山东省31所三级综合医院ICU护士腹内压监测行为及认知的调查研究

doi:10.3761/j.issn.0254-1769.2023.21.007

摘要/Abstract

摘要： 目的了解山东省三级综合医院ICU护士腹内压监测行为与认知的现状，并分析影响其认知的因素，为制订腹内压监测标准及流程、开展针对性培训提供参考。方法制作腹内压监测行为及认知问卷，采用便利抽样法，于2022年9月28日—11月10日从山东省16个地级市中选择三级综合医院的ICU护士进行调查。结果共纳入31所三级综合医院（三级甲等医院24所，77.42%；三级乙等医院7所，22.58%），回收有效问卷627份。腹内压监测技术的开展率不高（73.37%），主要原因为未接受过腹内压监测相关培训（61.08%）；仅111名（24.94%）护士选择了腋中线与髂嵴之间的交叉处作为测量零点、274名（61.57%）护士在呼气末进行读数。护士腹内压监测认知得分为0~16（7.88±2.79）分，回答正确率≥50%的题目仅有5题。结论山东省三级综合医院ICU护士的腹内压监测行为及认知有待加强，建议统一和落实腹内压监测标准与流程，进一步加强腹内压监测技术的培训，提高ICU护士腹内压监测的规范性和认知水平。

关键词: 重症监护室, 护士, 腹内压监测, 认知

Abstract:

Objective To understand the current situation of practice and cognition of ICU nurses on intra-abdominal pressure monitoring in tertiary general hospitals in Shandong Province，and to analyze the factors affecting their cognition，so as to provide references for formulating intra-abdominal pressure monitoring standards and procedures，and carrying out targeted training in the future. Methods A convenience sampling method was used，and a self-designed questionnaire on practice and cognition of intra-abdominal pressure monitoring was used to survey ICU nurses from tertiary general hospitals in 16 prefecture-level cities in Shandong Province from September to November 2022. Results A total of 627 valid questionnaires were collected，involving 31 tertiary general hospitals（24 tertiary A hospitals，77.42%；7 tertiary B hospitals，22.58%）. The operation rate of intra-abdominal pressure monitoring was low（73.37%），and the main reasons were that they had not received intra-abdominal pressure monitoring related training（61.08%），with only 111（24.94%） nurses choosing the intersection of the mid-axillary line and the iliac crest as the reference zero point measurement，274（61.57%） nurses not taking an reading at the end of expiration. The intra-abdominal pressure monitoring cognition score was 0~16（7.88±2.79） points，and only 5 questions had a correct answer rate of ≥50%. Conclusion The standardization of intra-abdominal pressure monitoring practice by ICU nurses in tertiary general hospitals in Shandong Province needs to be strengthened，and their cognition needs further training. It is suggested to unify and implement the standards and procedures of intra-abdominal pressure monitoring，further accelerate the training of intra-abdominal pressure monitoring technology，and improve the standard execution rate and cognitive level of ICU nurses on intra-abdominal pressure monitoring.

Key words: Intensive Care Unit, Nurse, Intra-Abdominal Pressure Monitoring, Cognition

刘备备, 李媛媛, 张继承, 杨洪娜, 陈凤致, 白雪. 山东省31所三级综合医院ICU护士腹内压监测行为及认知的调查研究[J]. 中华护理杂志, 2023, 58(21): 2610-2616.

LIU Beibei, LI Yuanyuan, ZHANG Jicheng, YANG Hongna, CHEN Fengzhi, BAI Xue. Monitoring of intra-abdominal pressure：a survey of ICU nurses’ practice and cognition in 31 hospitals in Shandong Province[J]. Chinese Journal of Nursing, 2023, 58(21): 2610-2616.

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