62所西藏自治区医院护士对外周静脉留置针置入及维护的知信行现状调查

doi:10.3761/j.issn.0254-1769.2024.20.005

摘要/Abstract

摘要：

目的调查西藏自治区医院护士对外周静脉留置针置入及维护的认知、态度、实践行为现状，并分析相关影响因素。方法采用方便抽样法，于2023年11月—12月选取西藏自治区7个地级市（地区）62所医院的护士作为调查对象，采用自制调查问卷，以电子问卷的形式进行调查。采用单因素分析、多元线性回归分析，探究护士对外周静脉留置针置入及维护的认知、态度、实践行为的影响因素。结果共回收1 320份问卷，其中有效问卷1 319份，有效问卷回收率为99.92%。护士对外周静脉留置针置入及维护的认知、态度、实践行为维度得分依次为（46.24±13.68）（79.75±10.30）（60.38±14.15）分。808名（61.26%）护士接受过相关培训。多元线性回归分析结果显示，有无相关培训经历、民族、学历、职称、工作科室及医院所在地区是认知维度得分的影响因素（P<0.05）；有无相关培训经历、民族、学历、职称、医院所在地区是态度维度得分的影响因素（P<0.05）；有无相关培训经历、民族、学历、工作科室及医院所在地区是实践行为维度得分的影响因素（P<0.05）。结论西藏自治区医院护士对外周静脉留置针置入及维护的认知水平亟需提高、态度较好、实践行为有待规范。护理管理者应根据相关影响因素对护士实施针对性的培训，丰富培训形式和内容，以满足护士的需求，从而提升西藏自治区的静脉治疗质量。

关键词: 外周静脉留置针, 护士, 知信行, 影响因素分析, 护理

Abstract:

Objective To investigate the knowledge，attitude and practice of nurses from hospitals in Tibet Autonomous Region on the use of peripheral venous needle and analyze the influencing factors. Methods Utilizing a convenience sampling approach，we conducted a survey from November to December 2023 involving 1 319 nurses from 62 hospitals across 7 cities（regions） of Tibet Autonomous Region. Custom-made electronic questionnaires were utilized. Results A total of 1 320 questionnaires were collected，of which 1 319 were valid，with an effective response rate of 99.92%. The scores of nurses’ knowledge，attitude and practice were 46.24±13.68，79.75±10.30，and 60.38±14.15，respectively. 808（61.26%） nurses had received relevant training experience. The results of multiple linear regression analysis showed that the influencing factors of nurses’ knowledge of peripheral venous indwelling needle included whether they had received training experience，ethnicity，education background，professional title，department and hospital region（P<0.05）. Training experience，ethnicity，educational background，profession title and hospital region were the influence factors of nurses’ attitude of venous indwelling needle（P<0.05）. Whether they had received training，ethnicity，education background，department and hospital region were the influencing factors of nurses’ practice of peripheral venous indwelling needle（P<0.05）. Conclusion Nurses from hospitals in Tibet Autonomous Region have a good attitude towards using venous indwelling needle. However，the knowledge level is not ideal and the practice is still needed to be improved. Nursing managers should implement targeted training and enrich the training form and content，so as to meet the needs of nurses and to improve the quality of intravenous therapy in the Tibet Autonomous Region.

Key words: Peripheral Venous Indwelling Needle, Nurse, Knowledge，Attitude and Practice, Root Cause Analysis, Nursing Care

侯秀凤, 王思瑶, 边巴欧珠, 嘎多, 德吉, 王柳, 色吉那. 62所西藏自治区医院护士对外周静脉留置针置入及维护的知信行现状调查[J]. 中华护理杂志, 2024, 59(20): 2463-2471.

HOU Xiufeng, WANG Siyao, Bianbaouzhu, Gaduo, Deji, WANG Liu, Sejina. The survey of knowledge，attitude and practice of nurses of 62 hospitals in Tibet Autonomous Region on the use of peripheral venous indwelling needle[J]. Chinese Journal of Nursing, 2024, 59(20): 2463-2471.

图/表 5

表1 西藏自治区护士对留置针置入及维护认知维度正确率、态度和实践行为维度得分前3位和后3位的条目

Table 1 The top 3 and the bottom 3 item scores of nurses in hospitals of the Tibet Autonomous Region on the accuracy rate of knowledge, attitude and practice on implantation and maintenance of peripheral venous catheter

表2 西藏自治区医院护士对留置针置入及维护的认知、态度、实践行为影响因素的单因素分析结果（n=1 319，分，

\bar{x} \pm s

）

Table 2 Single factor analysis results of influencing factors of knowledge, attitude and practice of nurses in hospitals of Tibet Autonomous Region on peripheral venous catheter（n=1 319，score，

\bar{x} \pm s

）

表2 西藏自治区医院护士对留置针置入及维护的认知、态度、实践行为影响因素的单因素分析结果（n=1 319，分， $\bar{x} \pm s$ ）

表3 自变量赋值方式

Table 3 Assignment for categorical variables

表4 西藏自治区医院护士对留置针置入及维护的认知、态度、实践行为影响因素的多元线性回归分析结果（n=1 319）

Table 4 Linear regression analysis of knowledge，attitude，and practice of nurses in hospitals of Tibet Autonomous Region peripheral venous catheter （n=1 319）

表5 西藏自治区医院护士对留置针置入及维护培训内容、途径的需求调查结果（n=1 319）

Table 5 The demands of training content and approach of peripheral venous catheter for nurses in hospitals of Tibet Autonomous Region（n=1 319）

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