Beijing Chao-Yang Hospital, 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China.
BMC Med Educ. 2022 May 20;22(1):388. doi: 10.1186/s12909-022-03472-x.
This study was designed to investigate the extent to which physicians involved in sepsis management understand and adopt sepsis guidelines in clinical practice. The overarching aim of this study was to generate ideas for developing more effective training methods to help physicians apply the guidelines in patient management.
Physicians working in a tertiary care hospital, primarily in the emergency and critical care departments, were recruited into the survey. They were asked to fill questionnaires which were designed to collect sepsis score, diagnostic indicators, fluid resuscitation, antibiotics choice, access to knowledge and training, as well as implementation of sepsis guidelines in clinical diagnosis and treatment.
Overall, the response rate was 625/661 (94.5%). The investigate shows the basic information of all physicians who participated in the answer sheet, including their work department, professional title and whether their hospital was a teaching hospital. Significant differences were identified among the physicians in terms of method of acquiring sepsis guidelines, the impact of study guidelines on clinical diagnosis and treatment, efficiency of training methods, cognition of fluid resuscitation in patients with sepsis, the cognition of sepsis rehydration principles, selection of antibiotics for patients with sepsis, the basis for antibiotic selection, among other variables.
Although majority of physicians involved in tertiary care hospital understand the contents of sepsis-3 guidelines, the clinical implementation of the guidelines in the diagnosis and treatment of patients with sepsis is highly heterogeneous. Thus, there is need to develop standardized training for physicians involved in sepsis diagnosis and treatment.
本研究旨在调查参与脓毒症管理的医生在多大程度上理解并在临床实践中采用脓毒症指南。本研究的总体目标是提出想法，以开发更有效的培训方法，帮助医生在患者管理中应用指南。
在一家三级保健医院招募了主要在急诊和重症监护部门工作的医生参与调查。他们被要求填写问卷，旨在收集脓毒症评分、诊断指标、液体复苏、抗生素选择、获取知识和培训，以及在临床诊断和治疗中实施脓毒症指南的情况。
总体而言，响应率为 625/661（94.5%）。调查显示了参与答卷的所有医生的基本信息，包括他们的工作部门、职称以及他们的医院是否为教学医院。在获取脓毒症指南的方法、研究指南对临床诊断和治疗的影响、培训方法的效率、对脓毒症患者液体复苏的认识、对脓毒症补液原则的认识、对脓毒症患者抗生素选择、抗生素选择的依据等方面，医生之间存在显著差异。
尽管参与三级保健医院的大多数医生都了解脓毒症-3 指南的内容，但在脓毒症患者的诊断和治疗中临床实施指南的情况高度异质。因此，有必要为参与脓毒症诊断和治疗的医生制定标准化的培训。
