The recognition and attitudes of postgraduate medical students toward fecal microbiota transplantation: a questionnaire study
The recognition and attitudes of postgraduate medical students toward fecal microbiota transplantation: a questionnaire study
复制标题
医学研究生对粪便菌群移植的认知和态度：问卷调查
DOI：
10.1177/1756284819869144
复制
发表时间：
2019-08-01
影响因子：
4.2
通讯作者：
Zhang，Faming
中科院分区：
文献类型：
--
作者：
Wu，Xia;Dai，Min;Zhang，Faming
背景：世界上的医生和医学生对粪便微生物群移植（FMT）的认识并不高。本研究旨在探讨医研究生对FMT的认知和态度，并提高对FMT的认识。方法：采用自填问卷对六所医科大学的一年级医学研究生进行调查。进行基本的描述性统计分析。结果：共纳入合格问卷1828份。47.76%的学生在调查前不了解FMT。对FMT认知程度高的受访者比认知程度低的受访者更愿意捐献粪便或接受FMT治疗（80.26%比69.62%,p = 0.000； 56.80%比41.45%,p = 0.000）。来自国内FMT领先机构的受访者对FMT的认知度较高，42.26%的受访者通过医学讲座了解FMT。受访者不支持FMT的主要原因是：临床证据报告有限（67.94%）、技术原始（42.56%）和缺乏对患者意愿或成本-效果的分析（36.71%）。然而，救生价值（84.41%）、自动净化系统（38.68%）、费用低（36.00%）和运送方式方便（35.67%）是支持FMT的主要考虑因素。结论：本研究揭示了医研究生对FMT的认知水平较低。因此，医学教育不应忽视FMT的知识。应开展FMT研究和标准化FMT研究，促进FMT的发展。
Background: Physicians and medical students in the world do not have high awareness of fecal microbiota transplantation (FMT). This study aimed to explore the recognition and attitude of postgraduate medical students towards FMT and to create awareness for it. Methods: A self-administered questionnaire was distributed to first-year Chinese postgraduate medical students across six medical universities. Basic descriptive statistical analyses were performed. Results: A total of 1828 eligible questionnaires were included into analysis. 47.76% of students did not know FMT prior to this survey. Respondents with a high-level recognition of FMT were more willing to donate feces or receive FMT therapy than those with a low-level recognition (80.26% vs. 69.62%, p = 0.000 and 56.80% vs. 41.45%, p = 0.000). The respondents from a leading institution of FMT in China showed better awareness compared with others, and 42.26% of them knew about FMT from medical lectures. The main reasons for respondents not supporting FMT were: limited reported clinical evidence (67.94%), raw technology (42.56%), and lack of analysis of patient willingness or cost-effectiveness (36.71%). However, the life-saving value (84.41%), the automatic purification system (38.68%), low expenses (36.00%), and convenient delivering ways (35.67%) were the major considerations for supporting FMT. Conclusions: This study revealed the low recognition level of postgraduate medical students about FMT. Therefore, medical education should not neglect the knowledge of FMT. Studies of FMT and standardized FMT should be carried out to promote its development.