Department of Orthopedics, Hangzhou RedCross Hospital, Hangzhou, Zhejiang, China.
Department of Orthopedics, Yuhuan TCM Hospital, Taizhou, Zhejiang, China.
PLoS One. 2024 Jul 24;19(7):e0307545. doi: 10.1371/journal.pone.0307545. eCollection 2024.
Pneumatic tourniquets (PTs) play a crucial role in hemostasis during orthopedic surgery. This study aimed to investigate the current knowledge, attitudes, and practices (KAP) of orthopedic operating room personnel concerning the use of PTs.
This cross-sectional study was conducted from Jul. 2023 to Aug. 2023. An online questionnaire was used to collect demographic information and KAP score data of the orthopedic operating room personnel from Hangzhou Regional Hospitals.
A total of 336 participants included orthopedic physicians (37.8%), orthopedic nurses (31.5%), anesthesiologists (8.9%), operating room nurses (19.9%) and medical students (1.8%). The median knowledge score was 28.5 (24, 32), with a maximum score of 38; the median attitude score was 31 (28, 35), of a maximum of 35; the median practice score was 41 (36, 44), of a maximum of 45. Correlation analysis showed links between knowledge and attitude (r = 0.388, p<0.001), knowledge and practice (r = 0.401, p<0.001), and attitude and practice (r = 0.485, p<0.001). Multivariate logistic regression analysis confirmed that female gender (OR = 0.294, 95% CI: 0.167-0.520; p<0.001), working in a specialized hospital (OR = 0.420, 95% CI: 0.219-0.803; p = 0.009), and occupation as a surgical anesthesiologist (OR = 3.358, 95% CI: 1.466-7.694; p = 0.004) were associated with better knowledge scores. A higher educational degree (OR = 0.237, 95% CI: 0.093-0.608; p = 0.003) was associated with better practice scores. No previous training was associated with lower knowledge (OR = 0.312, 95% CI: 0.187-0.520; p<0.001) and practice (OR = 0.325, 95% CI: 0.203-0.521; p<0.001) scores.
Orthopedic personnel in this study had acceptable knowledge, attitude, and practice concerning the use of PTs; additional training and guidance might enhance proficiency.
在骨科手术中，气压止血带（PTs）在止血方面起着至关重要的作用。本研究旨在调查骨科手术室人员对 PTs 使用的现有知识、态度和实践（KAP）。
本横断面研究于 2023 年 7 月至 8 月进行。采用在线问卷收集来自杭州市区域医院的骨科手术室人员的人口统计学信息和 KAP 评分数据。
共纳入 336 名参与者，包括骨科医生（37.8%）、骨科护士（31.5%）、麻醉师（8.9%）、手术室护士（19.9%）和医学生（1.8%）。知识评分中位数为 28.5（24，32），最高得分为 38；态度评分中位数为 31（28，35），最高得分为 35；实践评分中位数为 41（36，44），最高得分为 45。相关性分析显示知识与态度（r = 0.388，p<0.001）、知识与实践（r = 0.401，p<0.001）以及态度与实践（r = 0.485，p<0.001）之间存在关联。多变量逻辑回归分析证实，女性（OR = 0.294，95%CI：0.167-0.520；p<0.001）、在专科医院工作（OR = 0.420，95%CI：0.219-0.803；p = 0.009）和职业为外科麻醉师（OR = 3.358，95%CI：1.466-7.694；p = 0.004）与较高的知识评分相关。较高的教育程度（OR = 0.237，95%CI：0.093-0.608；p = 0.003）与较好的实践评分相关。无既往培训与较低的知识（OR = 0.312，95%CI：0.187-0.520；p<0.001）和实践（OR = 0.325，95%CI：0.203-0.521；p<0.001）评分相关。
本研究中的骨科人员对 PTs 的使用具有可接受的知识、态度和实践；额外的培训和指导可能会提高熟练度。
