Li Xin, Li Na, Lu Yuhan, Ma Xiaoxiao, Yang Hong, Sun Hong, Chen Fan
Nursing Department, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing, China.
Department of Integrated Traditional and Western Medicine & Geriatric Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
Asia Pac J Oncol Nurs. 2021 Dec 25;9(1):55-60. doi: 10.1016/j.apjon.2021.12.005. eCollection 2022 Jan.
The purposes of this study were to measure knowledge about opioid-induced respiratory depression (OIRD) among Chinese health care professionals and explore the associated factors that influence Chinese health care professionals' knowledge.
A cross-sectional survey was conducted. A convenience sample of 900 Chinese health care professionals from 21 provinces, four municipalities, and four autonomous regions was used. The OIRD knowledge questionnaire, which is a self-designed questionnaire based on evidence, was used to judge the degree of knowledge among Chinese health care professionals according to the accuracy rate. The questionnaire included questions on six dimensions of knowledge. Sociodemographic characteristics were also measured by a multi-item questionnaire.
The overall accuracy rate on the OIRD knowledge questionnaire for all participants were 64.5% ±10.0% (mean ± SD) with a range from 20% to 100%. According to univariate analysis, Chinese health care professionals' OIRD knowledge was positively correlated with age, region, profession, hospital level, type of hospitals and departments, education level, years of clinical working, and clinical practice of chronic cancer pain (CP) management. Multiple linear regression analysis showed differences in professions and regions (all < 0.05).
Most Chinese health care professionals had misconceptions about OIRD and lacked relevant knowledge. We should assign importance to developing targeted training programs and exploring feasible and effective training methods.
本研究旨在衡量中国医护人员对阿片类药物引起的呼吸抑制（OIRD）的了解程度，并探讨影响中国医护人员知识水平的相关因素。
进行了一项横断面调查。采用便利抽样法，选取了来自21个省、4个直辖市和4个自治区的900名中国医护人员。使用基于证据自行设计的OIRD知识问卷，根据准确率来判断中国医护人员的知识程度。问卷包括六个知识维度的问题。社会人口学特征也通过多项问卷进行测量。
所有参与者在OIRD知识问卷上的总体准确率为64.5%±10.0%（均值±标准差），范围为20%至100%。单因素分析显示，中国医护人员的OIRD知识与年龄、地区、职业、医院级别、医院类型和科室、教育水平、临床工作年限以及慢性癌痛（CP）管理的临床实践呈正相关。多元线性回归分析显示职业和地区存在差异（均P<0.05）。
大多数中国医护人员对OIRD存在误解且缺乏相关知识。我们应重视制定针对性的培训计划，并探索可行有效的培训方法。
