Kruger P S, Longden P J
Department of Anaesthesia and Intensive Care, Toowoomba Base Hospital, Qld.
Anaesth Intensive Care. 1997 Feb;25(1):38-41. doi: 10.1177/0310057X9702500107.
A selection of medical and nursing staff and anaesthetic technicians at work on a particular day at a regional Base Hospital were invited to complete a questionnaire to assess their knowledge of the principles of pulse oximetry. A 98.5% response rate (203 respondents) was achieved from staff in a broad cross section of hospital wards participating in the study. Most of the participants (nursing [N] 87%, medical [M] 91%, anaesthetic technicians [AT] 100%) used pulse oximetry regularly in their daily work. Less than half of the participants (N 36%, M 48% and AT 50%) felt they had adequate training in the use of pulse oximetry. Only 68.5% of participants correctly stated what pulse oximeters measure. Answers to the questions regarding the principles of pulse oximetry, potential errors, normal ranges or the physiology of oxygen haemoglobin dissociation varied but generally reflected limited understanding. As the use of pulse oximeters extends beyond the operating theatre and intensive care environment, appropriate staff education must ensure a basic understanding of the operating principles of the instrument.
在某一地区中心医院的特定一天，邀请了部分在职医护人员和麻醉技术人员填写一份问卷，以评估他们对脉搏血氧饱和度测定原理的了解程度。参与该研究的医院各病房的工作人员的回应率达到了98.5%（203名受访者）。大多数参与者（护士占87%，医生占91%，麻醉技术人员占100%）在日常工作中经常使用脉搏血氧饱和度测定仪。不到一半的参与者（护士占36%，医生占48%，麻醉技术人员占50%）觉得他们接受过关于使用脉搏血氧饱和度测定仪的充分培训。只有68.5%的参与者正确说出了脉搏血氧饱和度测定仪所测量的内容。关于脉搏血氧饱和度测定原理、潜在误差、正常范围或氧合血红蛋白解离生理学问题的答案各不相同，但总体反映出理解有限。随着脉搏血氧饱和度测定仪的使用范围扩展到手术室和重症监护环境之外，对工作人员进行适当的教育必须确保他们对该仪器的工作原理有基本的了解。
