重症心脏超声培训后学员操作能力的自我评价

何伟; 曾学英; 张宏民; 王小亭; 晁彦公; 重症超声研究组

doi:10.24920/004174

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重症心脏超声培训后学员操作能力的自我评价

中国医学科学杂志（英文） 2023年38卷第2期页码：125-129

Original article | Updated：2024-06-12

- 重症心脏超声培训后学员操作能力的自我评价
- Affiliations：
  
  1. 1Department of Critical Care Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  2. 2Emergency Department and Intensive Care Unit, West China School of Public Health & West China Fourth Hospital, Sichuan University, Chengdu 610041, China
  3. 3Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  4. 4Department of Critical Care Medicine, First Hospital of Tsinghua University, Beijing 100016, China
- Author bio：
  
  *ozohom@163.com
- Funds：
- DOI：10.24920/004174
  中图分类号：
- 收稿日期：2022-10-01，
  
  录用日期：2023-02-14，
  
  网络出版日期：2023-03-09，
  
  纸质出版日期：2023-06-30
- Accepted：
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何伟, 曾学英, 张宏民, 等. 重症心脏超声培训后学员操作能力的自我评价[J]. 中国医学科学杂志（英文）, 2023,38(2):125-129.

Wei He, Xue-Ying Zeng, Hong-Min Zhang, et al. Self-Appraisal of Clinical Competence in Echocardiography of Chinese Intensivists Post Basic Echocardiography Training[J]. Chinese medical sciences journal, 2023, 38(2): 125-129.
何伟, 曾学英, 张宏民, 等. 重症心脏超声培训后学员操作能力的自我评价[J]. 中国医学科学杂志（英文）, 2023,38(2):125-129. DOI： 10.24920/004174.

Wei He, Xue-Ying Zeng, Hong-Min Zhang, et al. Self-Appraisal of Clinical Competence in Echocardiography of Chinese Intensivists Post Basic Echocardiography Training[J]. Chinese medical sciences journal, 2023, 38(2): 125-129. DOI： 10.24920/004174.

摘要

目的

调查参加初级重症心脏超声培训的重症医师的操作能力及其影响因素。

方法

本研究通过网络调查的形式对2019~2020年参加初级重症心脏超声培训的重症医师进行随访。收集参加培训人员的一般资料，重症心脏超声操作频率，超声诊断对治疗决策的影响，以及超声操作能力的自我评价。采用Mann-Whitney分析研究影响疾病定性判断，下腔静脉内径测量，左室射血分数和左室流出道速度-时间积分测量能力的因素。

结果

我们纳入了全国412家ICU的554名重症医师。在所有接受调查的医师中，33.4%（185/554）的医师认为重症心脏超声有10%~30%的可能误导治疗，仅6.1%（34/554）的医师认为重症心脏超声对治疗误导的可能性超过30%。在导师指导下完成超声检查和每周完成10次以上超声检查的医师，其对超声操作能力的自我评价更高（

0.05）。

结论

完成基础重症心脏超声培训后，重症医师对操作能力的自我评价仍较低。今后的培训应加强质控，以改善培训效果。

Abstract

Objectives

To learn the echocardiography skills of intensivists after receiving a basic critical care echocardiography training course

and investigate factors that may influence their performance.

Methods

We completed a web-based questionnaire that assessed the skills in ultrasound scanning techniques of intensivists who took a training course on basic critical care echocardiography held in 2019 and 2020. Mann-Whitney test was used to analyze the factors which might affect their performance on image acquisition

recognizing clinical

syndrome

and measuring the diameter of inferior vena cava

left ventricular ejection fraction and left ventricular outflow tract velocity-time integral.

Results

We enrolled 554 physicians from 412 intensive care units across China. Among them

185 (33.4%) reported that they had 10%-30% chance of being misled by critical care echocardiography when making therapeutic decision

and 34 (6.1%) reported that the chance was greater than 30%. Intensivists who performed echocardiography under the guidance of a mentor and finished ultrasound scanning more than 10 times per week reported significant higher scores in image acquisition

clinical syndrome recognition

and quantitative measurement of inferior vena cava diameter

left ventricular ejection fraction and left ventricular outflow tract velocity-time integral than those without mentor and performing echocardiography 10 times or less per week respectively (all

0.05).

Conclusion

The skills in diagnostic medical echocardiography of Chinese intensivists after a basic echocardiographic training course remain low

and further quality assurance training program is clearly warranted.

关键词

Keywords

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