312名贵州省骨科护士加速康复外科认知现状调查

A survey of 312 orthopaedics nurses' cognition of enhanced recovery after surgery in Guizhou Province

目的调查分析贵州省骨科护士对加速康复外科(enhanced recovery after surgery,ERAS)的认知现状。方法采用便利抽样方法,于2018年6月至7月使用四川大学华西医院骨科张馨予等编制的ERAS知信行调查问卷对贵州省7家医疗单位的骨科护士进行问卷调查,统计ERAS的认可度和各维度得分。结果共发放问卷322份,回收有效问卷312份(96.89%)。312名骨科护士ERAS知识维度总分为(30.44±12.54)分;98.40%的护士认为ERAS对病人术后恢复有帮助且愿意参加ERAS培训,96.47%愿意参与ERAS相关的科研工作,15.06%的护士经常在临床工作中实施ERAS措施。结论312名贵州省骨科护士的ERAS知识处于中等偏下水平,态度和行为高度不匹配。建议护理管理者应寻找原因,在选择合适的教育模式的同时制定完善的考核体制,促进护士ERAS相关知识的提高,提高ERAS临床实施率,以便更好地为病人服务。

Objective To investigate the cognitive status of orthopaedics nurses in enhanced recovery after surgery(ERAS) in Guizhou Province. Methods From June to July 2018, using the convenient sampling method, a questionnaire survey was conducted on orthopaedics nurses in 7 medical units in Guizhou Province through the ERAS knowledge, trust and behavior questionnaire compiled by Zhang Xin-yu, Orthopaedics Department of West China Hospital of Sichuan University, the recognition of ERAS and scores of each dimension of the scale were analyzed. Results A total of 322 questionnaires were distributed and 312 valid questionnaires(96.89%) were obtained. The total score of 312 orthopaedics nurses was(30.44 ± 12.54) in knowledge dimension of ERAS, 98.40% believed that ERAS was helpful for postoperative recovery and willing to receive ERAS training, 96.47% were willing to participate in ERAS related scientific research, and 15.06%orthopaedics nurses often implemented ERAS measures in clinical work. Conclusion Orthopaedics nurses in Guizhou Province have a lower level of understanding of the theory of ERAS, and their attitudes and behaviors are highly mismatched. It is suggested that nursing managers should find out the reasons, develop a sound assessment system while seeking for a more appropriate education model, promote the improvement of nurses' ERAS related knowledge, improve the clinical implementation rate of ERAS, so as to better serve the patients.