妇科护士加速康复外科理念知信行现状的调查研究  

The current status of knowledge,attitude,and practice of enhanced recovery after surgery among gynecological nurses

作　　者：龚晶晶[1] 白莲花 魏小停 付立 李晓丹[1] 刘媛媛 GONG Jingjing;BAI Lianhua;WEI Xiaoting;FU Li;LI Xiaodan;LIU Yuanyuan

机构地区：[1]北京大学人民医院,北京市100044

出　　处：《中华护理教育》2024年第6期711-717,共7页Chinese Journal of Nursing Education

基　　金：中国整形美容协会资助项目(2119000412)。

摘　　要：目的了解妇科护士加速康复外科(enhanced recovery after surgery,ERAS)理念知信行现状。方法2023年8月,采取便利抽样法和滚雪球抽样法,选取来自20个省份的1553名妇科护士作为调查对象,采用一般资料调查表、妇科护士ERAS理念知信行问卷对其进行调查。结果共回收有效问卷1470份,有效问卷回收率为94.66%。1470名妇科护士ERAS理念知信行得分分别为(15.75±3.53)分、(23.57±2.62)分、(94.58±19.39)分。所在医院类别、所在科室床位数、ERAS实施时间、ERAS相关指南内容知晓情况、所在科室ERAS相关规章或流程拥有情况、成立ERAS小组情况、组织开展ERAS相关培训情况不同的妇科护士ERAS理念知信行得分比较,差异均有统计学意义(P<0.05)。结论妇科护士对ERAS的态度较为积极,但知识、行为水平仍有较大提升空间。护理管理者应注重对妇科护士ERAS理念知信行水平的评估,并基于妇科护士ERAS理念知信行水平特征对其进行针对性的干预,进而提高其ERAS理念知信行水平,保障ERAS在妇科手术围术期管理中的顺利实施,提升其实施效果。Objective To explore the current status of knowledge,attitude,and practice(KAP)related to enhanced recovery after surgery(ERAS)among gynecological nurses.Methods In August 2023,a convenience sampling method was used to select 1553 gynecological nurses from 20 provinces as the survey participants.A general information questionnaire and a gynecological nurse ERAS KAP questionnaire were used to conduct the survey.Results A total of 1470 valid questionnaires were collected,with a recovery rate of 94.66%.The scores of KAP related to ERAS among the 1470 gynecological nurses were(15.75±3.53),(23.57±2.62),and(94.58±19.39),respectively.Comparisons of ERAS knowledge,attitudes,and practices among gynecological nurses who work in different types of hospitals,numbers of beds in their departments,implementation time of ERAS,awareness of ERAS-related guidelines,departments with differing availability of ERAS-related regulations or procedures,departments with varying statuses of ERAS team establishment,and departments with different levels of organization for ERAS-related training revealed statistically significant differences(P<0.05).Conclusion Gynecological nurses have a positive attitude towards ERAS,but their knowledge and practice levels still need to be improved.Nursing managers should focus on assessing the KAP levels of gynecological nurses related to ERAS and implement targeted interventions based on their characteristics to improve their KAP levels and enhance the quality of gynecological ERAS nursing.

关 键 词：加速康复外科 护理 知信行 现状调查 

分 类 号：R473.71[医药卫生—护理学]