加速康复外科团队中手术室护士的观点--问卷调查结果分析

The opinion of operating room nurse on the enhanced recovery after surgery(ERAS):A survey questionnaire

目的探讨手术室护士对加速康复外科(enhanced recovery after surgery,ERAS)的理解。方法对华西医院手术室215名护士[平均年龄(33.4±8.8)岁,男10例(4.7%),女205例(95.3%)]进行加速康复相关问卷调查,并对问卷结果进行分析。结果 (1)71.6%的手术室护士认为ERAS临床现状是理念大于实践,国外应用优于国内(15.8%),国内临床应用差。(2)认为ERAS成功与否的标准应是平均住院时间、患者感受及社会满意度的护士占84.2%;78.1%的护士认为团队建设是ERAS成功的关键。(3)ERAS共识与规范的研究与应用是临床推广的主要模式(91.2%),会议或论坛的主要内容应是宣传规范与共识(94.4%)。结论 ERAS理念已得到大家认可,团队建设是ERAS最佳实现模式。

Objective To investigate the opinions ofoperating room nurse （ORN） on enhanced recovery after surgery （ERAS）. Methods A questionnaire survey was performed among 215 ORNs in West China Hospital. There were 10 males and 205 females at age of 33.4±8.84 years. Results A total of 154 ORNs （71.6%） thought that we already had very good ERAS theory but we still needed more practice. Thirty-four ORNs（15.8%） thought that the application of ERAS was poor in our clinic comparing to other countries.A percentage of 84.2% （181/215） ORNs thought the criteria to judge whether the ERAS succeed or not should be average days of hospitalization, patients＇ feeling, and experience and social satisfactions. Besides, 78.1% （168/215） ORNs selected team building as the key point of ERAS success. There were 91.2% （196/215） ORNs who believed expert consensus and ERAS guide should be worked out and propagandized through academic forum or conference in order to popularize the ERAS. Conclusion The theory of ERAS has already been accepted by almost all the clinicians and team building is the best way to make ERAS work well.