福建省ICU护士对呼吸机相关性膈肌功能障碍护理知信行的现状调查

doi:10.3761/j.issn.0254-1769.2022.07.012

摘要/Abstract

摘要：

目的了解福建省ICU护士对呼吸机相关性膈肌功能障碍（ventilator-induced diaphragm dysfunction,VIDD）护理知信行的现状,分析其影响因素。方法采用便利抽样法,于2021年4月采用自行编制的VIDD护理知信行问卷对福建省11所三级医院的ICU护士进行问卷调查。该问卷包括知识、信念、行为3个维度,共22个条目。结果共调查244名护士,其VIDD护理知信行问卷总分、知识维度、信念维度及行为维度得分分别为（55.99±10.61）、（13.63±4.61）、（28.96±3.66）、（13.39±5.41）分。多元线性回归分析结果显示,是否为专科护士、学历、是否接受过相关培训、工作年限是ICU护士对VIDD护理知信行水平的影响因素。结论福建省ICU护士对VIDD护理的信念较强,但知识和行为水平有待提高。专科护士、接受过相关培训、学历高、工作年限长的ICU护士,VIDD护理知信行水平较高。护理管理者应重视ICU护士的培训,强化ICU护士对VIDD护理的知识和行为,进一步推动VIDD护理相关工作。

关键词: 重症监护病房, 膈, 机械通气, 知识, 态度, 行为, 调查问卷, 护理管理研究

Abstract:

Objective To investigate the current situation of nursing knowledge,attitude,practice of ICU nurses in ventilator-induced diaphragm dysfunction（VIDD） and to analyze the influencing factors. Methods A convenience sampling method was adopted to conduct a questionnaire survey to investigate ICU nurses in 11 tertiary hospitals in Fujian Province in April 2021. A self-developed questionnaire on knowledge,attitude,practice toward VIDD care was distributed for investigation. The questionnaire includes 22 items in three dimensions: knowledge, belief and behavior.Results A total of 244 nurses were surveyed. The scores of knowledge,belief,and behavior were（13.63±4.61）,（28.96±3.66）,and（13.39±5.41）,respectively,and the total score was（55.99±10.61）. The results of multiple linear regression analysis showed that there were significant differences in whether they are specialist nurses,educational background,whether they have received training,and working years,and they are influencing factors of ICU nurses’ total score of knowledge about VIDD care. Conclusion ICU nurses have better beliefs about VIDD care,but the level of knowledge and behavior needs to be improved. Specialized nurses,ICU nurses who have received relevant training,high education and long working years have a high level of VIDD nursing. In the next step,nursing administrators should pay attention to ICU nurse training,strengthen the knowledge and behavior of ICU nurses in VIDD care,and improve the level of knowledge and belief of ICU nurses about VIDD care,so as to further promote the nursing work related to VIDD prevention.

Key words: Intensive Care Unit, Diaphragm, Mechanical Ventilation, Knowledge, Attitude, Behavior, Surveys and Questionnaires, Nursing Administration Research

陈一媛, 林敏, 黄美春, 张奕馨, 许晓宇, 林丹丹, 庄耀宁. 福建省ICU护士对呼吸机相关性膈肌功能障碍护理知信行的现状调查[J]. 中华护理杂志, 2022, 57(7): 841-845.

CHEN Yiyuan, LIN Min, HUANG Meichun, ZHANG Yixin, XU Xiaoyu, LIN Dandan, ZHUANG Yaoning. Study on the status of nurses’ knowledge,attitude,practice toward ventilator-induced diaphragm dysfunction care in intensive care unit of Fujian[J]. Chinese Journal of Nursing, 2022, 57(7): 841-845.

图/表 3

表1 ICU护士的一般资料及呼吸机相关性膈肌功能障碍护理知信行问卷得分的单因素分析结果（n=244）

Table 1 Single factor analysis results of the scores of ICU nurses’ knowledge,attitude,practice toward ventilator-induced diaphragm dysfunction care（n=244）

表2 ICU护士呼吸机相关性膈肌功能障碍护理知信行问卷各维度得分排名后3位的条目（n=244,分,$\bar{x} \pm s$）

Table 2 Bottom 3 items of ICU nurses’ knowledge,attitude,practice toward ventilator-induced diaphragm dysfunction care（n=244,分,$\bar{x} \pm s$）

表3 ICU护士呼吸机相关性膈肌功能障碍护理知信行问卷得分的多元线性回归分析结果

Table 3 The results of mutiple linear regression analysis of the factors affecting the total scores of ICU nurses’ knowledge, attitude, practice toward ventilator-induced diaphragm dysfunction care

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