs. 11.52, respectively, not significant). Senior residents demonstrated marginally better knowledge of risk factors for upper GI complications from NSAIDs. A combined educational intervention and electronic alert did not have a durable impact on knowledge.
尽管医师在非甾体抗炎药（NSAIDs）使用者中遵循使用胃保护剂的情况并不理想，但我们之前已经表明，电子警报与教育干预相结合可以适度提高出院时胃保护的比率。我们试图评估初级和高级住院医师对与 NSAID 相关的上胃肠道（GI）并发症的危险因素的理解，其中一些人之前已经接受了有针对性的教育干预。我们根据 NSAIDs 引起上胃肠道并发症的已知危险因素制定了一个包含 21 个问题的调查问卷。基于基于知识的问题的答案计算出累计分数。在 78 名符合条件的医生中，有 72 人参加了调查（35 名实习医生，37 名住院医生）。实习医生的综合平均得分为 10.31，住院医生的得分为 12.30（P<0.0001）。8 名之前接受过针对性教育干预的住院医生的得分往往高于 29 名未接受过干预的住院医生（分别为 12.25 分和 11.52 分，无统计学意义）。高级住院医师对 NSAIDs 引起上胃肠道并发症的危险因素的了解略好一些。综合教育干预和电子警报并没有对知识产生持久的影响。
