临床护士血管导管相关感染知识掌握现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2024.05.012

摘要/Abstract

摘要：

目的调查临床护士血管导管相关感染知识的掌握现状并分析其影响因素，为开展血管导管相关感染防控策略的同质化培训提供依据。方法采用多阶段随机抽样法，于2022年4月9日至6月9日从中国东部（华东）、西部（华西）、中部（华中）、南部（华南）、北部（华北及东北）的15所医院中选取1 450名护士作为调查对象，采用一般资料调查表和血管导管相关感染知识问卷对其进行调查，问卷共包含血管导管相关感染定义、临床表现、诊断方法、危险因素、预防措施、治疗措施、管理制度7个维度。结果回收有效问卷1 424份，有效问卷回收率为98.21%。护士血管导管相关感染的知识得分为（50.97±19.20）分。得分合格的护士442名（30.9%），良好169名（11.8%），优秀50名（3.5%）。多元线性回归分析显示，临床护士血管导管相关感染知识得分的影响因素为年龄、医院等级、职务、学历、是否为静脉治疗专科护士（P<0.05）。结论参与调查的县级及地级市医院护士对血管导管相关感染知识掌握水平较省（部）级医院护士低，护理管理者应针对县级和地级市医院的护士开展血管导管相关感染知识的同质化培训，从而提高县级和地级市医院护士对血管导管相关感染的防控水平，降低血管导管相关感染的发生率。

Abstract:

Objective To investigate the current situation of clinical nurses’ knowledge of vessel catheter-associated infection（VCAI） and analyze its influencing factors，so as to provide a basis for homogenizing training on prevention and control strategies of VCAI. Methods A total of 1 450 nurses were selected from 15 hospitals in East，West，Central，South and North area of China from April 9 to June 9 2022 by multi-stage random sampling method. They were investigated by general data questionnaire and VCAI knowledge questionnaire. The questionnaire included 7 dimensions，covering definition，clinical manifestations，diagnosis methods，risk factors，prevention measures，treatment measures and management system. Results A total of 1 424 valid questionnaires were collected，with an effective recovery rate of 98.21%. Nurses’ knowledge of VCAI was 50.97±19.20. There were 442 qualified nurses （30.9%），169 good nurses（11.8%），and 50 excellent nurses（3.5%）. Multiple linear regression analysis showed that the main influencing factors of clinical nurses’ knowledge score on VCAI were age，hospital grade，job post，educational background，and whether or not they were intravenous therapy specialist nurses（P<0.05）. Conclusion Nurses in county-level and prefecture-level hospitals who participated in the survey had a lower knowledge of VCAI than nurses in provincial or minister-level hospitals. Nursing managers should conduct homogenized training on VCAI knowledge for nurses in county-level and prefecture-level hospitals，so as to change the prevention and treatment behavior of nurses in county-level and prefecture-level hospitals，and reduce the incidence of VCAI.

Key words: Clinical Nurse, Vessel Catheter-Associated Infection, Knowledge, Questionnaires, Cross-Sectional Studies

张京慧, 徐然, 钟平, 侯剑媚, 马贵媛, 彭莎, 石泽亚, 黄新, 王家岸. 临床护士血管导管相关感染知识掌握现状及影响因素分析[J]. 中华护理杂志, 2024, 59(5): 594-600.

ZHANG Jinghui, XU Ran, ZHONG Ping, HOU Jianmei, MA Guiyuan, PENG Sha, SHI Zeya, HUANG Xin, WANG Jiaan. Investigation on the knowledge and influencing factors of vessel catheter-associated infection among clinical nurses[J]. Chinese Journal of Nursing, 2024, 59(5): 594-600.

图/表 3

表1 调查对象的一般资料及血管导管相关感染知识问卷得分单因素分析结果（n=1 424）

Table 1 General data of respondents and results of univariate analysis of scores on knowledge of vessel catheter-associated infection（n=1 424）

表2 自变量赋值情况

Table 2 Assignment of independent variables

表3 临床护士血管导管感染知识得分影响因素多元线性回归分析结果

Table 3 Results of multiple linear regression analysis of factors influencing knowledge score of VCAI nurses

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