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麻醉师在中国严重脑创伤管理方面的知识,态度和实践:一项跨部门研究
Chaochao Zha1, Xuehua Che1, Li Xiong2
1Department of Anesthesiology, Huashan Hospital, Fudan University, Shanghai, 200040, People's Republic of China.
International journal of general medicine
|March 3, 2025
概括
中国的麻醉师表现出适度的知识和积极的态度,但在严重的脑创伤外科手术前管理方面实践不足. 增加的外科经验与更高的知识,态度和实践 (KAP) 分数相关,表明需要有针对性的培训.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 创伤护理 创伤护理
背景情况:
- 严重的脑创伤需要由麻醉师进行专业的外科手术管理.
- 了解中国麻醉师当前的知识,态度和实践 (KAP) 水平对于改善患者的治疗结果至关重要.
研究的目的:
- 探索中国麻醉师对严重脑创伤的术前管理的知识,态度和实践 (KAP).
- 在这个人群中确定与较高KAP分数相关的因素.
主要方法:
- 对来自中国15个省份的200名麻醉师进行了横截面研究.
- 收集了KAP维度的数据,统计分析包括皮尔森相关性和多变量线性回归.
主要成果:
- 麻醉师报告的知识中等 (50.41/84),积极的态度 (20.23/24),和不充分的实践 (11.85/28) 分数.
- 知识和态度得分是正相关的 (r=0.522,P<0.001),但实践得分与知识或态度没有显著相关.
- 总体KAP分数较高与管理脑创伤 (100-300次手术或>300次手术) 的临床经验更大有关.
结论:
- 中国麻醉师在严重脑创伤外科手术前护理的知识/态度和实践之间存在差距.
- 临床经验是积极影响KAP分数的重要因素.
- 建议进行有针对性的培训和基于经验的教育,以加强外科手术期间的管理并改善患者的治疗结果.
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