Mendes Ângela Barbosa, da Silva Carlota Carvalho, Dias Raquel, Nunes Catarina S, Machado Humberto, Lages Neusa
Serviço de Anestesiologia, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Instituto Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal.
Porto Biomed J. 2025 Apr 1;10(2):e288. doi: 10.1097/j.pbj.0000000000000288. eCollection 2025 Mar-Apr.
The performance of regional anesthesia (RA) in a block room (BR) may have an impact on the efficiency of the orthopaedics operating room (OR). The aim of this study was to understand the knowledge of healthcare professionals regarding RA and BR.
Two types of pilot surveys were developed and applied in three independent hospitals. Statistical validation of the survey was performed (Cronbach alpha coefficient and factor analysis), followed by its restructuring. Validated surveys were randomly delivered to orthopaedists and OR nurses from our institution, and a descriptive analysis was performed.
The pilot surveys presented a Cronbach alpha of 0.533 and 0.417 in the orthopaedic and OR nurse groups, respectively. Two questions in each survey were removed, increasing the internal consistency of the final restructured surveys. There was a total of 126 validated surveys completed (46 by orthopaedists and 76 by OR nurses). Both groups consider that, compared with general anesthesia, RA is associated with better pain control (95.7%/93.4%), fewer side effects (63%/73.7%), and improved patient satisfaction (84.7%/69.7%). Both groups would choose RA for themselves (89.1%/89.5%) and recommend it to a family member (89.1%/92.1%). Regarding BR, 80.4% of orthopaedists agreed that it is associated with less time wasted in anesthetic preparation, higher productivity (65.2%), and greater efficacy (65.2%).
Most orthopaedists and OR nurses recognized the various benefits of RA. Orthopaedists agreed that BR improves outcomes and provides efficiency gains in the OR. Genuine support from the entire OR team can play a critical role in the change.
在阻滞室（BR）实施区域麻醉（RA）可能会影响骨科手术室（OR）的效率。本研究的目的是了解医护人员对RA和BR的认知情况。
设计了两种类型的预试验调查问卷，并在三家独立医院应用。对调查问卷进行了统计验证（克朗巴哈α系数和因子分析），随后进行了重新构建。将经过验证的调查问卷随机发放给本机构的骨科医生和手术室护士，并进行描述性分析。
预试验调查问卷在骨科医生组和手术室护士组的克朗巴哈α系数分别为0.533和0.417。每次调查中各删除了两个问题，提高了最终重新构建调查问卷的内部一致性。总共完成了126份经过验证的调查问卷（骨科医生46份，手术室护士76份）。两组都认为，与全身麻醉相比，RA能带来更好的疼痛控制（95.7%/93.4%）、更少的副作用（63%/73.7%）以及更高的患者满意度（84.7%/69.7%）。两组都会为自己选择RA（89.1%/89.5%），并向家庭成员推荐RA（89.1%/92.1%）。关于BR，80.4%的骨科医生同意其与麻醉准备中浪费的时间减少、更高的工作效率（65.2%）和更大的效能（65.2%）相关。
大多数骨科医生和手术室护士认识到RA的各种益处。骨科医生一致认为BR能改善手术效果，并提高手术室的效率。整个手术室团队的真诚支持在这一转变中可发挥关键作用。
