公立医院麻醉医生临床求助现状调查  

Prevalence survey of clinical help-seeking of anesthesiologists in public hospitals

作　　者：余遥[1] 陈晶[2] 罗爱林[1] Yu Yao;Chen Jing;Luo Ailing(Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院麻醉科,武汉430030 [2]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中华麻醉学杂志》2023年第1期84-88,共5页Chinese Journal of Anesthesiology

摘　　要：目的调查公立医院麻醉医生临床求助现状,为提高麻醉医生求助能力提供依据。方法通过自行编制的《麻醉医生临床求助调查问卷》对湖北省35家公立医院麻醉医生进行调查,分析人口统计学差异及求助相关的影响因素。结果麻醉医生求助态度问卷评分(3.6±0.4)分。麻醉医生求助需求问卷评分(2.7±0.6)分,求助行为问卷评分(3.0±0.4)分,得分最高项均为"特殊患者或病情突发状况而需求助",得分最低项均为"自身伤害隐患而需求助"。不同年龄和工作年限麻醉医生求助需求问卷评分比较差异有统计学意义(P<0.05),不同性别、年龄、职称、职务工作年限、人员类别以及是否获得执业医师资格的麻醉医生求助态度问卷评分、求助行为问卷评分比较差异无统计学意义(P>0.05)。认为"自己求助不及时或没有求助"的麻醉医生比率为35.4%,认为"同事求助不及时或没有求助"的麻醉医生比率为50.7%。求助需求未转化为求助行为原因中,"医生觉得自己可以解决"比率最高(74.0%)。结论公立医院麻醉医生的求助态度较积极,能较好将求助需求转化为行为,而求助延宕或不求助的主要原因是对自己的能力评估不准和不能较好把握求助时机,应针对性地进行培训来提高医生的求助能力。Objective To investigate the current situation of clinical help-seeking of anesthesiologists and analyze the influencing factors of help-seeking behaviors in order to provide a basis for improving the help-seeking ability of anesthesiologists.Methods The anesthesiologists in 35 public hospitals in Hubei province were investigated using a self-designed questionnaire,and the demographic differences and influencing factors related to help-seeking were analyzed.Results The score for the help-seeking attitude questionnaire of anesthesiologists was(3.6±0.4).The score for the help-seeking needs sub-questionnaire of anesthesiologists was(2.7±0.6),and the score for the help-seeking behavior sub-questionnaire was(3.0±0.4).The item with the highest score was"special patients or patient emergency needs help",and the item with the lowest score was"self injury potential needs help".There was a statistically significant difference in the scores for the help-seeking needs sub-questionnaire for anesthesiologists of different ages and working years(P<0.05),and there was no statistically significant difference in the scores for the help-seeking attitude questionnaire and help-seeking behavior sub-questionnaire for anesthesiologists of different genders,ages,professional titles,working years,personnel types,and whether they obtained a doctor′s license(P>0.05).The percentage of anesthesiologists who believed that"they did not ask for help timely or without asking for help"was 35.4%,and the percentage of anesthesiologists who believed that"colleagues did not ask for help timely or without asking for help"was 50.7%.Among the reasons why the need for help did not translate into help-seeking behavior,the percentage of anesthesiologists who believed that"doctors think they can solve"was the highest(74.0%).Conclusions Anesthesiologists in public hospitals have a positive attitude towards seeking-help and can better translate the need for help into behaviors.The main reasons for delay in seeking-help or non-seeking-help are inaccurate

关 键 词：麻醉学家 求助行为 调查和问卷 

分 类 号：R197.323[医药卫生—卫生事业管理]