PDF(Pubmed)
Abstract：
Background and Objectives: There is some evidence that knowledge and understanding of ME among doctors is limited. Consequently, an audit study was carried out on a group of hospital doctors attending a training event to establish how much they knew about ME and their attitudes towards it. Materials and Methods: Participants at the training event were asked to complete a questionnaire, enquiring about prior knowledge and experience of ME and their approaches to diagnosis and treatment. A total of 44 completed questionnaires were returned. Responses were tabulated, proportions selecting available options determined, 95% confidence limits calculated, and the significance of associations determined by Fisher\'s exact test. Results: Few respondents had any formal teaching on ME, though most had some experience of it. Few knew how to diagnose it and most lacked confidence in managing it. None of the respondents who had had teaching or prior experience of ME considered it a purely physical illness. Overall, 91% of participants believed ME was at least in part psychological. Most participants responded correctly to a series of propositions about the general epidemiology and chronicity of ME. There was little knowledge of definitions of ME, diagnosis, or of clinical manifestations. Understanding about appropriate management was very deficient. Similarly, there was little appreciation of the impact of the disease on daily living or quality of life. Where some doctors expressed confidence diagnosing or managing ME, this was misplaced as they were incorrect on the nature of ME, its diagnostic criteria and its treatment. Conclusion: This audit demonstrates that most doctors lack training and clinical expertise in ME. Nevertheless, participants recognised a need for further training and indicated a wish to participate in this. It is strongly recommended that factually correct and up-to-date medical education on ME be made a priority at undergraduate and postgraduate levels. It is also recommended that this audit be repeated following a period of medical education.
摘要：
背景和目的：有一些证据表明，医生对ME的认识和理解是有限的。因此,对参加培训活动的一组医院医生进行了审计研究，以确定他们对ME的了解程度以及对ME的态度。材料和方法：培训活动的参与者被要求填写一份问卷，询问我的先验知识和经验以及他们的诊断和治疗方法。总共退回了44份已完成的问卷。反应被制成表格，选择可用选项的比例确定，95%置信区间计算,以及通过Fisher精确检验确定的关联的显著性。结果：很少有受访者对ME进行过正式的教学，虽然大多数人都有一些经验。很少有人知道如何诊断它，大多数人对管理它缺乏信心。没有受过ME教学或先前经验的受访者认为这是纯粹的身体疾病。总的来说,91%的参与者认为我至少部分是心理上的。大多数参与者对一系列有关ME的一般流行病学和慢性性的主张做出了正确的回应。对ME的定义知之甚少，诊断,或临床表现。对适当管理的理解非常缺乏。同样，人们很少认识到这种疾病对日常生活或生活质量的影响。有些医生表示有信心诊断或治疗ME，这是错误的，因为他们对我的性质是不正确的，其诊断标准和治疗方法。结论：本次审核表明，大多数医生缺乏ME方面的培训和临床专业知识。然而，与会者认识到需要进一步培训，并表示希望参加培训。强烈建议在本科和研究生阶段优先考虑对ME进行真实正确和最新的医学教育。还建议在医学教育一段时间后重复此审核。
