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麻醉专业医务人员临床实践指南实施现状调查与研究

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目的 调查甘肃省麻醉专业医务人员对临床实践指南的认知、需求和使用情况,探究指南在实施过程中的促进和阻碍因素.方法 对麻醉专业医务人员对临床实践指南的认知、需求和使用情况以及指南实施过程中的促进和阻碍因素开展问卷调查,并对结果进行统计分析.结果 共发放问卷339 份,均为有效问卷.96.8%的被调查者知晓指南,且多数被调查者(86.4%)在临床实践中遇到问题时会查阅指南.指南使用缺乏便捷性(70.2%)、缺乏指南获取途径(64.3%)或缺乏指南访问权限(56.9%)、缺乏培训(31.3%)、语言障碍(21.5%)是阻碍指南使用最主要的因素.多种形式辅助指南使用、开放指南获取权限被认为是促进指南实施的重要方式.结论 甘肃省麻醉专业医务人员对指南的知晓率和依从性均较好.目前国内使用指南的主要障碍因素来自于指南本身或指南获取困难.建议未来建立国家指南数据库、提供指南实施工具、增强对医务人员的培训,将有利于指南的推广和应用.
Investigation and research of status on implementation of clinical practice guidelines by anesthesiolo-gists
Objective To investigate the knowledge,demand,and use of clinical practice guide-lines(CPGs)among anesthesia professionals in Gansu province,and to explore the strategies and barriers during the implementation process.Methods A questionnaire survey was conducted to investigated the knowledge,demand,and use of CPGs,as well as the strategies and barriers during the process of guideline implementation.Statistical analysis was applied to the collected data.Results A total of 339 valid question-naires were collected,96.8%of the respondents were aware of the guidelines,and the majority of the re-spondents(86.4%)consulted the guidelines when they encountered problems in clinical practice.The main barriers for guideline utilization were identified as lack of convenience(70.2%),limited availability chan-nels(64.3%)or restricted access rights(56.9%)to obtain the guidelines,inadequate training(31.3%),and language barriers(21.5%).Multiple forms of assisting guideline use and opening up guideline access were considered by most respondents as important ways to promote guideline implementation.Conclusion Anesthesia professionals in Gansu province demonstrated good levels of awareness and compliance with guidelines.However,the primary barriers to utilization were attributed to the guidelines themselves or diffi-culties in accessing them.It is recommended to establish a national guideline clearinghouse,provide imple-mentation tools,and enhance healthcare professional training to facilitate the promotion and application of guidelines in the future.

Clinical practice guidelinesImplementationFacilitationBarrierSurveys and ques-tionnaires

田晨、王一芸、鲁佳乐、王勇、徐紫清、薛建军、葛龙

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730000 兰州大学公共卫生学院卫生政策与管理学系甘肃省循证医学重点实验室

兰州大学第一临床医学院

甘肃省中医院麻醉科

临床实践指南 实施 促进 阻碍 调查问卷

甘肃省科技计划临床医学研究中心建设项目甘肃省科技计划重点研发项目

20JR10RA43523YFFA0053

2024

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子:2.225
ISSN:1004-5805
年,卷(期):2024.40(5)
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