目的 了解临床一线医务工作者对于结直肠癌围手术期中西医结合干预措施的认知和态度。方法 使用“腾讯问卷”的网络调查平台创建问卷，受访对象为全国范围内、有结直肠癌诊疗资质医院中的医生、护士及在读硕、博士研究生。问卷内容涉及医护人员的基本信息，对于结直肠癌围手术期的患者最佳的中医干预方式、最佳的干预时机、最关注的结局指标、中西医结合干预必要性的认可度以及对中西医结合干预措施推广应用的建议。回收的数据采用频数和百分比（%）描述。结果 从2020年9月24日至10月3日，本研究问卷浏览量为350次，收回调查问卷255份，去掉重复问卷11份，共收回244份有效问卷。受访者覆盖全国16个省份及直辖市；男女比例为2∶1；149名受试者具有研究生的学历；医护人员的执业范围不仅包括中医医生，还有32.79%的西医医护人员完成了此次问卷调查；高年资与低年资医护人员比例持平。关于在结直肠癌围手术期中应用的中医药干预方式，86.36%的中医医生认为口服中药最为合适；61.25%的西医医生推荐针刺治疗；65.71%护士最为认可艾灸治疗；73.68%的学生建议首选口服中药和中药灌肠的干预措施。对于中西医结合干预的时间节点，一线城市倾向于术后7天之内；非一线城市的中医院倾向于术后7天后。最为关注的结局指标依次是①生存质量、②并发症的发生率、③生存周期和术后排便功能的恢复。91.82%的中医医生、85.00%的西医医生、94.29%的护士、100%的医学生认为结直肠癌术后患者的康复有必要结合中医药的干预措施。未来中西医结合的发展建议集中在加大中医药健康教育的科普力度、注重专业医师的培养、关注围手术期的肿瘤学进展、兼顾卫生经济学理念以及重视患者心理康复方面的内容。结论 医护人员对中西医结合干预措施在结直肠癌围手术期中的应用的认知水平和接受度较高。中西医结合的发展需要国家、社会、医院、医务工作者个人多个层面共同努力。今后的临床研究可参考此次问卷调查的结果，制定高质量的临床试验研究，使其为形成中西医结合干预结直肠癌围手术期的专家共识提供数据支持，以期指导基层医护工作者应用推广。

Objective To get the perceptions and attitudes of medical staff on the interventions of integrated traditional Chinese and western medicine in the perioperative period of colorectal cancer.Methods The questionnaire was created by using the online survey platform of “Tencent questionnaire”. The interviewees were doctors and nurses specialized in oncology, as well as postgraduate and doctoral students. The content of the questionnaire included the basic information of the medical staff, the best interventions, the best intervention time, the outcomes, the attitudes about interventions of integrated traditional Chinese and western medicine, the development suggestions for popularization and application. Frequency and percentage (%) were used to describe the data collected.Results In this study, the number of visits to the questionnaire was 350. 255 questionnaires were collected from September 24 to October 03, 2020. 11 repetitive questionnaires were removed, and 244 questionnaires were enrolled. The participants were from 16 provinces; the ratio of male to female was 2∶1. 149 participants had the graduate degree. The scope of practice of medical staff includes not only traditional Chinese medicine (TCM) doctors, but also 32.79% of medical staff with western medicine background. The proportion of senior and junior medical staff was near the same. About the TCM intervention in the perioperative period, 86.36% TCM doctors thought that oral administration of TCM was the first choice; 61.25% western medicine doctors recommended acupuncture; 65.71% nurses suggested the moxibustion; 73.68% students approved the oral Chinese medicine and enema. For the time of prescription integrated Chinese and western medicine intervention, the hospitals in the first-tier cities tended to be within 7 days after the operation; the others tended to be after 7 days after surgery. The most important outcomes included the quality of life, the incidence of postoperative complications, the life cycle and recovery of postoperative defecation function. 91.82% TCM doctors, 85.00% western medicine doctors, 94.29% nurses and 100% medical students thought that it was necessary to combine TCM interventions and western interventions for the rehabilitation of patients with colorectal cancer after operation. Strengthening the popularization of health education, attaching importance to the cultivation of doctors of integrated medicine, and keeping up with the progress of oncology developments, health economics and psychological rehabilitation in the perioperative period, were the suggests about the development of integrated traditional Chinese and western medicine.Conclusion Medical staff had a high level of prescriptions and acceptances of the application of integrated traditional and western medicine interventions in colorectal cancer perioperative period. The developments of integrated traditional Chinese and Western medicine need the efforts from the state, society, hospitals and individual medical workers. Future clinical research can refer to the results of this questionnaire with high evidence level, so that it can help to form the consensus of domestic experts to guide the application and promotion of primary health care workers.

R256.3