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马来西亚吉兰丹州急诊医生的循证医学知识、态度和实践

Knowledge, Attitude, and Practice of Evidence-Based Medicine among Emergency Doctors in Kelantan, Malaysia.

作者信息

Ahmad Ghaus Mohd Ghouse, Tuan Kamauzaman Tuan Hairulnizam, Norhayati Mohd Noor

机构信息

Department of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

出版信息

Int J Environ Res Public Health. 2021 Oct 27;18(21):11297. doi: 10.3390/ijerph182111297.

Abstract

This study aimed to determine the prevalence of high levels of knowledge, positive attitude, and good practice on evidence-based medicine (EBM) and identify the associated factors for practice score on EBM among emergency medicine doctors in Kelantan, Malaysia. This cross-sectional study was conducted in government hospitals in Kelantan. The data were collected from 200 emergency physicians and medical officers in the emergency department using the Noor Evidence-Based Medicine Questionnaire. Simple and general linear regressions analyses using SPSS were performed. A total of 183 responded, making a response rate of 91.5%. Of them, 49.7% had a high level of knowledge, 39.9% had a positive attitude and 2.1% had good practice. Sex, race, the average number of patients seen per day, internet access in workplace, having online quick reference application, and attitude towards EBM were significantly associated with EBM practice scores. It is recommended that appropriate authorities provide emergency doctors with broader access to evidence resources. EBM skill training should be enhanced in the current medical school curriculums.

摘要

本研究旨在确定马来西亚吉兰丹州急诊医学医生中基于证据的医学(EBM)高水平知识、积极态度和良好实践的流行情况,并确定EBM实践得分的相关因素。这项横断面研究在吉兰丹州的政府医院进行。使用努尔基于证据的医学问卷从急诊科的200名急诊医生和医务人员中收集数据。使用SPSS进行简单和一般线性回归分析。共有183人回复,回复率为91.5%。其中,49.7%的人有高水平知识,39.9%的人有积极态度,2.1%的人有良好实践。性别、种族、每天平均看诊患者数量、工作场所的网络接入、拥有在线快速参考应用程序以及对EBM的态度与EBM实践得分显著相关。建议有关当局为急诊医生提供更广泛的证据资源获取途径。当前医学院课程应加强EBM技能培训。

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