24个省份胸外科护士围手术期肺康复知信行的调查研究

doi:10.3761/j.issn.0254-1769.2025.05.009

摘要/Abstract

摘要：

目的了解胸外科护士围手术期肺康复知信行现状及影响因素，为护理管理者采取针对性措施以提高其肺康复知信行水平提供参考。方法 2023年8月—10月，采用便利抽样法，通过横断面描述性调查，对24个省（区、市）三级甲等肿瘤专科医院和三级甲等综合医院的1 167名胸外科护士进行匿名调查。调查工具为一般资料调查表及肺癌围手术期肺康复护士知信行问卷，知信行问卷包括知识维度（14个条目）、信念维度（6个条目）、行为维度（14个条目），共34个条目。使用单因素分析及多元线性回归分析确定影响因素。结果共1 089名护士完成调查，胸外科护士围手术期肺康复知信行问卷总标准分及其知识、信念、行为维度标准分分别为（80.45±11.84）（73.72±14.68）（89.61±11.38）（83.46±14.48）分。所在医院性质、有无行政职务、是否开展加速康复外科、是否参加过肺康复培训是胸外科护士围手术期肺康复知信行水平的影响因素（P<0.05）。结论胸外科护士围手术期肺康复知信行总体处于中等水平，围手术期肺康复知识相对不足，影响因素较多。护理管理者应加强对胸外科护士的肺康复培训，提高护士的知识储备和证据转化能力，以提高其围手术期肺康复知信行水平。

关键词: 护士, 围手术期, 肺康复, 知识, 信念, 行为, 护理管理研究

Abstract:

Objective In order to understand the current status and influencing factors of perioperative pulmonary rehabilitation knowledge，attitude，and practice among Chinese thoracic surgery nurses，and to provide references for managers to take targeted measures to improve their pulmonary rehabilitation knowledge，attitude，and practice level. Methods From August to October 2023，a convenience sampling method and cross-sectional descriptive survey were used to anonymously survey 1 167 thoracic surgery nurses from tertiary-level A cancer specialty hospitals and tertiary-level A general hospitals in 24 provinces through the Wenjuanxing platform. A general information questionnaire and a knowledge，attitude and practice questionnaire for lung cancer perioperative pulmonary rehabilitation nurses were used，including knowledge dimension（14 items），belief dimension （6 items），and behavior dimension（14 items），totaling 34 items. Univariate analysis and linear regression multivariate analysis were used to determine the influencing factors of the knowledge，attitude and practice level of thoracic surgery nurses in perioperative pulmonary rehabilitation. Results 1 089 nurses completed the investigation. The total standard score and the dimension scores on knowledge，attitude，and behavior of the perioperative pulmonary rehabilitation questionnaire for thoracic surgery nurses were（80.45±11.84）（73.72±14.68）（89.61±11.38） and（83.46±14.48），respectively. The nature of the hospital，whether there is an administrative position，whether the department carries out ERAS，and whether they have received pulmonary rehabilitation training are the influencing factors of the perioperative pulmonary rehabilitation knowledge，attitude，and practice level of thoracic surgery nurses（P<0.05）. Conclusion The knowledge，attitude，and practice of perioperative lung rehabilitation among thoracic surgery nurses are generally at a moderate level. However，their knowledge of perioperative lung rehabilitation is relatively insufficient，and there are many influencing factors. Managers should strengthen pulmonary rehabilitation training for thoracic surgery nurses，improve their knowledge reserves and evidence conversion capabilities，and coordinate cross-integration among multidisciplinary teams to improve their knowledge，attitude and practice in perioperative pulmonary rehabilitation.

Key words: Nurse, Perioperative Period, Pulmonary Rehabilitation, Knowledge, Attitude, Practice, Nursing Administration Research

李燕, 吴雪, 庞建美, 强万敏, 杨川川, 孙盛楠, 李静. 24个省份胸外科护士围手术期肺康复知信行的调查研究[J]. 中华护理杂志, 2025, 60(5): 569-574.

LI Yan, WU Xue, PANG Jianmei, QIANG Wanmin, YANG Chuanchuan, SUN Shengnan, LI Jing. Current status of knowledge，attitude and practice of perioperative lung rehabilitation among thoracic surgery on n in 24 provinces and autonomous regions of China：a multicenter investigation[J]. Chinese Journal of Nursing, 2025, 60(5): 569-574.

图/表 5

表1 调查对象的一般资料及围手术期肺康复知信行问卷得分的单因素分析（n=1 089）

Table 1 The general information of the respondents and the univariate analysis of their knowledge-attitude-practice of perioperative pulmonary rehabilitation（n=1 089）

表2 调查对象围手术期肺康复知信行问卷得分情况及程度划分（n=1 089）

Table 2 Total score and scores of each part of nurses’ knowledge-attitude-practice and their degrees（n=1 089）

表3 调查对象围手术期肺康复知信行各维度中得分最低的3个条目（n=1 089，分，

\bar{x} \pm s

）

Table 3 The lowest scores of 3 items of nurses’ knowledge, attitude and practice（n=1 089，score，

\bar{x} \pm s

）

表3 调查对象围手术期肺康复知信行各维度中得分最低的3个条目（n=1 089，分， $\bar{x} \pm s$ ）

Table 3 The lowest scores of 3 items of nurses’ knowledge, attitude and practice（n=1 089，score， $\bar{x} \pm s$ ）

表4 自变量赋值

Table 4 Assignment of independent variables

表5 调查对象围手术期肺康复知信行多元线性回归分析（n=1 089）

Table 5 Results of multivariate linear stepwise regression analysis of nurses’ knowledge-attitude-practice（n=1 089）

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