胸外科医护人员预康复知信行现状及影响因素分析

摘要
图/表
参考文献(30)
相关文章 (15)

全文: PDF (616 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的调查胸外科医护人员预康复知信行（KAP）现状，并分析其影响因素，为促进预康复临床实践提供支持。方法2020年11月至12月，选取重庆市38所综合医院的394名胸外科医护人员作为研究对象。使用自制的预康复知信行问卷评估其预康复KAP水平，采用单因素和多因素分析胸外科医护人员预康复KAP水平的影响因素。结果胸外科医护人员预康复KAP总分为（63.87±9.16）分，知识得分为（26.20±4.84）分，态度得分为（22.28±2.52）分，行为得分为（15.39±4.51）分，知识与态度、知识与行为、态度与行为均呈正相关（P ＜ 0.01）。单因素分析结果显示，不同年龄、学历、工作年限、职务、医院级别和科室是否实施加速康复外科的胸外科医护人员预康复KAP得分差异有统计学意义（P ＜ 0.05）。多元线性回归分析结果显示，工作年限（X3）、医院级别（X5）、科室是否实施加速康复外科（X6）是预康复KAP水平的影响因素（P ＜ 0.05）。得到线性回归方程：Y = 93.269-4.270 X3-3.290X5-7.123X6，F值＝42.902，R2 ＝ 0.420，调整后R2 ＝ 0.410。结论胸外科医护人员预康复KAP处于中等水平，其预康复态度积极，知识和行为水平亟待提高。工作年限、医院级别、科室是否实施加速康复外科是胸外科医护人员预康复KAP水平的影响因素，应加强低年资医护人员及基层医院预康复的教育培训，推动科室加速康复外科实施，促进预康复临床实践。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	陈爱莲唐文凤徐连杨小艺张诚吴庆琛

关键词 ：预康复, 加速康复外科, 知识, 信念, 行为, 胸外科, 医护人员, 影响因素

Abstract：Objective To investigate the current situation of the knowledge, attitude, and practice (KAP) of prehabilitation medical staffs in department of thoracic surgery and its influencing factors, and to provide reference for clinical practice. Methods From November to December 2020, 394 medical staffs working in department of thoracic surgery of 38 general hospitals in Chongqing were selected as the research objects. The current situation of KAP level about prehabilitation was evaluated by using the self-designed KAP questionnaire. The single factor and multi-factor analysis were used to analyze the influencing factors of KAP level about prehabilitation of medical staffs working in department of thoracic surgery. Results The total score of KAP of medical staff in department of thoracic surgery was (63.87±9.16) points, the knowledge score was (26.20±4.84) points, the attitude score was (22.28±2.52) points, and the practice score was (15.39±4.51) points. Knowledge and attitude, knowledge and behavior, attitude and behavior were positively correlated (P < 0.01). The results of univariate analysis showed that there was significant difference in the score of knowledge, attitude and practice of pre-habilitation among thoracic medical staff of different age, education background, working years, position, hospital level and department whether to implement enhanced recovery after surgery of medical staff in department of thoracic surgery (P < 0.05). Multivariate regression analysis showed that working years (X3), hospital levels (X5), and whether the department had implemented enhanced recovery after surgery (X6) were influencing factors of medical staff in department of thoracic surgery (P ＜ 0.05). The linear regression equation was obtained: Y = 93.269-4.270 X3-3.290X5-7.123X6, F ＝ 42.902, R2 ＝ 0.420, adjusted R2 ＝ 0.410. Conclusion Medical staffs working in department of thoracic surgery have a positive attitude towards prehabilitation, but their knowledge and practice need to be improved. Working years, hospital levels, and whether their departments had implemented enhanced recovery after surgery were influencing factors of KAP level, the education and training of pre-habilitation should be strengthened for junior medical staff and primary hospitals, and accelerate the implementation of enhanced recovery after surgery in departments, so as to and promote the clinical practice of pregailitation.

Key words： Prehabilitation Enhanced recovery after surgery Knowledge Attitude Practice Thoracic surgery Medical staff Influencing factors

基金资助:重庆市科卫联合医学科研项目（2020MSXM131）；
重庆医科大学附属第一医院护理科研基金项目（HLJJ2020-08）

通讯作者: 唐文凤（1969-），女，副主任护师，副教授，硕士生导师；研究方向：外科护理。

作者简介: 陈爱莲（1996-），女，重庆医科大学第一临床学院2019级护理专业在读硕士研究生；研究方向：外科护理。

引用本文:

陈爱莲唐文凤徐连杨小艺张诚吴庆琛. 胸外科医护人员预康复知信行现状及影响因素分析[J]. 中国医药导报, 2022, 19(14): 192-196.
CHEN Ailian TANG Wenfeng XU Lian YANG Xiaoyi ZHANG Cheng WU Qingchen. Analysis of the current situation and influencing factors of knowledge, attitude, and practice of prehabilitation among medical staff in department of thoracic surgery. 中国医药导报, 2022, 19(14): 192-196.

链接本文:

https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I14/192

[1] Scheede BC，Minnella EM，Carli F. Multi-modal prehabilitation： addressing the why，when，what，how，who and where next? [J]. Anaesthesia，2019，74（1）：20-26.
[2] 倪隽.肺癌患者肺康复的临床实践证据[J].中国康复医学杂志，2018，33（6）：626-629.
[3] Giles C，Cummins S. Prehabilitation before cancer treatment [J]. BMJ，2019，15（2）：366-367.
[4] Batchelor TJ，Rasburn NJ，Abdelnour BE，et al. Guidelines for enhanced recovery after lung surgery： recommendations of the Enhanced Recovery After Surgery （ERAS?） Society and the European Society of Thoracic Surgeons （ESTS）[J]. Eur J Cardiothorac Surg，2019，55（1）：91-115.
[5] Alderman G，Keegan R，Semple S，et al. Physical activity for people living with cancer：Knowledge，attitudes，and practices of general practitioners in Australia [J]. PLoS One，2020，15（11）：e0241668.
[6] Gregg N，Jamie B，Eleftheria K，et al. Guidelines for Perioperative Care in GynecologicOncology：Enhanced Recovery After Surgery （ERAS） Society Recommendations [J]. Int J Gynecol Cancer，2019，74（7）：651-668.
[7] Venetia WB，Krishna M. Prehabilitation：preparing patients for surgery [J]. BMJ，2017，4（4）：358-359.
[8] Dezube AR，Cooper L，Jaklitsch MT. Prehabilitation of the Thoracic Surgery Patient [J]. Thorac Surg Clin，2020，30（3）：249-258.
[9] Rosero ID，Ramírez VR，Lucia A，et al. Systematic Review and Meta-Analysis of Randomized，Controlled Trials on Preoperative Physical Exercise Interventions in Patients with Non-Small-Cell Lung Cancer [J]. Cancers，2019，11（7）：944-963.
[10] Daniel S，Paula RB，Mark H，et al. Preoperative exercise halves the postoperative complication rate in patients with lung cancer：a systematic review of the effect of exercise on complications，length of stay and quality of life in patients with cancer [J]. Br J Sports Med，2018，52（5）：344-359.
[11] Karlsson E，Dahl O，Rydwik E，et al. Older patients’ attitudes towards，and perceptions of，preoperative physical activity and exercise prior to colorectal cancer surgery-a gap between awareness and action [J]. Support Care Cancer，2020，28（8）：3945-3953.
[12] Waterland JL，Ismail H，Amin B，et al. Patient acceptance of prehabilitation for major surgery：an exploratory survey [J]. Support Care Cancer，2021，29（2）：779-785.
[13] Shukla A，Granger CL，Wright GM，et al. Attitudes and Perceptions to Prehabilitation in Lung Cancer [J]. Integr Cancer Ther，2020，19（1）：1-6.
[14] Pouwels S，Topal B，Ter JF，et al. The usefulness of preoperative exercise therapy in patients scheduled for lung cancer surgery; a survey among Dutch pulmonologists and cardiothoracic surgeons [J]. Support Care Cancer，2020，28（4）：1983-1989.
[15] Michael HG，Vladimir B，Hilmy I，et al. A cross-sectional survey of Australian anesthetists’ and surgeons’ perceptions of preoperative risk stratification and prehabilitation [J]. Can J Anaesth，2019，66（4）：388-405.
[16] 任子淇，许勤，张天资.预康复在癌症患者中应用的研究进展[J].中国康复医学杂志，2019，34（4）：487-490.
[17] Behzadmehr R，Doostkami M，Sarchahi Z，et al. Radiation protection among health care workers：knowledge，attitude，practice，and clinical recommendations：a systematic review [J]. Rev Environ Health，2020，36（2）：223-234.
[18] 谢家兴，魏丽巍，胡燕利，等.31个省份护士康复护理知信行现状的调查研究[J].中华护理杂志，2020，55（6）：900-905.
[19] 王聪，万群芳，曾奕华，等.呼吸科护理人员肺康复知信行现状的调查研究[J].中华现代护理杂志，2019，25（7）：875-879.
[20] 王涛，黄珍珍，颜巧元，等.社区健康服务中心医护人员肺康复认知调查[J].护理学杂志，2021，36（4）：90-92.
[21] 李幼生.营养不良、预康复与加速康复外科[J].中华医学杂志，2018，98（40）：3227-3229.
[22] 张艳平，金姬延，刘东晖，等.腰椎后路减压融合内固定术加速康复外科对骨科护士护理的知识、信念和行为的效果分析[J].中国微创外科杂志，2021，21（2）：139-144.
[23] 王静，吴群芳，张培培，等.基于循证的加速康复外科护理在脊柱侧凸围术期患者中的应用[J].中国医药导报，2021，18（20）：176-179，187.
[24] 王欢，王丛笑，汪杰，等.基于ERAS理念早期康复对内侧间室膝骨关节炎胫骨高位截骨术后的早期疗效[J].中国临床研究，2021，34（7）：937-941.
[25] 邱田，刘子嘉，黄宇光.预康复在加速术后康复中的价值[J].临床麻醉学杂志，2018，34（3）：296-298.
[26] 刘子嘉，黄宇光.“三联预康复”：ERAS的术前优化[J].医学与哲学（B），2017，38（6）：12-14.
[27] 车国卫.加速康复外科-临床应用加减之间[J].中国肺癌杂志，2019，22（11）：681-686.
[28] 徐志慧.加速康复外科护理理念对口腔癌行皮瓣移植术后患者营养状况和康复情况的影响[J].中国医药科学，2022，12（4）：115-118，145.
[29] 刘世腾，毛谅，伏旭，等.ERAS理念对中晚期肝细胞癌腹腔镜手术患者细胞免疫功能及预后的影响[J].临床和实验医学杂志，2021，20（1）：42-46.
[30] 万长桂，陶一蕾.加速康复外科理念围手术期护理在宫颈癌根治术患者术后康复中的应用[J].中国当代医药，2021，28（36）：208-211.