摘要
目的根据重症监护室(ICU)护理人员对气管插管患者拔管后吞咽功能障碍(PSD)预防知信行(KAP)的调查结果,分析KAP的影响因素。方法以电子调查问卷的方式,采用目的抽样法,选取2022年6-8月江苏、浙江、上海等省市10家医院ICU护理人员作为研究对象,按照问卷条目数乘以5~10倍来计算样本量,抽取医院ICU护理人员对气管插管患者PSD预防KAP问卷调查,ICU护理人员对吞咽功能障碍预防KAP的影响因素,使用单因素、多因素分析方法进行分析。结果共纳入316名ICU护理人员的问卷进行分析,ICU护理人员对于气管插管患者PSD预防知识得分(67.02±11.30)分、态度得分(34.67±6.10)分、行为得分(43.96±8.76)分。不同性别、学历、医院级别的ICU护士、是否专科护士对气管插管患者PSD预防态度维度,差异有统计学意义(P<0.05);不同年龄、职称的ICU护士对气管插管患者PSD预防行为维度,差异有统计学意义(P<0.05)。多重线性回归分析结果显示,学历对ICU护理人员气管插管PSD预防知识、态度产生影响,职称对ICU护理人员行为产生影响(P<0.05)。结论ICU护理人员对气管插管患者PSD预防有一定的知识水平,但认可程度和参与程度有待提升。管理者应重点加强护理人员对气管插管患者PSD预防相关内容培训,明确吞咽功能预防的操作流程,提高重视程度。
Objective This study aimed to analyse the results of a survey on the Knowledge and Assurance Practice(KAP)for swallowing dysfunction prevention after extubation in patients with tracheal intubation by nursing staff in the intensive care unit,and to analyse the factors influencing KAP.Methods By means of electronic questionnaire,purposive sampling method was used to select hospital ICU nursing staff in June-August 2022 as the study cohort.The sample size was calculated according to the number of questionnaire entries multiplied by 5~10 times to extract the hospital ICU nursing staff on the prevention of KAP questionnaire for PSD in patients with tracheal intubation,and the factors affecting the prevention of KAP for swallowing dysfunction by ICU nursing staff were analyzed using univariate and multivariate analysis methods.Results A total of 316 ICU nursing staff questionnaires were included for analysis,and the ICU nursing staff's knowledge score(67.02±11.30),attitude score(34.67±6.10),and behavior score(43.96±8.76)for PSD prevention in patients with tracheal intubation.There were significant differences between ICU nurses of different genders,education levels,hospital levels,and the identification of specialist nurses on the dimension of PSD prevention for tracheal intubated patients(P<0.05).There were statistically significant differences in the dimension of PSD prevention for tracheal intubated patients by ICU nurses of different ages and titles(P<0.05).The results of multiple linear regression analysis showed that educational qualifications had an impact on the knowledge and attitude of tracheal intubation PSD prevention among ICU nursing staff,and the ICU nursing staff titles had an impact on their behaviour(P<0.05).Conclusion ICU nursing staff have a certain level of knowledge about PSD prevention in patients with tracheal intubation,but the degree of recognition and participation needs to be improved.Managers should focus on strengthening the training of nursing staff on PSD prevention related to trache
作者
张静
徐叶萍
张爱琴
汪长岭
ZHANG Jing;XU Yeping;ZHANG Aiqin;WANG Changling(Jinling Medical College,Nanjing Medical University,Nanjing 211166,Jiangsu,China;Department of Disinfec-tion and supply,No.904 Hospital of Joint Logistic Support Force of PLA,Wuxi 214044,Jiangsu,China;Department of Medical Information Data,Jinling Medical College,Nanjing Medical University/General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China;Department of Medical Engineering,Jinling Medical College,Nanjing Medical University/General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China)
出处
《医学研究与战创伤救治》
CAS
北大核心
2024年第3期300-303,共4页
Journal of Medical Research & Combat Trauma Care
基金
无锡市科学技术协会软科学研究课题(KX-23-A08)
东部战区总医院科研基金(YYZD2021013)。
关键词
重症监护
护理人员
气管插管
吞咽功能
知信行
intensive care
nursing staff
tracheal intubation
swallowing function
knowledge and behaviour
