Abstract: Objective To investigate the cognitive status and practice intention of enhanced recovery after surgery (ERAS) among surgical staffs in Tibet Autonomous Region. Methods A questionnaire designed by ourselves was sent to surgical staffs in Tibet Autonomous Region via the network platform. The data were recorded by the system automatically. The full score of the survey was 14 in the cognitive status part. Multinomial logistic regression analysis was used to investigate the related influenc factors of the cognitive status. Results A total of 233 valid questionnaires were collected, with a 97.5% recovery rate. The median age of the participants was 35 years old. The survey covered surgical staffs with different ages and different seniority from all kinds of hospitals and from all the regions in Tibet. The cognition degree of ERAS knowledge was from 3.0% (risk factors of postoperative nausea and vomiting) to 67.4% (preoperative education, nutrition support and medication optimization) among surgical staffs in Tibet Autonomous Region. The median score of the cognitive status part was 4 [4(3,6)], and 51 of them scored 7 or above (21.9%). The results of multinomial logistic regression analysis showed that doctors (regression coefficient=0.349, P＜0.05), staffs of anesthesiology department (regression coefficient=0.774, P＜0.01) and staffs with senior professional title (regression coefficient=0.634, P＜0.05) performed significantly better in the ERAS knowledge cognition. The staffs from general surgical department had significantly better cognitive ability of ERAS than surgical staffs from other departments (P＜0.05). 72.9% participants in this study were willing to receive systematic trainings of ERAS, and 74.6% of them were willing to practice ERAS clinically. Conclusions Surgical staffs in Tibet Autonomous Region have poor cognition of perioperative ERAS generally. However, they have strong intention to receive ERAS-related training, as well as enthusiasm of ERAS clinical practice. It is necessary to carry out ERAS education and to explore the management of ERAS in the Tibet Autonomous Region constantly.

Key words: enhanced recovery after surgery, Tibet Autonomous Region, surgical staff, questionnaire