焦虑对麻醉师决策过程的影响。 (DECIDINH)
焦虑对麻醉师在选择用于吸入危险因素患者全身麻醉诱导药物决策过程的影响。
除了吸入风险似乎很明显(或不存在)的夸大情况外,全身麻醉的快速顺序诱导方案的选择通常是在不确定的情况下做出的,根据一方面是吸入风险与过敏反应之间的平衡的个体评估另一方面,由短效毒药引起的风险。
焦虑和冲动对不确定性下诱导方案选择的影响以前从未研究过。
为了调查这个问题,设计了一项在线匿名调查,并将发送给法国 Bourgogne Franche-Comté 和 Grand Est 地区的麻醉师。
本研究的主要目的是使用 STAI-Y2 表格评估特质焦虑对麻醉师在为有误吸风险的患者选择诱导方案时的决策过程的影响。
次要目标是表征决策概况,使用隐式关联测试测量焦虑的隐性维度,使用短版 UPPS-P 量表研究冲动对不确定性下决策过程的影响,并研究社会人口统计数据和职业经历在这些决策中的作用。
研究概览
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:David FERREIRA, PH
- 电话号码:+33 3 81 66 91 31
- 邮箱:dferreira@chu-besancon.fr
研究联系人备份
- 姓名:Chloé ZANONI, resident
- 电话号码:+33 6 42 56 14 86
- 邮箱:chloe.zanoni@gmail.com
学习地点
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Doubs
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Besançon、Doubs、法国、25000
- 招聘中
- CHU Besançon
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接触:
- David FERREIRA, MD
- 电话号码:+333 81 66 91 31
- 邮箱:dferreira@chu-besancon.fr
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
取样方法
研究人群
描述
纳入标准:
- 所有完成博士学位的麻醉师
- 在法国工作
- 在公共或私人医疗机构
排除标准:
- 居民
- 退休麻醉师
学习计划
研究是如何设计的?
设计细节
- 观测模型:其他
- 时间观点:横截面
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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状态特质焦虑量表 Y2
大体时间:4个月大时
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STAI Y2 的测量。
分数高于 49 分(满分 80 分)将显示特质焦虑会干扰麻醉师的决策。
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4个月大时
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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决策概况
大体时间:4个月大时
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通过对 10 种临床情况的调查来描述决策概况,这些临床情况呈现出不同程度的不确定性,专家委员会已为其确定了风险评分 (RS)。 对于每种情况,诱导方案必须从分为 3 类的五种选择列表中进行选择:(1) 快速顺序诱导(催眠药 + 短效箭毒),(2) 简短方案(催眠药 + 阿芬太尼或瑞芬太尼)和( 3)标准(安眠药+舒芬太尼或瑞芬太尼+顺阿曲库铵)。 每个类别都有自己的分数,因此协议分数 (PS) 归属于所选协议。 最后,通过将 10 种情况的 RS x PS 的乘积相加,计算出每个受试者的总体得分 (GS)。 受试者将根据其总体得分归属于三个配置文件之一。 |
4个月大时
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焦虑的内隐测量
大体时间:4个月大时
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使用内隐联想测试来测量焦虑。
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4个月大时
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冲动测量:(负)紧迫性、(缺乏)预谋、(缺乏)毅力、感觉(寻求)-正(紧迫性)量表(UPPS-P 量表)
大体时间:4个月大时
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使用 UPPS-P 量表的简短版本来测量冲动性,该量表是(负)紧急性、(缺乏)预谋、(缺乏)毅力、感觉(寻求)- 正(紧急)量表。 该量表衡量冲动的五个维度。 每个维度都将被评分,并与其他概况的平均值和标准差以及一般人群的平均值和标准差进行比较。 高于一般人群平均值的分数表明在评分维度上冲动行为的倾向较高。 分数越高,受试者越冲动。 每个尺寸的标准值: 维度 平均 标准差 负面紧迫性 9.38 2.73 正面紧迫性 10.84 2.38 缺乏预谋 7.98 2.15 缺乏毅力 7.46 2.41 寻求刺激 10.55 2.72 |
4个月大时
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社会人口统计和职业史
大体时间:4个月大时
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社会人口统计数据的收集:性别、经验、经常遇到误吸风险的麻醉病房的实践(消化手术室、急诊手术室、产科)、地区、在公共或私人设施中的实践、值班时间(每周的小时数) 、工作时喝咖啡和吸烟、因快速顺序诱导而导致的严重过敏反应史、因全身麻醉诱导而导致的误吸史、严重过敏反应或误吸的情绪问题。
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4个月大时
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合作者和调查者
调查人员
- 首席研究员:David FERREIRA, PH、Centre Hospitalier Universitaire de Besançon
出版物和有用的链接
一般刊物
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有用的网址
- Current guidelines from the French Society of Anaesthesia & Intensive Care Medicine for the airway management in anesthesiology of adults, except for difficult intubation
- Rabault K, Master degree on the subject of the assessment of practice concerning the rapid sequence induction for patient at risk of aspiration in the Poitiers University Hospital
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- Muscle relaxants and reversal in anaesthesia. Guidelines from the French Society of Anaesthesia & Intensive Care Medicine
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (估计的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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