评估阿瓦士医科大学医护专业人员和学生的心电图解读能力：一项多学科研究。
Assessment of electrocardiogram interpretation competency among healthcare professionals and students of Ardabil University of Medical Sciences: a multidisciplinary study.
机构信息
Department of Internal Medicine, School of Medicine. Fatemi Hospital, Ardabil University of Medical, Ardebil, Iran.
Students Research Committee, Department of Emergency Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
出版信息
BMC Med Educ. 2022 Jun 9;22(1):448. doi: 10.1186/s12909-022-03518-0.
BACKGROUND
Electrocardiogram (ECG) interpretation is a core clinical skill that helps to rapid diagnosis of potentially life-threatening diseases. Misinterpretation of the electrocardiogram can lead to inappropriate clinical decisions with adverse outcomes. The main aim of this survey was to assess the competency of electrocardiogram interpretation and related factors among healthcare professionals and students of Ardabil University of Medical Sciences.
METHODS
This descriptive cross-sectional study included 323 staff and students of Ardabil University of Medical Sciences in northwestern Iran. Data were collected randomly from November to January 1400 using the Badell-Coll ECG Interpretation Competency Questionnaire and analyzed using SPSS V.14. Statistical analysis included descriptive statistics, independent t-test, ANOVA, Pearson correlation coefficient and multiple linear regression.
RESULTS
The results showed that the mean and standard deviation of electrocardiogram interpretation competency of health professional staff and students was 5.13 ± 2.25 (maximum score = 10). The large number of participants wasn't able to identify normal sinus rhythm (n = 251, 77.3%), acute myocardial infarction (n = 206, 63.8%) and pathological Q waves (n = 201, 62.2%). The results of multiple linear regression showed that the variables of education level, self-assessment of electrocardiogram interpretation competence, work experience, and type of hospital were able to predict the competence of ECG interpretation in participants.
CONCLUSIONS
Our findings showed that the participants' level of electrocardiogram interpretation competency was low. Hence, regular, standard training and education are recommended. Also, managers and educators of the health system should consider the role of positive self-assessment and exposure to ECG interpretation in improving the competence of staff and students to interpret ECG.
背景
心电图（ECG）解读是一项核心临床技能，有助于快速诊断潜在的危及生命的疾病。心电图的错误解读可能导致临床决策不当，产生不良后果。本次调查的主要目的是评估阿瓦士医科大学医疗保健专业人员和学生的心电图解读能力及相关因素。
方法
本研究采用描述性横断面研究，纳入了伊朗西北部阿瓦士医科大学的 323 名工作人员和学生。研究数据于 1400 年 11 月至 1 月期间采用 Badell-Coll 心电图解读能力问卷随机收集，并使用 SPSS V.14 进行分析。统计分析包括描述性统计、独立 t 检验、方差分析、皮尔逊相关系数和多元线性回归。
结果
结果显示，医护人员和学生的心电图解读能力得分为 5.13±2.25（满分为 10 分）。大量参与者无法识别正常窦性节律（n=251，77.3%）、急性心肌梗死（n=206，63.8%）和病理性 Q 波（n=201，62.2%）。多元线性回归结果表明，教育水平、自我评估心电图解读能力、工作经验和医院类型是预测参与者心电图解读能力的变量。
结论
研究结果表明，参与者的心电图解读能力水平较低。因此，建议定期进行标准培训和教育。此外，卫生系统的管理者和教育者应考虑积极的自我评估和接触心电图解读在提高员工和学生解读心电图能力方面的作用。
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