Cognition and compliance of medical staff on fasting and water deprivation scheme from practice guideline

Objective To investigate the cognition and compliance of medical staff in a hospital on fasting and water deprivation scheme recommended by related practice guideline and to explore its influencing factors, so as to provide an empirical evidence for further perfecting the system of preoperative preparation and improving the experience of patients to seeking medical advice. Methods A total of 237 medical personnels met the inclusion criteria were investigated with the self-designed cognition and behavior of medical staff on fasting scheme questionnaire by cross-sectional study from August to December 2016. Logistic regression analysis was used to analyze the influencing factors of the cognition and compliance of medical staff on fasting and water deprivation scheme before surgery. Results A total of 233 valid questionnaires recovered with valid recovery rate of 98.3%. There were 20.6% of the medical staff with the same cognition on the best time of fasting and water deprivation before surgery with the guidelines. There were 59.7% of the medical staff who would try to provide preoperative diet guidance according to the scheme recommended by practice guideline. The training, educational background and positional titles were the major influencing factors of cognition of medical staff on fasting and water deprivation scheme (P<0.05) . The training was the major influencing factor of compliance of medical staff on fasting and water deprivation scheme (P<0.05) . Conclusions Medical staff are with inadequate understanding and low compliance on fasting and water deprivation scheme recommended by related practice guideline. Managers should further strengthen the relevant training and create a favourable work environment so as to improve the compliance of medical staff on implementing the guidelines. Key words: Fasting; Water deprivation; Guideline; Cognition; Compliance