Abstract: Objective To explore the knowledge,attitudes,and behaviors towards the ABCDE Bundle nursing for sedation and analgesia among clinical nurses in intensive care units（ICUs）,and to analyze the factors affecting the ABCDE Bundle nursing in clinical practice.Methods A self-designed internet-based questionnaire was delivered to the nurses working at the ICUs of five tertiary hospitals in Beijing.Results From March to June 2018,282 nurses completed the questionnaires. The scores of knowledge,attitudes,and behavior were（6.01±2.06）,（6.78±2.60） and（11.40±3.64）,respectively,and the total score was （24.18±5.72）. Knowledge scores were different among nurses with different job titles（P<0.05）. The attitudes were associated with nurses' ICU types significantly（P<0.05）. Nurses' behaviors were associated with age,job titles,educational level,years of nursing work,ICU types,years of ICU work （P<0.05）. Multiple logistic regression analysis showed that years of nursing work and ICU types were influencing factors for the total scores of knowledge,attitudes,and behaviors（P<0.05）.Conclusion Nurses who work at the ICUs have a low level of knowledge on the ABCDE Bundle for sedation and analgesia. Their attitudes towards the ABCDE Bundle for sedation and analgesia is positive,while their behaviors are still lacking. The general level of knowledge,attitudes,and behaviors of nurses in neurological intensive care units and those with less than 5 years of nursing experience were higher than other nurses. Nursing administrators should establish and improve the training system of the ABCDE Bundle for sedation and analgesia and strengthen the knowledge and behaviors of nurses. It is imperative to strengthen training to enhance their knowledge,attitudes and behaviors.

Key words: Sedation and Analgesia, ABCDE Bundle Nursing, Knowledge, Attitude, Behavior, Intensive Care Unit, Questionnaires, Cross-Sectional Studies, Root Cause Analysis, Nursing Administration Research

摘要： 目的 了解ICU护士镇静镇痛集束化护理知信行现状,分析影响在临床中开展镇静镇痛集束化护理策略的因素。方法 2018年3月—6月,采用自编问卷对北京市5所三级甲等医院的ICU护士进行横断面调查,问卷内容包括ICU护士镇静镇痛集束化护理的知识、态度和行为（42个条目）,满分42分,以及获得知识的来源及影响因素（2个条目）,问卷总内容效度为0.906。结果 共回收调查问卷282份。知识、态度、行为的得分分别为（6.01±2.06）分、（6.78±2.60）分和（11.40±3.64）分,总分为（24.18±5.72）分。不同职称护士知识得分差异具有统计学意义（P<0.05）;不同ICU类型护士态度得分差异具有统计学意义（P<0.05）;不同年龄、职称、受教育程度、护理工作年限、ICU类型及ICU工作年限的护士行为得分差异具有统计学意义（P<0.05）。多元线性回归分析显示,护理工作年限和护士所在ICU类型是ICU护士镇静镇痛集束化护理知信行总分的影响因素（P<0.05）。结论 ICU护士镇静镇痛集束化护理知识水平偏低,对镇静镇痛集束化护理的态度较积极,镇静镇痛集束化护理行为尚欠缺,神经重症ICU护士和护理工作年年限少于5年的ICU护士镇静镇痛集束化护理知信行总体水平高于其他护士,护理管理者应建立和完善镇静镇痛集束化护理培训体系,强化ICU护士的知识和行为,通过培训提高其镇静镇痛集束化护理的知信行水平。

关键词: 镇静镇痛, 集束化护理, 知信行, 重症监护病房, 问卷调查, 横断面研究, 影响因素分析, 护理管理研究