24所医院儿科ICU护士对患儿睡眠管理的认知及实践行为调查

doi:10.3761/j.issn.0254-1769.2024.04.009

摘要/Abstract

摘要：

目的调查儿科ICU护士对危重患儿睡眠管理的认知、态度和实践行为现状，分析其影响因素。方法采用自行设计的一般资料调查表、儿科ICU护士对患儿睡眠管理的认知及实践行为调查问卷，于2023年3月16日—4月10日通过便利抽样法对国内24所医院的902名儿科ICU护士进行调查，并采用多元逐步线性回归分析其影响因素。结果回收有效问卷893份，有效问卷回收率为99.00%。儿科ICU护士对患儿睡眠管理的知识维度得分为（33.71±7.76）分，态度维度得分为（37.38±4.86）分，行为维度得分为（80.60±16.78）分，总分为（151.78±24.27）分。知识与态度、知识与行为、态度与行为维度得分均呈正相关（r=0.393，P<0.001；r=0.495，P<0.001；r=0.320，P<0.001）。多元逐步线性回归分析结果显示，性别、地域、睡眠管理知识的学习情况是儿科ICU护士对患儿睡眠管理认知及实践行为调查问卷总分的影响因素（P<0.05）。结论儿科ICU护士对危重患儿睡眠管理的态度较积极，但认知和行为水平有待提高。护理管理者应加强儿科ICU护士对患儿睡眠管理的理论知识和实践行为培训，制订科学的睡眠管理方案，指导护士对患儿睡眠进行合理的评估和干预，从而改善患儿的睡眠质量。

关键词: 重症监护病房，儿科, 护士, 睡眠, 健康知识，态度，实践, 影响因素分析, 儿科护理学

Abstract:

Objective To investigate the current status of nurses’ knowledge，attitude and practice regarding sleep management of critically ill children in pediatric ICU，and to analyze its impact factors. Methods A self-designed questionnaire on general information and a questionnaire on knowledge and practical behaviors of pediatric ICU nurses on child’s sleep management were used. In March 2023，902 pediatric ICU nurses from 24 hospitals in China were surveyed using a convenient sampling method，and the impact factors were analyzed using multiple stepwise linear regression. Results 893 valid questionnaires were collected and the recovery rate of valid questionnaires was 99.00%. Nurses in pediatric ICU scored（33.71±7.76） in knowledge dimension，（37.38±4.86） in attitude dimension and（80.60±16.78） in practice dimension，with a total score of（151.78±24.27）. The scores of knowledge and attitude，knowledge and practice，attitude and practice are all positively correlated （r=0.393，P<0.001；r=0.495，P<0.001；r=0.320，P<0.001）. The results of multiple stepwise linear regression analysis showed that gender，region，whether they had received sleep management training were the influencing factors of pediatric ICU nurses’ total score of knowledge，attitude and practice towards children’s sleep management（P<0.05）. Conclusion Nurses in pediatric ICU are positive about sleep management for critically ill children，but their knowledge and practice levels need to improve. Nursing managers should strengthen the theoretical knowledge and practical behavioral training of pediatric ICU nurses on child sleep management，develop scientific sleep management plans，and guide nurses to make reasonable evaluation and interventions to improve children’s sleep quality.

Key words: Intensive Care Units，Pediatric, Nurses, Sleep, Health Knowledge，Attitudes，Practice, Root Cause Analysis, Pediatric Nursing

范晓睿, 顾莺, 胡静, 戚少丹, 贺琳晰, 张雯澜, 王林娟, 沈伟杰, 杨玉霞. 24所医院儿科ICU护士对患儿睡眠管理的认知及实践行为调查[J]. 中华护理杂志, 2024, 59(4): 447-454.

FAN Xiaorui, GU Ying, HU Jing, QI Shaodan, HE Linxi, ZHANG Wenlan, WANG Linjuan, SHEN Weijie, YANG Yuxia. A multicenter survey on nurses’ knowledge and practice of children’s sleep management in pediatric ICU[J]. Chinese Journal of Nursing, 2024, 59(4): 447-454.

图/表 4

表1 儿科ICU护士的一般资料与对患儿睡眠管理认知、态度和行为的单因素分析结果（n=893）

Table 1 General information of pediatric ICU nurses and the results of univariate analysis of knowledge，attitude and practice regarding child sleep management（n=893）

表2 儿科ICU护士对患儿睡眠管理认知、态度和行为维度得分前3位和后3位的条目（分，$\bar{x} \pm s$）

Table 2 The top 3 and bottom 3 items of knowledge，attitude and practice of pediatric ICU nurses on children’s sleep management（score，$\bar{x} \pm s$）

表3 自变量赋值方式

Table 3 The assignment of the independent variables

表4 儿科ICU护士对患儿睡眠管理认知、态度和行为影响因素的多元线性回归分析结果

Table 4 Multiple linear regression analysis results of impact factors of knowledge，attitude and practice of pediatric ICU nurses regarding sleep management

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