医护人员加速康复外科的认知水平及影响因素分析

目的了解医护人员对加速康复外科（FTS）的认知现状，分析FTS实践的影响因素。方法采用整群抽样的方法，对徐州市3所综合性医院胃肠外科的89名医护人员进行问卷调查，并对结果进行分析。结果医生、护士对FTS的知晓率分别为70．7％和35．4％；医护人员FTS知识、态度、行为的平均分为（22．17±5．27）分、（68．02±10．78）分和（68．15±10．35）分，不同岗位、年龄、文化程度、职称以及是否参加过FTS学习班的医护人员其FTS知识水平有差异，不同岗位以及是否参加过FTS学习班的医护人员对FTS的态度有差异。影响医护人员FTS实践行为的主要因素为：FTS知识掌握不够、未对FTS进行关注及担心FTS的应用有潜在不安全性。结论医护人员对FTS的认知度尚可，但缺乏FTS理论的创新知识，知识缺乏是影响FTS临床实践的关键所在，应加强FTS理念的宣传教育。

Investigation and analysis on the cognitive level and influence factors of the fast- track surgery in medical staff

Objective To investigate the current status on the cognition of fast - track surgery （FFS） in medical staff, and also to analyze the influence factors of FTS practice. Methods The cluster sampling method was used to se- lect 89 medical staff from the gastrointestinal surgical departments in 3 general hospitals in Xuzhou. A set of question- naires were used to collect the data and the results were analyzed. Results The awareness rates of FTS in doctors and nurses were 70.7% and 35.4% , respectively. The average scores of knowledge, attitude and practice on FTS were 22.17 ±5.27,68.02 ± 10. 78, and 68.15 ± 10.35, respectively. The different post, age, education degree, positional title, and whether the medical staff had taken a FTS class or not made significant outcomes on the FTS knowledge. There were statistical differences on FTS attitude because of different age and whether the medical staff had taken a FTS class or not. Tbe main influence factors of FTS practice were： poor FTS knowledge, paying no attention to FTS, and worrying a- bout the potential insecurity of application of FTS. Conclusions The FTS cognition is acceptable in medical staff. But they lack the innovative knowledge on FTS theory. Lack of knowledge is the key influence factor on the FTS practice. It should be strengthened on the publicity and education of the FTS.