The unique advantages of nurse anesthetists participating in anesthesia clinical research: execution and interdisciplinary cooperation
麻醉护士参与麻醉临床研究的独特优势：执行力和多学科合作

摘要

目的 探索麻醉护士在麻醉临床研究中的优势。方法 调查笔者近10年科研论文涉及的多学科合作情况。通过调查树兰（杭州）医院和绍兴市人民医院麻醉护士科研记录单的完整性以及科研任务的完成效率，评估麻醉护士临床研究的执行力。通过调查麻醉护士护送术后患者回病房以及术后访视评估麻醉护士将可能在科研多学科合作起重要作用。结果 笔者近10年科研论文中涉及到1至3个科室的分别占28%、21%和23%；涉及6个科室占5%；临床科研记录单完成度分值，麻醉护士高于住院医生（95±2 vs 91±2，t= 7.399，P<0.0001）；麻醉护士如期完成科研任务的比例高于麻醉住院医师（63% vs 20%，χ2=38.080，P<0.0001）；麻醉住院医师推迟完成任务（50% vs 20%，χ2=19.780，P<0.0001）和未完成科研任务（30% vs 17%，χ2=4.700，P=0.030）比例均高于麻醉护士。手术后由麻醉护士送回病房的患者的比高显著高于麻醉医生（88% vs 12%，χ2=115.500，P<0.0001）；麻醉护士实施术后访视患者的比例也显著高于麻醉医生（90% vs 10%，χ2=128.00，P< 0.0001）。结论 麻醉专科护士临床科研工作的执行力以及与多学科沟通机会方面具有一定的优势。随着三级甲等医院对临床研究的重视以及麻醉护士数量的增加，为麻醉护士科研能力的培训和培养专职科研型麻醉护士提供依据。

Abstract

Objective To explore the advantages of nurse anesthetists in anesthesia clinical research.
Methods We investigate the multidisciplinary cooperation involved in the author's scientific research papers in recent 10 years. By investigating the integrity of the scientific research record sheet of nurse anesthetists in Shulan (Hangzhou) hospital and Shaoxing people's Hospital and the completion efficiency of scientific research tasks, the executive ability of clinical research of nurse anesthetists was evaluated. Through the investigation of nurse anesthetists escorting postoperative patients back to the ward and postoperative visit, it is possible for nurse anesthetists to play an important role in scientific research and multidisciplinary cooperation.
Results In the past 10 years, 28%, 21% and 23% of the scientific research papers involved one to three departments respectively; Involving 6 departments, accounting for 5%; The completion score of clinical research record sheet was higher for nurse anesthetists than that for anesthesia residents (95±2 vs 91±2, t=7.339, P<0.0001); The proportion of nurse anesthetists completing scientific research tasks on schedule was higher than that of anesthesia resident (63% vs 20%, χ2=38.080, P<0.0001); Anesthesia residents delay completing tasks (50% vs 20%, χ2=19.780, P<0.0001) and unfinished scientific research tasks (30% vs 17%, χ2=4.700, P=0.030) were higher than nurse anesthetists. The proportion of patients sent back to the ward by nurse anesthetists after surgery was significantly higher than that of anesthetists (88% vs 12%, χ2=115.500, P<0.0001); The proportion of patients visited by nurse anesthetists was also significantly higher than that of anesthetists (90% vs 10%), χ2=128.00, P< 0.0001).
Conclusion   Nurse anesthetists have certain advantages in the execution of clinical scientific research and the opportunity to communicate with multiple disciplines. With the attention paid to clinical research by Class 3A Hospital and the increase in the number of nurse anesthetists. They pay attention to the training of nurse anesthetists' scientific research ability and provide basis for training full-time scientific research nurse anesthetists.