加速康复外科(enhanced recovery after surgery,ERAS)是指采用有循证医学证据的一系列多模式围术期优化措施,以阻断或减轻机体应激反应为目的,最终促进患者术后尽快康复。目前,ERAS已经在胃肠道手术、泌尿系统手术、胰腺手术、妇产科...加速康复外科(enhanced recovery after surgery,ERAS)是指采用有循证医学证据的一系列多模式围术期优化措施,以阻断或减轻机体应激反应为目的,最终促进患者术后尽快康复。目前,ERAS已经在胃肠道手术、泌尿系统手术、胰腺手术、妇产科手术、减重手术等多种手术类型中广泛应用,其效果已经被越来越多的研究结果证实。近年来ERAS理念成为推动围术期多学科协作管理的核心,其在围术期疼痛管理中的作用也越来越突出。随着ERAS的发展,麻醉医学也逐渐向围术期医学转变。ERAS强调多学科合作,麻醉医师在术前评估优化、围术期管理及改善患者远期预后方面,均起到了至关重要的作用。展开更多
Objectives This study aim to evaluate patient’s perception about anesthesiologists’ job roles and investigate their expectations for anesthesia care.Methods We designed a self-administered questionnaire for this cro...Objectives This study aim to evaluate patient’s perception about anesthesiologists’ job roles and investigate their expectations for anesthesia care.Methods We designed a self-administered questionnaire for this cross-sectional survey study and delivered questionnaire forms to adult in-patients who were scheduled for elective surgery before pre-operative anesthetic visit the day before surgery.We collected information of respondents’ demographic data,education background,health literacy and previous experience of anesthesia,perception of anesthesiologist’s job,the expectation on anesthesia care.Descriptive analyses,χ^2 test and multiple linear regression analysis were used for data analysis.Results Of 550 participants,521(94.7%)completed the questionnaire.In these respondents,335 (64.3%) considered anesthesiology as an independent medical discipline,225 (43.2%) believed that anesthesiology department was an independent clinical department,and 243 (46.6%) recognized anesthesiologists as qualified doctors.Only 21.5% of them knew that anesthesiologists also work in the intensive care unit and 26.9% of them knew that anesthesiologists also work in pain clinic as well.Younger patients (β=-0.044,P<0.001),those with higher education (β=1.200,P<0.001),or with better health literacy (β=0.781,P=0.005) had significant more knowledge about the job roles of anesthesiologists.Most patients demanded pre-anesthetic visit (80.5%),expected availability of preoperative anesthetic clinic (74.1%),wished to receive more information about anesthesia (91.3%) and anesthesiologist (77.4%).Conclusions Patients’ perception about anesthesiologists might be limited.Efforts should be made on education about anesthesia,especially for elderly patients and those under-educated patients.Preoperative anesthetic clinic is expected by most in-patients.展开更多
目的探讨在西藏自治区人民医院(简称该院)麻醉科住院医师规范化培训中,引入提高医疗质量和患者安全的团队策略与工具(team strategies and tools to enhance performance and patient safety,TeamSTEPPS)团队培训课程前后的应用效果。...目的探讨在西藏自治区人民医院(简称该院)麻醉科住院医师规范化培训中,引入提高医疗质量和患者安全的团队策略与工具(team strategies and tools to enhance performance and patient safety,TeamSTEPPS)团队培训课程前后的应用效果。方法选取该院麻醉科住院医师、外科住院医师与手术室护士共40名,借助全科医生超级模拟人,以跨专业团队形式实施围术期危重病例模拟培训。团队住院医师于课程前后分别填写TeamSTEPPS团队合作认知调查问卷和TeamSTEPPS团队合作态度调查问卷,以此课程反馈作为依据,对模拟课程的教学效果进行评估。结果从2020年11月至2021年5月共培训40名住院医师,每名住院医师接受3次模拟病例的团队培训,所有住院医师对TeamSTEPPS课程总体均表示满意,借助临床情境模拟学习体验,有效强化了理论知识的实践应用和团队合作的能力。结论西藏自治区麻醉教学中引入TeamSTEPPS团队教学课程,显著增强了麻醉科住院医师、外科住院医师与手术室护士在手术中遇到危重病例时的团队协作和沟通能力,为提高麻醉手术团队的临床工作能力提供有力帮助,更好地保障了患者的安全。展开更多
文摘加速康复外科(enhanced recovery after surgery,ERAS)是指采用有循证医学证据的一系列多模式围术期优化措施,以阻断或减轻机体应激反应为目的,最终促进患者术后尽快康复。目前,ERAS已经在胃肠道手术、泌尿系统手术、胰腺手术、妇产科手术、减重手术等多种手术类型中广泛应用,其效果已经被越来越多的研究结果证实。近年来ERAS理念成为推动围术期多学科协作管理的核心,其在围术期疼痛管理中的作用也越来越突出。随着ERAS的发展,麻醉医学也逐渐向围术期医学转变。ERAS强调多学科合作,麻醉医师在术前评估优化、围术期管理及改善患者远期预后方面,均起到了至关重要的作用。
文摘Objectives This study aim to evaluate patient’s perception about anesthesiologists’ job roles and investigate their expectations for anesthesia care.Methods We designed a self-administered questionnaire for this cross-sectional survey study and delivered questionnaire forms to adult in-patients who were scheduled for elective surgery before pre-operative anesthetic visit the day before surgery.We collected information of respondents’ demographic data,education background,health literacy and previous experience of anesthesia,perception of anesthesiologist’s job,the expectation on anesthesia care.Descriptive analyses,χ^2 test and multiple linear regression analysis were used for data analysis.Results Of 550 participants,521(94.7%)completed the questionnaire.In these respondents,335 (64.3%) considered anesthesiology as an independent medical discipline,225 (43.2%) believed that anesthesiology department was an independent clinical department,and 243 (46.6%) recognized anesthesiologists as qualified doctors.Only 21.5% of them knew that anesthesiologists also work in the intensive care unit and 26.9% of them knew that anesthesiologists also work in pain clinic as well.Younger patients (β=-0.044,P<0.001),those with higher education (β=1.200,P<0.001),or with better health literacy (β=0.781,P=0.005) had significant more knowledge about the job roles of anesthesiologists.Most patients demanded pre-anesthetic visit (80.5%),expected availability of preoperative anesthetic clinic (74.1%),wished to receive more information about anesthesia (91.3%) and anesthesiologist (77.4%).Conclusions Patients’ perception about anesthesiologists might be limited.Efforts should be made on education about anesthesia,especially for elderly patients and those under-educated patients.Preoperative anesthetic clinic is expected by most in-patients.
文摘目的探讨在西藏自治区人民医院(简称该院)麻醉科住院医师规范化培训中,引入提高医疗质量和患者安全的团队策略与工具(team strategies and tools to enhance performance and patient safety,TeamSTEPPS)团队培训课程前后的应用效果。方法选取该院麻醉科住院医师、外科住院医师与手术室护士共40名,借助全科医生超级模拟人,以跨专业团队形式实施围术期危重病例模拟培训。团队住院医师于课程前后分别填写TeamSTEPPS团队合作认知调查问卷和TeamSTEPPS团队合作态度调查问卷,以此课程反馈作为依据,对模拟课程的教学效果进行评估。结果从2020年11月至2021年5月共培训40名住院医师,每名住院医师接受3次模拟病例的团队培训,所有住院医师对TeamSTEPPS课程总体均表示满意,借助临床情境模拟学习体验,有效强化了理论知识的实践应用和团队合作的能力。结论西藏自治区麻醉教学中引入TeamSTEPPS团队教学课程,显著增强了麻醉科住院医师、外科住院医师与手术室护士在手术中遇到危重病例时的团队协作和沟通能力,为提高麻醉手术团队的临床工作能力提供有力帮助,更好地保障了患者的安全。
