目的:探讨麻醉医生、手术医生以及外科病房护士对患者自控镇痛(PCA)泵使用方法的认知度,为采取相应的干预措施提供依据.方法:采用便利抽样的方法抽取北京协和医院临床医务人员238名,根据工作性质的不同将其分为三组,麻醉医生组(62名)、手术医生组(84名)以及外科病房护士组(92名);采用问卷调查的方法进行资料收集,调查内容包括性别、职业、职称、学历以及是否接受过PCA泵的专门培训、是否轮转过麻醉科;调查问卷由研究者自行设计.结果:研究对象认知度得分在性别方面无显著性,差异无统计学意义(t=0.875,P>0.05);在职业方面差异有统计学意义(t=4.353,P<0.05);在职称方面差异有统计学意义(x2=2.194,P<0.05);在学历方面差异有统计学意义(x2=3.215,P<0.05);是否接受过PCA泵专门培训方面差异有统计学意义(t=3.035,P<0.05)以及是否轮转过麻醉科方面差异有统计学意义(t=2.354,P<0.05);麻醉医生与手术医生(t=6.321,P<0.05),麻醉医生与病房护士(t=8.231,P<0.05)以及手术医生与病房护士之间(t=3.752,P<0.05)认知度得分具有显著性,差异有统计学意义;认知度答对率排在前三位的分别是使用镇痛泵的副反应、适应症以及撤泵原因,答对率排在后三位的分别是技术参数的设置、报警处理的方法以及常用药物.结论:外科医生和外科病房护士对PCA泵使用方法的认知度总体不高,需加强PCA泵相关知识的培训,合理应用PCA泵,以便更好的控制患者的术后疼痛,增加患者的满意度.%Objective:To discuss the cognition degree about application method of PCA pump of anesthetist, surgeons and nurse of surgical ward so as to provide reference and basis for adopting relevant intervention measurement.Methods:238 medical staff of Peking Union Medical College Hospital were selected into the study by convenience sampling and they were divided into 3 groups as their work category. The fist group was made of 62 anesthetists, the second group was made of 84 surgeons and the third group was made of 92 nurses who working in surgery wards. The questionnaires designed by the researchers were used to collect data which included gender, profession, academic title, education background and whether they once received special training of PCA pump, whether they once worked in anesthesia department and so on.Results: There were no significant differences in gender among the three groups (t=0.875,P>0.05). There were significant differences in profession(t=4.353,P<0.05), academic title(x2=2.194,P<0.05) and education background (x2=3.215,P<0.05) among these groups, respectively. At the same time, the differences of whether once received the special training on PCA pump(t=3.035,P<0.05) and whether once worked in department of anesthesia (t=2.354,P<0.05) among these groups were significant. Besides, the differences of cognition scores between anesthetist and surgeon, between anesthetist and nurse of ward and between surgeon and nurse of ward also were significant (t=6.321,t=8.231,t=3.752,P<0.05), respectively. On the other hand, the top three of correct rate for cognition scores were side effects, indications and reasons of removing pump, respectively, and the last three of that were the setting of technical parameters, the method of alarm dispose and the common drugs.Conclusion: The total level of cognition degree for using PCA pump was not enough in surgeons and ward nurses, and they need be strengthen training for relevant knowledge so as to reasonably use PCA pump, and control the post-operation pain of patient in better level, and enhance the satisfaction of patient.
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