医生在培训和高级实践提供者在管理外科手术期间阻塞性睡眠呼吸暂停的看法:一个多机构调查
M Melanie Lyons1, Dennis H Auckley2, Babak Mokhlesi3
1Division of Pulmonary, Critical Care, and Sleep Medicine, College of Medicine, Wexner Medical Center, The Ohio State University, Columbus, Ohio.
概括
医生在培训和先进的实践提供者有不同的知识和实践关于阻塞性睡眠呼吸暂停 (OSA) 查在术后期. 提高对OSA的教育水平
科学领域:
- 睡眠医学 睡眠医学
- 麻醉学 麻醉学
- 手术护理 手术护理
背景情况:
- 对于正在培训的医生和高级实践提供者 (APP) 进行的睡眠障碍,包括阻塞性睡眠呼吸暂停 (OSA) 的有限的正式教育.
- 这些医疗保健专业人员往往是患者的第一个接触点,需要他们了解OSA及其外科影响.
研究的目的:
- 调查正在培训的医生和APP在外科手术期间对阻塞性睡眠呼吸暂停 (OSA) 的看法和查实践.
- 根据临床角色和专业,识别OSA知识和查方面的差异.
主要方法:
- 在五个主要的实践类别中,向正在培训的医生和APP分发了一项多机构的电子调查.
- 使用统计分析,包括使用FDR调整的Cochran-Mantel-Haenszel测试,来评估参与者特征和调查答案之间的关联.
- 布雷斯洛-戴测试评估了几率比率的同质性.
主要成果:
- 很高的百分比 (97%) 承认OSA是外科手术期间的风险因素,但37.9%的人不知道他们的机构的查工具,根据临床作用和实践类别的变化.
- 虽然66.5%的人经常进行OSA症状查,但很大一部分,特别是手术 (48%) 和产科/妇科 (46%),没有.
- 高级实践提供者和麻醉学/医疗专业提供者报告的OSA查频率分别高于住院生/研究员和外科服务.
结论:
- 在不同的临床角色和专业之间,术后阻塞性睡眠呼吸暂停 (OSA) 查存在实质性的差异.
- 加强提供者教育对于改善在外科手术期间风险评估和患者护理中OSA的识别和管理至关重要.
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