医务人员围手术期保温知识、态度及患者保温现状调查

Health care workers’ knowledge and attitude towards perioperative warming as well as patients warming status

摘要:

目的了解医务人员对患者围手术期保温的知识和态度，以及手术患者保温现状，为做好围手术期保温工作，降低手术部位感染提供参考。方法采用便利抽样法抽取某院外科科室和手术室的198名医务人员，以及手术室接受手术的160例患者作为研究对象。参考国外文献设计调查问卷对医务人员进行调查，采用现场观察法收集手术患者实施的保温措施信息。结果医务人员对围手术期保温知识和态度得分中位数（四分位数间距）为9（2.25）分和25（1.25）分，不同年龄、文化程度和岗位的医务人员知识、态度得分差异均无统计学意义（均P>0.05）。医务人员对低体温、主动保温模式和被动保温模式的知晓率分别为21.21%、43.94%和30.81%。认为术前、术中以及术后保温非常必要的医务人员分别占80.30%、89.90%和86.36%。术中68.13%的患者采取棉被和护肩保温。结论医务人员对围手术期保温态度较积极，但对保温知识欠缺，患者保温设备设施有待改进。

Abstract:

ObjectiveTo investigate the health care workers’(HCWs) knowledge and attitude towards perioperative warming  as well as patients’ warming status, provide reference for warming in perioperative period and reduce surgical site infection(SSI). MethodsConvenience sampling was used to select 198 HCWs in surgical department and operating room as well as 160 patients undergoing operation. HCWs were investigated by referring foreign literatures and designing questionnaires, onsite observation method was used to collect information about warming measures implemented for surgical patients. ResultsThe median (quartile range) of scores of HCWs’ knowledge and attitude towards patients’ perioperative warming were 9 (2.25) and 25 (1.25) respectively. There was no statistical significance in scores of knowledge and attitude among HCWs with different age, education degree and occupation(all P>0.05). The awareness rates of hypothermia, active warming, and passive warming modes were 21.21%, 43.94%, and 30.81% respectively. 80.30%, 89.90%， and 86.36% of HCWs thought that it was essential to keep warming before, during and after surgery. 68.13% of surgical patients were warmed by covering cotton quilt and shoulder pad during operation. ConclusionHCWs hold positive attitude towards perioperative warming, but they lack sufficient knowledge about perioperative warming, it is necessary to improve facilities of perioperative warming.