数字直肠检查:关于当前态度的观点,培训医生对其执行的激励因素和障碍
Mary Teoh1, Daniel Lee2, David Cooke2
1General and Colorectal Surgery, Sir Charles Gairdner Hospital, Perth, AUS.
Cureus
|June 21, 2023
概括
数字直肠检查 (DRE) 的使用量已经下降,原因是受训医生对数字直肠检查的信心较低. 改善培训和支持可以提高这一至关重要的诊断技能.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 诊断程序 诊断程序 诊断程序
背景情况:
- 数字直肠检查 (DRE) 是一个重要的诊断工具,使用率正在下降.
- 在正在培训的医生 (DiT) 中,了解DRE表现的障碍和促进因素至关重要.
研究的目的:
- 评估DiT对DRE的态度,促进因素和障碍.
- 确定改善DRE的一致性,效率和有效性的策略.
主要方法:
- 在西澳大利亚的三个医疗服务地区,对1652名DiTs进行了匿名调查.
- 使用SPSS版本27收集和分析了定量和质量数据.
主要成果:
- 只有452名 (27%) 的DiTs反应;50%的人表示对DRE感到舒适.
- 关键障碍包括陪伴者可用性,感知入侵性和缺乏信心.
- 正式培训,高级支持,大量实践和诊断信心是关键的推动因素.
结论:
- 低信心和舒适度有助于DRE在DiT中使用不足.
- 未来的干预措施应侧重于消除障碍,并在DRE培训和实践中促进推动者.
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