关键词: clinical knowledge critical care emergency medicine healthcare training medical education patient assessment

来  源:   DOI:10.2147/JMDH.S451527   PDF(Pubmed)

Abstract:
UNASSIGNED: To evaluate physicians\' knowledge of the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach components.
UNASSIGNED: A cross-sectional study was conducted in 2023 using an online questionnaire in order to collect data about the knowledge of the ABCDE approach\'s components among physicians in different specialties in Riyadh, Saudi Arabia.
UNASSIGNED: The number of participants were 165 in total and the median knowledge score for all participants was 15.0, with an associated interquartile range (IQR) of 10.0 to 20.0. Intensive Care Medicine had the highest median knowledge score of 19.0 (IQR: 12.0-21.0), followed by Internal Medicine at 17.0 (IQR: 13.0-20.0). Conversely, Cardiology and Anesthesiology showed lower scores, with medians of 8.0 (IQR: 4.0-10.0) and 7.5 (IQR: 4.0-13.5), respectively (p = 0.011). Senior Registrars demonstrated the highest median knowledge score of 20.0 (IQR: 14.0-22.0), while Fellows had the lowest at 8.5 (IQR: 7.0-13.0) (p < 0.001). Practicing for 10 to 15 years and more than 15 years having medians of 20.0 (IQR: 16.0-23.0) and 19.0 (IQR: 17.0-22.0), respectively. However, participants with less experience, working for less than 5 years, had a median score of 12.0 (IQR: 8.5-16.5) (p < 0.001).
UNASSIGNED: Knowledge scores of physicians representing various medical specialties found diverse levels regarding the ABCDE approach. Knowledge scores were significantly influenced by the primary area of practice, level of experience, and duration worked in the profession, highlighting the need for tailored training and education across different specialties and career stages. On the other hand, future studies should concentrate on finding new factors that influence practice adherence to the ABCDE approach and tying theoretical knowledge to clinical practice.
摘要:
评估医生对ABCDE的知识(气道,呼吸,循环,残疾,暴露)接近组件。
在2023年使用在线问卷进行了一项横断面研究,以收集有关利雅得不同专业的医生对ABCDE方法组成部分的知识的数据,沙特阿拉伯。
参与者总数为165,所有参与者的中位知识得分为15.0,相关的四分位距(IQR)为10.0至20.0。重症监护医学的中位知识得分最高,为19.0(IQR:12.0-21.0),其次是内科,17.0(IQR:13.0-20.0)。相反,心脏病学和麻醉学得分较低,中位数为8.0(IQR:4.0-10.0)和7.5(IQR:4.0-13.5),分别(p=0.011)。高级注册人员的知识中位数最高,为20.0(IQR:14.0-22.0),而研究员最低,为8.5(IQR:7.0-13.0)(p<0.001)。练习10至15年,超过15年,中位数分别为20.0(IQR:16.0-23.0)和19.0(IQR:17.0-22.0),分别。然而,经验较少的参与者,工作不到5年,中位数评分为12.0分(IQR:8.5-16.5)(p<0.001)。
代表各种医学专业的医生的知识得分发现关于ABCDE方法的不同水平。知识得分受初级实践领域的影响显著,经验水平,和持续时间在这个行业工作,强调需要在不同专业和职业阶段进行量身定制的培训和教育。另一方面,未来的研究应集中于寻找影响实践坚持ABCDE方法的新因素,并将理论知识与临床实践联系起来.
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