NICU医护人员对家庭参与式护理的认知与实践调查

doi:10.3761/j.issn.0254-1769.2021.12.008

摘要/Abstract

摘要：

目的调查NICU医护人员对家庭参与式护理（family-integrated care,FICare）的认知、态度及实践现状,为构建FICare方案提供参考。方法自行编制调查问卷,采用便利抽样法,于2021年3月10日—30日对13个省市23所三级甲等医院的764名NICU医护人员进行调查。结果共调查5所儿童专科医院、7所妇幼保健院/妇女儿童医院、11所综合医院,回收655份有效问卷,有效问卷回收率为85.7%。医护人员对FICare的认知得分为（68.22±7.99）分,得分率为90.96%;态度得分为（27.34±4.14）分,得分率为78.11%。17所医院已经开展FICare,但不同类型医院实践方法差异较大,儿童专科医院开展比例较高（80.0%）。影响FICare开展的主要因素包括病房条件有限、人力资源不足、缺乏科学系统的运行方法等。结论医护人员对FICare的认识不够全面,有必要开展针对性的培训。有实践经验的医院可联合制订科学、规范的FICare流程,发挥辐射引领作用,指导并促进下级医疗机构开展FICare。

关键词: 重症监护病房,新生儿, 家庭参与, 健康知识,态度,实践, 横断面研究, 新生儿护理

Abstract:

Objective To investigate the cognition and attitude of family-integrated care（FICare） among medical staff in NICU and to clarify the status of implementation,aiming at providing a reference for the construction of FICare program. Methods A total of 764 NICU medical staff from 23 grade A tertiary hospitals across 13 provinces and cities were selected between March 10th to March 30th,2021 by convenience sampling to respond to a self-designed questionnaire. Results A total of 655 valid questionnaires were collected from 5 children’s hospitals,7 women and children’s hospitals,and 11 general hospitals,with a response rate of 85.7%. The cognition scores of medical staff are（68.22±7.99） points,with the score rate of 90.96%. The attitude scores are（27.34±4.14）poins,with the score rate of 78.11%. FICare has been launched in 17 of the hospitals surveyed,but with variable practice methods. The children’s hospitals have a higher implementation rate（80.0%）. The major obstacles against implementing this program include limited space in NICU,insufficient human resources,and the lack of a scientific and systematic implementation approach,etc. Conclusion Medical staff do not fully understand FICare,and it is necessary to conduct targeted and in-depth training. Hospitals with practical experience can jointly develop a scientific and standardized FICare procedure,and play a leading role in guiding and promoting its implementation in the lower-level medical institutions.

Key words: Intensive Care Units,Neonatal, Family Integration, Health Knowledge,Attitudes,Practice, Cross-Sectional Studies, Neonatal Nursing

傅亚丽, 张先红, 李禄全, 周梅, 魏璐. NICU医护人员对家庭参与式护理的认知与实践调查[J]. 中华护理杂志, 2021, 56(12): 1806-1811.

FU Yali, ZHANG Xianhong, LI Luquan, ZHOU Mei, WEI Lu. Investigation on the cognition and practice of family-integrated care among medical staff in NICU[J]. Chinese Journal of Nursing, 2021, 56(12): 1806-1811.

图/表 4

表1 调查对象的一般资料[n=655,名（百分率,%）]

Tab.1 General information of surveyed subjects [n=655,cases（percentage,%）]

表2 不同类型医院的医护人员对家庭参与式护理认知及态度的得分情况（分,$\bar{x} \pm s$）

Tab.2 The cognition and attitude scores of medical staff in different types of hospitals towards family-integrated care（score,$\bar{x} \pm s$）

表3 医护人员对家庭参与式护理认知及态度维度得分前3位与后3位的条目（分,$\bar{x} \pm s$）

Tab.3 Top 3 and bottom 3 items in the cognition and attitude scores of medical staff towards family-integrated care（score,$\bar{x} \pm s$）

表4 不同类型医院家庭参与式护理组织结构现状[所（百分率,%）]

Tab.4 The status of organizational structure of family-integrated care in different types of hospitals[number（percentage,%）]

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