Abstract:

Objective To investigate the acquisition of the “standard for intubation and maintenance of nasointestinal tube in adult patients” of Chinese Nursing Association，and its influencing factors，so as to provide a basis for targeted training programs. Methods A multi-centered，cross-sectional study was performed in 31 provinces from September to November 2023，and nurses from different departments which use nasointestinal tubes like intensive care units，gastroenterology，neurology，geriatrics were included by a convenient sampling method. The tool was a self-designed questionnaire based on the group standard and the survey was conducted. Multiple linear regression analysis was used to explore the influencing factors of nurses’ knowledge of nasointestinal tubes intubation and maintenance. Results 1 350 valid questionnaires were collected. Only 61.63% of the respondents knew about the publishing of the standard. The score of knowledge of tube intubation and maintenance was（61.09±13.56）. The results of multiple linear regression analysis showed the influencing factors of the score of knowledge of intubation and maintenance were as follows：education level，professional title，job position，intubation experience within half a year，and corresponding achievements（P<0.05）. Conclusion The acqui-sition level of nurses for the standard calls for continuous promotion. Nursing managers should establish targeted training programs based on the related influencing factors，so as to advance the implementation of the group standard.

Key words: Nasointestinal Tube, Catheters, Indwelling, Maintenance, Complications, Cross-Sectional Studies, Nursing Care

摘要：

目的 调查护士对《成人鼻肠管留置与维护》团体标准的认知情况，分析相关影响因素，为制订针对性的培训方案提供依据。方法 采用便利抽样法，于2023年9月—11月选取国内31个省（区、市）62所医院ICU、消化内科、神经内科、老年科的护士作为调查对象。依据《成人鼻肠管留置与维护》团体标准，设计调查问卷并开展调查。采用多元线性回归分析，探究护士对鼻肠管留置与维护认知情况的影响因素。结果 回收有效问卷1 350份，其中61.63%的护士知晓《成人鼻肠管留置与维护》团体标准的发布。护士对鼻肠管留置与维护相关知识认知情况的得分为（61.09±13.56）分。多元线性回归分析结果显示，学历、所在医院等级、职称、职务、半年内有无鼻肠管置管经历及有无鼻肠管相关科研产出是护士对鼻肠管留置与维护相关知识认知情况的影响因素（P<0.05）。结论 护士对《成人鼻肠管留置与维护》团体标准的认知水平有待提高，管理者应根据相关影响因素制订针对性的培训方案，以进一步规范鼻肠管的留置及维护。

关键词: 鼻肠管, 导管, 留置, 维护, 并发症, 横断面研究, 护理