加速康复外科在中国大陆胸外科临床现状——基于胸外科医生及护士调查分析

发布时间：2018-09-03 08:23

【摘要】：背景与目的虽然加速康复外科(enhanced recovery after surgery,ERAS)理念近年来已逐渐被外科医生所熟悉和应用于临床实践中,但目前关于我国大陆胸外科医师对ERAS理念的认知和应用现状如何仍不清楚。本研究基于对参会胸外科医生和护士进行ERAS相关问题的问卷调查结果,分析加速康复外科在胸外科的应用现状和面临的困难。方法对参与第一届胸科ERAS华西论坛代表回复的773份有效问卷进行分析,问卷内容主要包括两部分:一是被调查人单位情况及个人基本情况;二是加速康复外科相关的10个问题。结果①ERAS的临床应用现状为理念大于实践,69.6%的医生和58.7%的护士认同此观点;88.5%的医生和85.7%护士均认为ERAS理念适用于所有外科。②ERAS临床应用依从性差的主要原因是方案不成熟、无共识和规范(55.6%的医生和69.1%的护士)。③ERAS临床实施的最佳团队组合是外科为主的学科协作及医护一体(62.1%的医生和70.7%的护士)。④73.7%的医生和81.9%的护士认为ERAS的评价标准应为:平均住院日、患者感受和社会满意度进行综合评价。结论加速康复外科在胸外科应用现状仍然是理念大于实践,主要原因是缺乏临床可用的规范和方案。
[Abstract]:Background and objective although the concept of accelerated rehabilitation surgery (enhanced recovery after surgery,ERAS) has been gradually familiar to surgeons and applied in clinical practice in recent years, it is still unclear about the cognition and application of ERAS among thoracic surgeons in mainland China. Based on the results of a questionnaire survey of ERAS related questions among thoracic surgeons and nurses attending the conference, the present situation and difficulties of accelerated rehabilitation surgery in thoracic surgery were analyzed. Methods A total of 773 valid questionnaires which were returned by the representatives of the first ERAS West China Forum of chest Department were analyzed. The questionnaires mainly included two parts: one was the unit situation and the basic situation of the individuals, the other was the 10 questions related to the accelerated rehabilitation surgery. Results the present situation of clinical application of 1ERAS was that 69.6% of doctors and 58.7% of nurses agreed with this view. 88. 5% of doctors and 85.7% of nurses all thought that the main reason for the poor compliance of ERAS concept to all surgical applications was that the scheme was immature. No consensus and specification (55.6% of doctors and 69.1% of nurses) .3The best team combination of clinical implementation of ERAs is surgical discipline collaboration and health care (62.1% doctors and 70.7% nurses) .473.7% doctors and 81.9% nurses think ERAS evaluation. The criteria should be: average length of stay, Patients' feelings and social satisfaction were evaluated. Conclusion the present situation of the application of accelerated rehabilitation surgery in thoracic surgery is still greater than that in practice, and the main reason is the lack of available norms and schemes in clinical practice.
【作者单位】：四川大学华西医院胸外科;
【基金】：四川省科技厅基金项目(No.2015SZ0158)资助~~
【分类号】：R655

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