医务人员椎管内分娩镇痛认知情况的调查

The investigation on the group differences in the cognition of labor analgesia in medical staff

目的调查不同医务人员群体对分娩镇痛的认知程度,探讨其对椎管内分娩镇痛开展的影响。方法对北京妇产医院麻醉科、产房、产科及其他科室医务人员群体进行分娩镇痛问卷调查。结果共发放问卷530份,收回有效答卷504份(95.1%)。在全体医务人员中,听说过椎管内分娩镇痛者占93.3%,其中清楚了解者占14.4%,48.8%的医务人员认为其他镇痛措施无效的产妇才适合椎管内镇痛,32.2%的医务人员认为非药物性方法是目前最好的分娩镇痛方法,42.4%的医务人员赞成椎管内分娩镇痛,57.4%的医务人员持不赞成也不反对态度。对于分娩镇痛知识,麻醉科医务人员84%为清楚了解,明显高于产房的18%、产科的8%和其他科室的10%(P<0.05);听说过、不了解的医务人员在产科占34%、其他科占39%,高于麻醉科的0%和产房的8%(P<0.05);对椎管内分娩镇痛持赞成态度者麻醉科为92%,高于产房的33%、产科的42%及其他科的40%(P<0.05);持不赞成也不反对态度者麻醉科为8%,低于产房的62%、产科的57%及其他科的59%(P<0.05)。结论不同部门医务人员对椎管内分娩镇痛的认知程度差别明显,提高医务人员对其利弊的正确了解,对于开展椎管内分娩镇痛工作是非常重要的。

Objective To investigate the group differences in the cognition of labor analgesia in medical staff and its influence on the application of labor analgesia. Methods A questionnaire survey was performed in medical staffs who belonged to the department of anesthesiology, delivery room, obstetrics, and others in Beijing Obstestric and Gynecologic Hospital. Results Valid questionnaires were 95.1%（504/530）. About 93.3% medical staffs heard of labor analgesia, in whom 14.4% were well understood, 48.8% thought epidural analgesia may be performed only when other analgesia methods were invalid, 32.2% thought that non-drug method was the best choice for labor analgesia. In all cases 42.4% approved epidural analgesia and 57.4% were in neutrality. There were 84% staffs with well understanding of epidural analgesia in the department of anesthesiology , which was higher than the department of delivery room （18%）, obtestric（8%） and others（10%）（P 〈 0.05）. Staffs of obtestric（34%） and other（39%） department who only heard of labor analgesia but not well understood more than that of department of anesthesiology（0%） and delivery room（8%）. 92% staffs of department of anesthesiology approved epidural analgesia, who was higher than that of delivery room （33%）, obtestric （42%） and others（40%）（P 〈 0.05）, 8% staffs with neutral viewpoints in department of anesthesiology was lower than that in delivery room （62%）, obtestric （57%） and others （59%）（P 〈 0.05）. Conclusions The cognition of labor analgesia of the medical staffs is significant different among different departments.h is important to make them well understand the labor analgesia, for improving epidural labor analgesia.