van Putten P G, van Leerdam M E, Kuipers E J
Department of Gastroenterology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Aliment Pharmacol Ther. 2009 Apr 15;29(8):892-7. doi: 10.1111/j.1365-2036.2009.03936.x. Epub 2009 Jan 15.
Nurse endoscopists may provide a solution for the insufficient endoscopic capacity in colorectal cancer (CRC) screening.
To determine the views of gastroenterologists about the potential role of nurse endoscopists in gastrointestinal endoscopy.
A postal questionnaire was sent to all registered gastroenterologists (n = 301) and gastroenterology residents (n = 79) in the Netherlands.
Two hundred and thirty five of 380 (62%) gastroenterologists and residents completed the questionnaire. Overall, 48% were positive towards introduction of nurse endoscopists, whereas 18% were neutral and 34% negative. Respondents expected no major differences in endoscopic quality between physicians and nurse endoscopists. Nevertheless, 69% expected that patient experiences would be better met by physicians. Multivariate analysis showed that actual experience with nurse endoscopists and beliefs that nurse endoscopists are able to provide adequate endoscopic quality and good patient experiences, were independent predictors for a positive attitude towards introduction of nurse endoscopists [OR 6.6 (2.3-18.4), OR 1.9 (1.2-3.5) and OR 2.1 (1.2-2.9), respectively]. Respectively 89% and 66% of the respondents considered sigmoidoscopy and colonoscopy for CRC screening as appropriate procedures to be performed by nurse endoscopists. Diagnostic and therapeutic endoscopies were considered less appropriate.
A majority of gastroenterologists have a positive attitude towards introduction of nurse endoscopists, especially for CRC screening endoscopies.
护士内镜医师可能为结直肠癌（CRC）筛查中内镜检查能力不足提供解决方案。
确定胃肠病学家对护士内镜医师在胃肠内镜检查中潜在作用的看法。
向荷兰所有注册胃肠病学家（n = 301）和胃肠病学住院医师（n = 79）发送邮政调查问卷。
380名名名380名胃肠病学家和住院医师中有235名（62%）完成了问卷。总体而言，48%的人对引入护士内镜医师持积极态度，而18%持中立态度，34%持消极态度。受访者预计医师和护士内镜医师在内镜检查质量上不会有重大差异。然而，69%的人预计医师能更好地满足患者体验。多变量分析表明，与护士内镜医师的实际接触经历以及认为护士内镜医师能够提供足够的内镜检查质量和良好的患者体验，是对引入护士内镜医师持积极态度的独立预测因素[分别为比值比6.6（2.3 - 18.4）、比值比1.9（1.2 - 3.5）和比值比2.1（1.2 - 2.9）]。分别有89%和66%的受访者认为乙状结肠镜检查和结肠镜检查用于CRC筛查是护士内镜医师适合执行的程序。诊断性和治疗性内镜检查被认为不太适合。
大多数胃肠病学家对引入护士内镜医师持积极态度，尤其是在CRC筛查内镜检查方面。
