摘要
目的采用问卷形式调查我国二级医院麻醉医生对加速康复外科(ERAS)的认知情况和临床实践现状,为提升ERAS在全国的推广与普及提供参考。方法采用方便抽样方法,自行设计调查问卷,于2021年4月至11月对我国二级公立医院麻醉医生开展ERAS认知情况的调查,并分析其相关影响因素,同时调查麻醉医生ERAS临床实践现状与继续教育意愿。结果本研究发放问卷879份,回收有效问卷864份,回收率98.3%。参与调查的麻醉医生分布于全国31个省级行政区,其对ERAS认知情况得分(满分18分)为12.00(3.75)分,麻醉医生认知情况合格(得分≥12分)共563名(65.2%)。不同地理区域、年龄、学历、职称及工作年限的麻醉医生对ERAS认知情况差异有统计学意义(P<0.05)。有817名(94.6%)参与调查的麻醉医生认为ERAS管理对患者是有益,有778名(90.0%)认为在二级医院也应尽可能开展ERAS管理。有255名(29.5%)参与调查的麻醉医生在临床从未开展ERAS管理,不同地理区域麻醉医生ERAS管理的开展情况差异有统计学意义(P<0.05)。有848名(98.1%)参与调查的麻醉医生表示愿意接受ERAS的系统培训,目前最主要的获取相关知识的途径是参加线上学习和阅读相关书籍。结论ERAS在我国二级医院麻醉医生中认知和临床实践水平有待提高。应通过持续开展多种形式的下基层ERAS教学,不断推进ERAS在我国的广泛实践。
Objective To investigate the cognition and clinical practice status of Enhanced Recovery After Surgery(ERAS)among anesthesiologists in secondary hospitals in China using a questionnaire,trying to provide some references for the promotion and popularization of ERAS across China.Methods From April to November 2021,anesthesiologists in secondary public hospitals across the country were enrolled by convenience sampling and investigated by a self-designed questionnaire on the cognition,clinical practice status and their teaching needs about ERAS.Influencing factors of ERAS cognition were then analyzed.Results Totally 879 questionnaires were sent out,864 were effectively received with effective recovery of 98.3%.The anesthesiologists in this survey were distributed in 31 provincial administrative regions across the country.The score of the ERAS cognition(total score of 18)was 12.00(3.75),and 563 participants(65.2%)were qualified on cognitive status(score≥12).Geographic region,age,educational qualification,professional title and length of occupation were found to have significant influence on ERAS cognition(P<0.05).Among the anesthesiologists who participated in the survey,817 participants(94.6%)recognized that ERAS management was beneficial to patients,and 778(90.0%)of them agreed that ERAS management should be carried out as much as possible in secondary hospitals.Two hundred and fifty-five(29.5%)participants had never implemented ERAS management in clinic anesthesia.There were significant differences in the ERAS practice status among participants from different geographical regions in China(P<0.05).Eight hundred and forty-eight(98.1%)anesthesiologists who participated in the survey expressed their willingness to receive further systematic training on ERAS,and taking online courses and reading books were the current main ways to obtain related knowledge.Conclusions The cognition and clinical practice status of ERAS need to be improved among anesthesiologists in secondary hospitals in our country.Sustained ERAS educa
作者
刘子嘉
刘宇超
申乐
黄宇光
Liu Zijia;Liu Yuchao;Shen Le;Huang Yuguang(Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2022年第4期439-443,共5页
Chinese Journal of Anesthesiology
基金
中国医学科学院中央级公益性科研院所基本科研业务费临床与转化医学研究基金项目(2019XK320023)。
关键词
麻醉学家
加速康复外科
二级护理中心
调查和问卷
Anesthesiologists
Enhanced recovery after surgery
Secondary care centers
Surveys and questionnaires
