【摘要】：背景與目的雖然加速康復(fù)外科(enhanced recovery after surgery,ERAS)理念近年來(lái)已逐漸被外科醫(yī)生所熟悉和應(yīng)用于臨床實(shí)踐中,但目前關(guān)于我國(guó)大陸胸外科醫(yī)師對(duì)ERAS理念的認(rèn)知和應(yīng)用現(xiàn)狀如何仍不清楚。本研究基于對(duì)參會(huì)胸外科醫(yī)生和護(hù)士進(jìn)行ERAS相關(guān)問(wèn)題的問(wèn)卷調(diào)查結(jié)果,分析加速康復(fù)外科在胸外科的應(yīng)用現(xiàn)狀和面臨的困難。方法對(duì)參與第一屆胸科ERAS華西論壇代表回復(fù)的773份有效問(wèn)卷進(jìn)行分析,問(wèn)卷內(nèi)容主要包括兩部分:一是被調(diào)查人單位情況及個(gè)人基本情況;二是加速康復(fù)外科相關(guān)的10個(gè)問(wèn)題。結(jié)果①ERAS的臨床應(yīng)用現(xiàn)狀為理念大于實(shí)踐,69.6%的醫(yī)生和58.7%的護(hù)士認(rèn)同此觀點(diǎn);88.5%的醫(yī)生和85.7%護(hù)士均認(rèn)為ERAS理念適用于所有外科。②ERAS臨床應(yīng)用依從性差的主要原因是方案不成熟、無(wú)共識(shí)和規(guī)范(55.6%的醫(yī)生和69.1%的護(hù)士)。③ERAS臨床實(shí)施的最佳團(tuán)隊(duì)組合是外科為主的學(xué)科協(xié)作及醫(yī)護(hù)一體(62.1%的醫(yī)生和70.7%的護(hù)士)。④73.7%的醫(yī)生和81.9%的護(hù)士認(rèn)為ERAS的評(píng)價(jià)標(biāo)準(zhǔn)應(yīng)為:平均住院日、患者感受和社會(huì)滿意度進(jìn)行綜合評(píng)價(jià)。結(jié)論加速康復(fù)外科在胸外科應(yīng)用現(xiàn)狀仍然是理念大于實(shí)踐,主要原因是缺乏臨床可用的規(guī)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.
【作者單位】： 四川大學(xué)華西醫(yī)院胸外科;
【基金】：四川省科技廳基金項(xiàng)目(No.2015SZ0158)資助~~
【分類(lèi)號(hào)】：R655

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