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循证医学:.

Evidence-Based Medicine: .

作者信息

Al-Hadhrami Rahma S, Al-Shaqsi Al-Ghaliya N, Thuhli Zahran M Al, Sabbari Maryam Y Al

机构信息

Department of Family Medicine and Public Health, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.

College of Medicine and Health Science, Sultan Qaboos University, Muscat, Oman.

出版信息

Sultan Qaboos Univ Med J. 2025 May 2;25(1):453-461. doi: 10.18295/2075-0528.2857.

Abstract

OBJECTIVES

Evidence-based medicine (EBM) provides a systematic method for navigating an extensive repository of information and making well-informed judgements regarding patient care. This study aimed to evaluate the clinical knowledge, attitudes and practices related to EBM among medical students and interns in Oman and to identify gaps between general awareness and comprehension.

METHODS

This cross-sectional study was conducted from September 2023 to February 2024 at Sultan Qaboos University. An online survey incorporating the Noor Evidence-Based Medicine Questionnaire was used to evaluate knowledge, attitudes and practices related to EBM. Responses were scored using a 5-point Likert scale.

RESULTS

A total of 230 medical students and interns completed the survey (response rate = 46%; the optimal sample size was determined to be 218 participants). The participants' mean age was 24.2 ± 1.5 years, with the majority being female (n = 124, 53.9%). Most participants (n = 191, 83%) indicated having previously received EBM training. Overall, participants demonstrated poor levels of EBM-related knowledge (mean percent score: 53.3 ± 5.7%), moderate attitudes (63.5 ± 7.6%) and poor practices (35.3 ± 7.4%). Specifically, 85.7% demonstrated moderate levels of EBM-related knowledge, 71.3% revealed neutral attitudes and 60% reported fair practices. No significant relationships were observed between prior EBM training history and knowledge, attitude or practice scores. However, a significant association was found between the knowledge domain and the level of study ( = 0.002).

CONCLUSIONS

The study's findings highlight the deficiencies in the current understanding of EBM among Omani medical students and interns. Further studies should investigate specific aspects such as the hours, topics and teaching methodologies used to provide EBM instruction. This will help identify gaps and devise mechanisms to improve knowledge retention.

摘要

目的

循证医学(EBM)提供了一种系统的方法,用于在海量信息库中筛选信息,并就患者护理做出明智的判断。本研究旨在评估阿曼医学生和实习生与循证医学相关的临床知识、态度和实践,并找出一般认知与理解之间的差距。

方法

本横断面研究于2023年9月至2024年2月在苏丹卡布斯大学进行。采用包含努尔循证医学问卷的在线调查来评估与循证医学相关的知识、态度和实践。使用5点李克特量表对回答进行评分。

结果

共有230名医学生和实习生完成了调查(回复率 = 46%;确定的最佳样本量为218名参与者)。参与者的平均年龄为24.2 ± 1.5岁,大多数为女性(n = 124,53.9%)。大多数参与者(n = 191,83%)表示之前接受过循证医学培训。总体而言,参与者在循证医学相关知识方面表现较差(平均百分比得分:53.3 ± 5.7%),态度中等(63.5 ± 7.6%),实践较差(35.3 ± 7.4%)。具体而言,85.7%表现出中等水平的循证医学相关知识,71.3%态度中立,60%实践情况一般。在既往循证医学培训史与知识、态度或实践得分之间未观察到显著关系。然而,在知识领域与学习水平之间发现了显著关联( = 0.002)。

结论

该研究结果凸显了阿曼医学生和实习生目前对循证医学理解的不足之处。进一步的研究应调查提供循证医学教学的具体方面,如时长、主题和教学方法。这将有助于找出差距并设计机制以提高知识留存率。

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Evidence-Based Medicine: .循证医学:.
Sultan Qaboos Univ Med J. 2025 May 2;25(1):453-461. doi: 10.18295/2075-0528.2857.

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