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

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