照顾者对加速康复外科理念接受程度现状及影响因素分析

  目的  本研究从患者照顾者的自身角度出发，旨在了解照顾者对加速康复外科(ERAS)理念的接受程度并探讨其影响因素，为医务人员针对性进行干预提供参考。  方法  2020年5—7月，采取便利抽样，通过自设调查问卷对郑州市某三级甲等医院165例患者的照顾者进行问卷调查，收集有效问卷160份，采用多元线性回归分析探讨影响因素。  结果  160名照顾者加速康复外科理念接受程度总分、术前准备、术中处置、术后管理得分分别为(53.16±11.50)分、(17.73±4.42)分、(14.66±2.82)分、(20.77±4.92)分；多元线性逐步回归分析结果显示年龄、居住地、文化程度、人均月收入、手术史是照顾者对ERAS理念接受程度的主要影响因素(B值分别为-4.074、-2.058、2.289、2.922、-3.020，均P＜0.05)，其中年龄、居住地、手术史与接受程度呈负相关关系，文化程度和人均月收入与接受程度呈正相关关系。  结论  照顾者加速康复外科理念接受程度处于中等水平，但接受程度差异较大。医护人员应针对不同照顾者的特征进行加速康复外科理念教育，并采取针对性干预措施，提高照顾者对加速康复外科理念的接受程度，从而为患者选择最佳的治疗方案，促进患者术后康复。 

Caregivers' acceptance of enhanced recovery after surgery and its influencing factors

  Objective  To investigate the status of caregivers' acceptance of enhanced recovery after surgery (ERAS) and analyse the influencing factors from the perspective of patient caregivers themselves and to provide a reference for medical staff to carry out targeted intervention.  Methods  Data were collected from 165 patient caregivers in a tertiary first-class hospital, and a self-designed questionnaire was used to measure the acceptance of ERAS among them. Total 160 valid questionnaires were collected. Multiple linear regression was used to analyse the influencing factors.  Results  The total scores of acceptances of ERAS, preoperative preparation, intraoperative treatment and postoperative management of 160 caregivers were (53.16±11.50)points, (17.73±4.42) points, (14.66±2.82) points and (20.77±4.92) points, respectively. The results of multivariate linear stepwise regression analysis showed that age, habitat, culture level, average monthly income and operation history were the main influencing factors of caregivers' acceptance of ERAS concept (B values were -4.074, -2.058, 2.289, 2.922 and -3.020, respectively, all P < 0.05). Age, habitat and operation history were negatively correlated with the acceptance of ERAS, whereas culture level and average monthly incomes were positively correlated with it.  Conclusion  The acceptance of ERAS among caregivers is at mid-level, but a large difference is observed. The medical staff should be educated on the concept of ERAS according to the characteristics of different caregivers, and take targeted interventions to improve the acceptance of the concept of ERAS by caregivers, so as to select the best treatment scheme for patients and promote their postoperative recovery.