目的:比较新招募的护士麻醉医师监测的患者和新招募的麻醉医师监测的患者的麻醉相关结果。
方法:这是一项回顾性研究。
方法:我们进行了一项回顾性研究,收集了2017年至2022年间新招募的护士麻醉师和麻醉师的人口统计学信息,并记录了监测后6个月内患者的信息。术后疼痛,紧急躁动,恶心,和呕吐被指定为麻醉相关结局.使用倾向评分匹配来调整协变量。这项研究遵循了STROBE指南。
结果:该研究的统计分析包括由22名新招募的护士麻醉师监测的4483例患者和由23名新招募的麻醉师监测的4959例患者。与新培训的麻醉师监测的患者相比,由护士麻醉师监测的患者较年轻(42.07±20.00vs.47.39±18.45岁,p<0.001),体重指数较低(23.56±4.46vs.24.19±4.25,p<0.001)。由麻醉师监测的患者女性比例更高(61.62%vs.59.25%,p<0.001),ASAIII和ASAIV的比例很高(17.1%与8.88%,p<0.001),和较长的平均手术持续时间(78.65±59.01vs.70.70±60.65min,p<0.001)。在使用倾向得分匹配来调整协变量后,术后疼痛发生率无统计学差异,紧急躁动,或术后恶心呕吐两组间差异有统计学意义(p<0.05)。
结论:护士麻醉师在麻醉维持期间单独监测是可行且安全的。两组术后疼痛发生率差异无统计学意义。紧急躁动,或术后恶心呕吐。
结论:麻醉师的短缺导致麻醉师工作负担重和职业倦怠的高发生率。研究发现,护士麻醉师在主治麻醉师的监督下在手术室单独进行麻醉监测是安全的,确实减轻了麻醉师的工作负担。当前研究的结果有助于在麻醉师短缺的国家扩大护士麻醉师的职业类别。为医院管理者和政策制定者制定医疗护理服务政策提供了新思路。
OBJECTIVE: To compare anaesthesia-related outcomes between patients monitored by newly recruited nurse anaesthetists and those monitored by newly recruited anaesthesiologists.
METHODS: This was a retrospective study.
METHODS: We conducted a retrospective study that collected demographic information on newly recruited nurse anaesthetists and anaesthesiologists between 2017 and 2022 and recorded information on patients within 6 months of monitoring. Postoperative pain, emergency agitation, nausea, and vomiting were designated anaesthesia-related outcomes. Propensity score matching was used to adjust for covariates. The study adhered to the STROBE guidelines.
RESULTS: The study\'s statistical analysis included 4483 patients monitored by 22 newly recruited nurse anaesthetists and 4959 patients monitored by 23 newly recruited anaesthesiologists. Compared with patients monitored by newly trained anaesthesiologists, the patients monitored by nurse anaesthetists were younger (42.07 ± 20.00 vs. 47.39 ± 18.45 years, p < 0.001) and had a lower body mass index (23.56 ± 4.46 vs. 24.19 ± 4.25, p < 0.001). Patients monitored by anaesthesiologists had a greater proportion of women (61.62% vs. 59.25%, p < 0.001), a high proportion of ASA III and ASA IV (17.1% vs. 8.88%, p < 0.001), and a longer mean surgery duration (78.65 ± 59.01 vs. 70.70 ± 60.65 min, p < 0.001). After propensity score matching was used to adjust for covariates, no statistically significant differences were found in the prevalence of postoperative pain, emergency agitation, or postoperative nausea and vomiting between the two groups (p < 0.05).
CONCLUSIONS: Nurse anaesthetists monitoring alone during anaesthesia maintenance is feasible and safe. The two groups had no significant differences in the incidence of postoperative pain, emergency agitation, or postoperative nausea and vomiting.
CONCLUSIONS: The shortage of anaesthesiologists leads to heavy work burden and high incidence of occupational burnout among anaesthesiologists. The study found that it was safe for nurse anaesthetists to perform anaesthetic monitoring alone in the operating room under the supervision of the attending anaesthesiologist and did reduce the burden of anaesthesiologists\' work. The results of the current study contribute to the expansion of occupational categories for nurse anaesthetists in countries where anaesthesiologists are in short supply. It provides new ideas for hospital administrators and policy-makers to formulate medical and nursing service policies.