Erwin Andrea M, Noble Kim A, Marshall June, Cooper Susan
J Perianesth Nurs. 2019 Feb;34(1):39-50. doi: 10.1016/j.jopan.2018.01.008. Epub 2018 Apr 19.
Anesthesia, sedation, and analgesia can negatively impact adult patients with obstructive sleep apnea (OSA). Despite known risks, current evidence, and practice guidelines, insufficient evidence exists that standardization and clinical application of OSA screening tools, problem identification, and perioperative nursing intervention and management strategies are consistently implemented for OSA patients across perianesthesia settings. The purpose of this study was to conduct a knowledge and practice assessment of perianesthesia nurses who care for adult patients with diagnosed or undiagnosed OSA.
An anonymous descriptive study was used to survey perianesthesia nurses who care for adult patients with OSA who present for elective surgical procedures.
A total of 1,222 participants completed an expert-developed 27-question online survey.
The findings indicate the need for more education and research across all perianesthesia settings.
Next steps also include policy development and an interprofessional collaborative infrastructure nurses need to translate evidence-based screening and management strategies into their clinical practice.
麻醉、镇静和镇痛可能会对患有阻塞性睡眠呼吸暂停（OSA）的成年患者产生负面影响。尽管存在已知风险、现有证据和实践指南，但对于围麻醉期各环节的OSA患者，缺乏足够证据表明OSA筛查工具的标准化及临床应用、问题识别以及围手术期护理干预和管理策略得到了一致实施。本研究的目的是对护理已确诊或未确诊OSA成年患者的围麻醉期护士进行知识和实践评估。
采用匿名描述性研究对护理因择期手术前来就诊的OSA成年患者的围麻醉期护士进行调查。
共有1222名参与者完成了一份由专家编制的包含27个问题的在线调查问卷。
结果表明在所有围麻醉期环节都需要更多的教育和研究。
后续步骤还包括政策制定和跨专业协作基础设施建设，护士需要将基于证据的筛查和管理策略转化为临床实践。
