麻醉专业医务人员临床实践指南实施现状调查与研究

Investigation and research of status on implementation of clinical practice guidelines by anesthesiologists

中文关键词: 临床实践指南  实施  促进  阻碍  调查问卷

英文关键词: Clinical practice guidelines  Implementation  Facilitation  Barrier  Surveys and questionnaires

中文摘要:

      
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。

英文摘要:

      
Objective: To investigate the knowledge, demand, and use of clinical practice guidelines (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 questionnaires were collected, 96.8% of the respondents were aware of the guidelines, and the majority of the respondents (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 channels (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 difficulties in accessing them. It is recommended to establish a national guideline clearinghouse, provide implementation tools, and enhance healthcare professional training to facilitate the promotion and application of guidelines in the future.