快速康复外科在中国大陆关节科临床现状及实施障碍 ——基于高年资关节外科医护人员调查分析
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石河子大学第一附属医院

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R683.42

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Clinical status and implementation obstacles of enhanced recovery after surgery in Chinese mainland joints ——Based on investigation and analysis of medical staff
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The First Affiliated Hospital, Medical College, Shihezi University

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    摘要:

    [目的]探讨快速康复外科在我国关节外科中的应用现状和实施障碍。[方法]通过自制网络问卷,对ERAS在我国关节外科领域的应用现状及实施障碍进行调查;[结果]分别有33.62%、36.83%、29.55%的调查对象所属科室全部开展、部分开展和未开展ERAS项目,未开展原因主要是缺少政策支持以及传统习惯难以改变;已开展ERAS的调查对象中,72.12%的人对目前科室ERAS开展效果表示满意,主要满意于住院时间减少和患者满意度增加;已开展ERAS的调查对象中64.44%的人表示开展过程中不顺利;遇到困难主要是缺少政策支持、方案较复杂,缺少可重复性;57.61%和37.90%的人认为加大政策支持和协会继续发布规范是促进ERAS推广的最有利因素。[结论]快速康复外科在我国关节外科产生良好效果的同时,也应看到推广困难的情况,加强政策支持以及协会继续发布规范,能为ERAS在国内普及与应用提供有利条件。

    Abstract:

    [Objective] To explore the application status and implementation obstacles of joint surgery in enhanced recovery after surgery in China. [Methods] The self-made network questionnaire was used to investigate the application status and obstacles of ERAS in the field of joint surgery in China. [Results] 33.62%, 36.83%, 29.55% of the people were all carried out and partially developed. And the lack of ERAS projects, the main reasons for the lack of policy support and the traditional habits are difficult to change; 72.12% of the respondents who have carried out ERAS are satisfied with the effect of the current department ERAS, mainly satisfied with the reduction of hospital stay And patient satisfaction increased; 64.44% of the respondents who had conducted ERAS indicated that the process was not smooth; the difficulties encountered were mainly lack of policy support, the program was more complicated, and lack of repeatability; 57.61% And 37.90% believe that increasing policy support and associations continue to publish specifications is the most favorable factor to promote the promotion of ERAS. [Conclusion] While enhanced recovery after surgery has a good effect in joint surgery in China, it should also see the difficulty of promotion, strengthen policy support and continue to publish the association, which can provide favorable conditions for the popularization and application of ERAS in China.

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  • 收稿日期:2019-07-31
  • 最后修改日期:2019-07-31
  • 录用日期:2019-09-12
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