北京地区12所二级以上医院助产士对分娩镇痛认知及支持度的调查研究  

An investigation on midwives'attitudes and the extent of support towards labor analgesia at 12 hospitals of secondary and higher level in Beijing

作　　者：武立民[1] 王秀丽 邢丽莉[2] 朱文静 王静[2] 何苗[1] WU Limin;WANG Xiuli;XING Lili;ZHU Wenjing;WANG Jing;HE Miao(Department of Anesthesiology,Peking University People's Hospital,Beijing 100044,China;Department of Obstetrics,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院麻醉科,北京100044 [2]北京大学人民医院产科,北京100044

出　　处：《麻醉安全与质控》2024年第2期80-83,共4页Perioperative Safety and Quality Assurance

摘　　要：目的了解助产士对分娩镇痛相关知识的认知及支持度现状,为今后加强产妇宣教,促进工作实施提供数据支撑和方向。方法采用横断面调查方法,于2021年10~12月以微信推送问卷星链接的方法,对北京地区12所二级以上医院助产士发放分娩镇痛认知及支持度调查问卷。调查内容涉及人员结构、知识认知及工作支持等三类10个问题。结果共计回收127份有效问卷。受访者广泛分布于北京地区三级和二级公立及民营医疗机构。78.7%的受访者从事助产工作5年以上,且拥有护师以上职称。80.3%的受访者认为椎管内神经阻滞技术是效果最为切实可靠的分娩镇痛方法。助产士对采用椎管内神经阻滞技术行分娩镇痛主要疑虑集中在:影响产程(70.9%)、助产人员短缺(37.8%)、增加工作量(36.2%)。助产士最为担心麻醉药对产妇和/或胎儿呼吸的影响(75.6%)。尽管96.0%的助产士对椎管内神经阻滞分娩镇痛持支持态度,且有97.6%受访者希望达到更高比例,但仍有24.4%医疗机构,近3个月分娩镇痛比例不足40.0%。结论椎管内神经阻滞分娩镇痛效果确切且普遍为助产士接受。助产士对分娩镇痛的认知层面仍存有较多顾虑,加之人力不足可能一定程度限制了此项工作的推进,未来应加强宣教,扩充人力以促进工作更好开展。Objective To investigate the current situation of the attitudes and support of the midwives towards labor analgesia,in order to carry out education for parturients and promote the implementation of labor analgesia.Methods With the adoption of cross-sectional survey method,self-designed questionnaires about labor analgesia were distributed via WeChat,targeting the midwives working at 12 hospitals of secondary and higher level in Beijing,from October to December 2021.The content of investigation included 10 questions such as constitution of staff,cognition of knowledge,extent of support.Results A total of 127 questionnaires were collected in total.A wide range of participants was targeted,involving those working at public and private medical institutions of secondary and tertiary level.Altogether 78.7% of the midwives had working experience for more than 5 years and position above senior registered nurse.80.3% of the midwives believing intrathecal nerve block is the most effective and reliable method of labor analgesia.The main concerns that the midwives had on labor analgesia were concentrated on the following parts,affecting labor stage(70.9%),shortage of staff(37.8%),increased workload(36.2%).The midwives were most worried about the adverse effect of anesthetics on the respiration of parturients and fetuses(75.6%).Although 96% of the midwives support the intrathecal nerve block and 97.6% of them expected it to achieve higher proportion of implementation,the proportion of labor analgesia was less than 40% for 24.4% medical institutions in the last three months.Conclusion The effect of intrathecal nerve block was definite and was widely accepted by the midwives.Meanwhile,the midwives did have some prominent concerns on the cognition of labor analgesia,along with staff shortage which could inhibit the promotion to some extent.Publicity and education as well as labor supply should be taken into consideration in order to promote a better implementation of labor analgesia.

关 键 词：助产士 分娩镇痛 认知 支持度 调查研究 

分 类 号：R714.3[医药卫生—妇产科学] R614[医药卫生—临床医学]