西藏自治区外科医护人员对加速康复外科认知现状、教学与实践意愿的调查分析

基础医学与临床 ›› 2021, Vol. 41 ›› Issue (1): 139-143.

西藏自治区外科医护人员对加速康复外科认知现状、教学与实践意愿的调查分析

平措曲珍¹, 刘子嘉^2*, 李艺¹, 拉巴次仁¹, 黄宇光²

1.西藏自治区人民医院手术麻醉科,西藏拉萨 850000;
2.中国医学科学院北京协和医学院北京协和医院麻醉科,北京 100730

收稿日期:2020-07-09 修回日期:2020-09-29 出版日期:2021-01-05 发布日期:2020-12-30
通讯作者: ^*liu-zj02@126.com

A survey on cognition status, education and practice intention of enhanced recovery after surgery (ERAS) among surgical staffs in Tibet Autonomous Region

Pingcuoquzhen¹, LIU Zi-jia^2*, LI Yi¹, Labaciren¹, HUANG Yu-guang²

1. Department of Anesthesiology and Operating Room, Tibet Autonomous Region People's Hospital, Lhasa 850000;
2. Department of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China

Received:2020-07-09 Revised:2020-09-29 Online:2021-01-05 Published:2020-12-30
Contact: ^*liu-zj02@126.com

摘要/Abstract

摘要： 目的调查西藏自治区外科医护人员对于加速康复外科(ERAS)的认知现状与实践意愿。方法采用自行设计的调查问卷,借助网络平台将调查问卷发放给西藏自治区在职外科医护人员,系统自动记录答卷情况。认知情况调查满分为14分。以多元logistic回归分析ERAS认知现状的相关影响因素。结果共回收有效问卷233份,回收率为97.5%。参与调查人员中位年龄35岁,涵盖西藏各地区、各级医院及各职称和年资医护人员。西藏自治区外科医护人员对于ERAS各方面知识的认知率为3.0%(术后恶心呕吐的高危因素)至67.4%(术前应对患者进行宣教、营养支持与用药优化)。调查对象对ERAS认知情况得分为4分[4(3,6)],得分7分及以上共51人(21.9%)。使用多元logistic回归分析结果显示医生(回归系数0.349,P＜0.05)、麻醉科室人员(回归系数0.774,P＜0.01)、高级职称人员(回归系数0.634,P＜0.05)对于ERAS的认知情况显著好于其他医护人员。普外科医护人员对ERAS的认知力,显著优于其他外科医护人员(P＜0.05)。 72.9%的医护人员愿意接受ERAS相关系统培训,74.6%愿意在临床工作中开展ERAS实施管理。结论西藏自治区外科医护人员对于ERAS围术期管理的认知力普遍较低,但接受ERAS培训的意向较强,临床实践热情较高。在西藏自治区持续开展ERAS教学,探索ERAS实践是必要的。

关键词: 快速康复外科, 西藏自治区, 外科医护人员, 问卷调查

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

中图分类号:

R614

平措曲珍, 刘子嘉, 李艺, 拉巴次仁, 黄宇光. 西藏自治区外科医护人员对加速康复外科认知现状、教学与实践意愿的调查分析[J]. 基础医学与临床, 2021, 41(1): 139-143.

Pingcuoquzhen, LIU Zi-jia, LI Yi, Labaciren, HUANG Yu-guang. A survey on cognition status, education and practice intention of enhanced recovery after surgery (ERAS) among surgical staffs in Tibet Autonomous Region[J]. Basic & Clinical Medicine, 2021, 41(1): 139-143.

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