Raeissadat Seyed Ahmad, Bahrami Mohammad Hasan, Rayegani Seyed Mansoor, Hassanabadi Hossein, Babaee Marzieh, Najafi Sharif, Aghabozorgi Reza
Associate Professor of Physical Medicine and Rehabilitation, Clinical Research Development Center of Shahid Modarres Hospital and Physical Medicine and Rehabilitation Research Center of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Associate Professor of Physical Medicine and Rehabilitation, Physical Medicine and Rehabilitation Research Center of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Electron Physician. 2017 Nov 25;9(11):5689-5696. doi: 10.19082/5689. eCollection 2017 Nov.
Evidence-based medicine (EBM) is a new approach to medicine which can guide clinical services toward effective and beneficial results with the least side effects or errors. Up to now, there have been few available articles about specialists' EBM status, specifically the status of physiatrists in the area of EBM.
To determine the present status of physiatrists' attitudes, knowledge and skill in the area of EBM and the existing obstacles.
The cross-sectional study was performed in 2014 among physiatrists in Iran. The valid and reliable questionnaire contained 25 questions in 8 fields including demographic and professional information, point of view regarding EBM, familiarity with databases, educational history and information about EBM, use of scientific resources, scientific evidence usage, and the amount of access to resources. Final analysis of the questionnaires was done using SPSS version 16.
One hundred twenty-eight questionnaires were completed (response percentage 52.2%). In total, 48.4% specialists had attended EBM workshops and 89.6% of people were familiar with medical search engines. The amount of familiarity with databases was mostly with MEDLINE/PubMed (52.3%). Respondents mainly had a positive point of view towards EBM. Those who had access to databases at work or somewhere out of home had a more positive attitude (p=0.002). Those who had attended EBM workshops and members of faculty also had more positive attitudes (p=0.003 and p=0.01, respectively). Around 70% of responders had adequate knowledge regarding EBM. Physicians, members of faculty and participants who had spent more time on research, reviewed articles and attended workshops had more knowledge (p=0.001). There were three major obstacles recognized: An insufficient amount of knowledge regarding the principles, advantages and applications of EBM, difficulty with gaining access to associated databases and an insufficient amount of activity in judging and analyzing the related articles.
Results from our study revealed that although there is a significant number of physiatrists who are familiar with the practicality of EBM, they are still not familiar enough with its concepts and applications.
循证医学（EBM）是一种新的医学方法，它能够指导临床服务朝着疗效显著、益处明显且副作用或差错最少的方向发展。到目前为止，关于专科医生的循证医学现状，特别是物理治疗师在循证医学领域的现状，可供参考的文章很少。
确定物理治疗师在循证医学领域的态度、知识和技能现状以及现存障碍。
2014年在伊朗的物理治疗师中开展了一项横断面研究。有效且可靠的问卷包含8个领域的25个问题，包括人口统计学和专业信息、对循证医学的观点、对数据库的熟悉程度、循证医学的教育经历和信息、科学资源的使用、科学证据的运用以及获取资源的数量。使用SPSS 16版对问卷进行最终分析。
共完成128份问卷（应答率52.2%）。总体而言，48.4%的专科医生参加过循证医学研讨会，89.6%的人熟悉医学搜索引擎。对数据库的熟悉程度大多集中在MEDLINE/PubMed（52.3%）。受访者对循证医学大多持积极观点。那些在工作场所或外出时能够使用数据库的人态度更为积极（p = 0.002）。参加过循证医学研讨会的人和教员也有更积极的态度（分别为p = 0.003和p = 0.01）。约70%的应答者对循证医学有足够的了解。在研究、审阅文章和参加研讨会方面花费更多时间的医生、教员和参与者了解更多（p = 0.001）。识别出三个主要障碍：对循证医学的原则、优势和应用了解不足，获取相关数据库困难，以及在判断和分析相关文章方面活动不足。
我们的研究结果显示，尽管有相当数量的物理治疗师熟悉循证医学的实用性，但他们对其概念和应用仍不够熟悉。
