护理人员管道护理知信行现状调查及影响因素分析.txt

鎶悊浜哄憳绠亾鎶悊鐭俊琛岀幇鐘惰皟鏌強褰卞搷鍥犵礌鍒嗘瀽 銆銆鎽樿 鐩殑 浜嗚娣卞湷甯備簩绾尰闄姢鐞嗕汉鍛樺绠亾鎶悊鐨勭煡璇?鎬佸害-琛屼负锛圞AP锛夌幇鐘讹紝鍒嗘瀽鏈夊叧褰卞搷鍥犵礌锛屼负绠亾鎶悊鍩硅鍙婁复搴婄鐞嗘彁渚涗緷鎹?鏂规硶 閲囩敤渚垮埄鎶芥牱闂嵎璋冩煡娉曪紝瀵规繁鍦冲競3鎵浜岀骇鍖婚櫌鎶緞鍦?骞翠互涓婄殑410鍚嶆姢鐞嗕汉鍛樿繘琛岄棶鍗疯皟鏌紝鍐呭鍖呮嫭鐭佷俊銆佽3涓淮搴?0涓潯鐩紝鎸塊AP寰楀垎缁撴灉鍒嗕负鑹銆佷腑绛夈佽緝宸瓑绾紝閫氳繃鍗曞洜绱犲拰澶氬洜绱燣ogistic鍥炲綊鍒嗘瀽锛岀瀹氱煡銆佷俊銆佽涓殑褰卞搷鍥犵礌銆?缁撴灉 鏈粍鏈夋晥闂嵎384浠斤紙鍗?3.6%锛夛紝鎶悊浜哄憳瀵圭閬撴姢鐞嗙殑鐭佷俊銆佽鎬讳綋寰楀垎涓猴紙3.29卤0.55锛夊垎锛屽叾涓紝鐭瘑寰楀垎鍋忎綆锛屼负锛?.09卤0.46锛夊垎锛涙佸害銆佽涓哄緱鍒嗚緝楂橈紝鍒嗗埆涓猴紙3.22卤0.56锛夈侊紙3.58卤0.63锛夊垎銆傝繘涓姝噰鐢鍥犵礌Logistic鍥炲綊鍒嗘瀽鏄剧锛屾姢鐞嗕汉鍛樺绠亾鎶悊鐨勭煡銆佷俊銆佽涓庢枃鍖栫搴佹墍鍦殑绉戝瀵嗗垏鐩稿叧锛圥 = 0.000銆?.000锛夛紱涓庢姢榫勩佽亴绉扮浉鍏筹紙P = 0.005銆?.003锛夈?缁撹 娣卞湷甯備簩绾尰闄姢鐞嗕汉鍛樼閬撴姢鐞嗙殑鐭佷俊銆佽鐜板喌鍛堜腑绛夋按骞筹紝绠亾鎶悊鐭瘑缂轰箯绐佹樉锛屽簲鍔犲己瀵规姢鐞嗕汉鍛樿繘琛岀閬撴姢鐞嗙浉鍏崇煡璇嗙殑鍩硅锛屽苟缁撳悎瀛笟灞傛鍙婄瀹笓绉戠壒鎬湁閽堝鎬殑鍩硅锛屾彁楂樺叾瀵圭閬撴姢鐞嗙殑璁煡搴佷緷浠庢紝浠庤屼繚闅滀复搴婄閬撴姢鐞嗙殑瀹夊叏鎬強鏈夋晥鎬?銆銆鍏抽敭璇峕 鎶悊浜哄憳锛涚閬撴姢鐞嗭紱鐭俊琛岋紱鐜扮姸璋冩煡 銆銆涓浘鍒嗙被鍙穄 R192.6 鏂囩尞鏍囪瘑鐮乚 A 鏂囩珷缂栧彿 1673-7210锛?014锛?1锛坆锛?0103-05 銆銆Abstract Objective To investigate the status of nurses knowledge-attitude-practice 锛圞AP锛?on catheter nursing training and锛?analyze the correlative factors and provide reference for catheter nursing training and clinical management. Methods By convenience sampling methods锛?410 nurses of more than 1 year service from three second-class hospitals in Shenzhen were investigated by questionnaire. The questionnaire included KAP 3 dimensions 锛?0 items锛夛紝 all were divided into good group锛?normal group and bad group according to the score of KAP. By the single factor and multiple factors Logistic regression analysis to determine the influencing factors of catheter care KAP. Results 384 questionnaires were available 锛?3.6%锛? The nurses average KAP score was 锛?.29卤0.55锛?scores锛?knowledge score was lower 锛?.09卤0.46锛?scores锛?attitude and behavior scores were higher 锛?.22卤0.56锛夛紝 锛?.58卤0.63锛?scores respectively. Further regression analysis showed that锛?the nurses KAP level on catheter nursing was related with the length of service锛?professional title 锛圥 = 0.005锛?0.003锛夛紝 and closely related with the department and educational background 锛圥 = 0.000锛?0.000锛? Conclusion The status of nurses KAP on catheter nursing in second-class hospitals of Shenzhen City is of medium level锛?the problem of nurses lacking of catheter nursing knowledge is obvious. The managerial staff should strengthen the training and management about relevant information of catheter nursing锛?especially combine with their different departments and educational backgrounds锛?to improve the cognition and compliance of nurses on catheter nursing锛?and ensure the nursing safety and quality. 銆銆Key words Nurses锛?Catheter nursing锛?Knowledge-attitude-practice 锛圞AP锛夛紱 Status survey 銆銆绠亾鎶悊鏄姢澹伐浣滅殑閲嶇偣涔嬩竴銆備复搴婁笂鎬嵄閲嶇棁鍙婃墜鏈偅鑰呭父鐣欑疆澶氱绠亾锛屽叾鎶悊璐噺鐩存帴褰卞搷鍒版偅鑰呯殑搴峰锛屼竴鏃搷浣滀笉褰撳氨浼氱粰鎮呭甫鏉棝鑻紝寤惰娌荤枟锛屼弗閲嶈呯敋鑷冲嵄鍙婄敓鍛絒1銆傛湁鐮旂鏄剧锛岄潪璁垝鎬嫈绠紙unplanned extubation锛孶EX锛夌殑鍙戠敓鐜囧湪2.9%锝?2.5%2-3銆傛潹浜氬钩4鐮旂鎻愬嚭锛孖CU涓彂鐢熼潪璁垝鎬嫈绠紙UEX锛夋槸涓村簥鎶悊瀹夊叏绠悊鐨勯噸瑕侀棶棰樹箣涓銆傝屼复搴婃搷浣滀腑鎶瀵圭閬撴姢鐞嗚鐭害鐨勯珮浣庢槸褰卞搷绠亾鎶悊鐨勯噸瑕佸洜绱犮傛湁鐮旂鎶亾5锛岄氳繃寮哄寲鎶悊浜哄憳瀹夊叏鎰忚瘑锛屽畬鍠勬姢鐞嗗畨鍏浉鍏崇殑绠悊鍒跺害涓庡伐浣滄祦绋嬶紝钀藉疄鏍稿績鍒跺害鏉彁楂樼閬撴姢鐞嗙殑璐噺銆傚洜姝紝鎻愰珮鎶瀵圭閬撴姢鐞嗙殑璁煡搴佷緷浠庢紝淇濋殰绠亾鎶悊鐨勫畨鍏強鏈夋晥鎬槸鍖婚櫌鎶悊璐噺绠悊鐨勯噸瑕佸伐浣溿傛湰鐮旂閫氳繃瀵逛簩绾尰闄姢鐞嗕汉鍛樼閬撴姢鐞嗙殑鐭瘑銆佹佸害銆佽涓猴紙knowledge锛宎ttitude锛宲ractice锛孠AP锛夎繘琛岀幇鐘惰皟鏌紝鍒嗘瀽鍏跺奖鍝嶅洜绱狅紝涓烘姢澹閬撴姢鐞嗙煡璇嗗煿璁互鍙婂埗璁浉鍏抽闃叉帾鏂芥彁渚涚瀛緷鎹傜幇鎶亾濡備笅锛? 銆銆1 璧勬枡涓庢柟娉?銆銆1.1 涓鑸祫鏂?銆銆2014骞?锝?鏈堥夋嫨娣卞湷甯?鎵浜岀骇鐢茬瓑缁煎悎鎬尰闄复搴婄瀹紝鍒嗗埆浠?鎵鍖婚櫌鎶藉彇鍐呯銆佸绉戙佸浜銆佸効绉戙侀噸鐥囩洃鎶梾鎴匡紙ICU锛?涓梾鍖烘姢榫勫湪1骞翠互涓婄殑鎶悊浜哄憳涓鸿皟鏌璞紝閲囧彇渚垮埄鎶芥牱鐨勬柟娉曟暣缇撼鍏紝鍏?10鍚嶃傛墍鏈夊弬涓庢姢澹粡璋冩煡鍛樿鏄庣洰鐨勫悗锛屽潎鎰挎剰閰嶅悎鏈皟鏌傛帓闄澶勪簬浜亣銆佸摵涔冲亣銆佺梾鍋囥佽疆绉戞垨鍏朵粬鍘熷洜涓嶅湪宀楃殑鎶锛屾墍鏈夎皟鏌呭潎鏃犵簿绁炵柧鐥呫佸績鐞嗛殰纰嶅彶锛岀洰鍓嶆湭鏈嶇敤鎶楃簿绁炵梾鏂归潰鑽墿銆傝皟鏌璞387鍚嶏紝鐢?3鍚嶏紱骞撮緞20锝?5宀侊紝骞冲潎锛?9.22卤7.04锛夊瞾锛涙姢榫?锝?5骞达紝骞冲潎锛?.36卤7.63锛夊勾锛涜亴绉帮細鎶鍗?6.72%锛?41/384锛夛紝鎶笀鍗?0.99%锛?19/384锛夛紝涓荤鎶笀鍗?3.96%锛?2/384锛夛紝鍓富浠绘姢甯堝強浠笂鍗?.33%锛?2/384锛夛紱鏂囧寲绋嬪害锛氫腑涓撳崰33.59%锛?29/384锛夛紝澶笓鍗?9.22%锛?89/384锛夛紝鏈鍗?4.83%锛?7/384锛夛紝鐮旂鐢熷崰2.34%锛?/384锛夛紱绉戝锛氬唴绉戝崰22.66%锛?7/384锛夛紝澶栫鍗?7.86%锛?07/384锛夛紝濡囦骇绉戝崰20.31%锛?8/384锛夛紝鍎跨鍗?9.27%锛?4/384锛夛紝ICU鍗?.90%锛?8/384锛夈?銆銆1.2 璋冩煡宸叿 銆銆1.2.1 涓鑸祫鏂欓棶鍗?鑷璁捐涓鑸祫鏂欓棶鍗凤紝鍖呮嫭骞撮緞銆佹埆銆佹姢榫勩佹枃鍖栫搴佽亴绉般?銆銆1.2.2 鐭俊琛岃瘎浼伴棶鍗?鐮旂鑰呭弬鑰僊ayo KAP妯紡6锛屽弬闃呭浗鍐呭鏂囩尞骞惰嚜琛岀紪鍒躲婃姢澹绠亾鎶悊鐨勭煡淇鍙婂奖鍝嶅洜绱犺皟鏌棶鍗枫嬨傞噰鐢elphi娉曪紝閲囧彇鍖垮悕鐨勬柟寮忕粡7鍚嶄笓瀹讹紙4鍚嶄复搴婃姢鐞嗐?鍚嶆姢鐞嗙鐞嗕笓瀹讹紝鍧囦负鍓珮鍙婁互涓婅亴绉帮級瀵归噺琛繘琛屼袱杞挩璇苟淇敼瀹氱锛屼繚璇侀棶鍗风殑淇害鍜屾晥搴紝璇勫畾鍐呭鏁堝害涓?.913銆傞棶鍗峰叡鍖呮嫭3涓淮搴?0涓潯鐩紝鍒嗗埆涓虹煡璇嗙淮搴?涓潯鐩佹佸害缁村害5涓潯鐩佽涓虹淮搴?涓潯鐩傞棶鍗烽噰鐢ikert 5绾鍒嗘硶锛?鍒嗚绀轰粠鏈紝2鍒嗚绀哄緢灏戯紝3鍒嗚绀烘湁鏃讹紝4鍒嗚绀虹粡甯革紝5鍒嗚绀哄父甯革紝寰楀垎瓒婇珮琛鎶瀵圭鐞嗘姢鐞嗛噸瑕佹煡鏅撶巼瓒婇珮銆傞噺琛垨缁村害鍧囧垎=閲忚鎴栫淮搴殑鎵鍚潯鐩诲垎/鏉洰鏁般傚唴閮竴鑷存郴鏁癈ronbachs 伪涓?.842銆傝绠楃煡淇鏍囧噯鍒嗭細鏍囧噯鍒?骞冲潎鍒?鎬诲垎脳100%锛涚煡銆佷俊銆佽寰楀垎涓鸿壇銆佷腑銆佸樊绛夌骇锛岃壇婊垎脳85%锛涘樊婊垎脳60%锛涗腑涓哄緱鍒嗕粙浜庝袱鑰呬箣闂淬?銆銆1.3 璋冩煡鏂规硶 銆銆閲囧彇妯柇闈爺绌讹紝渚垮埄鎶芥牱鐨勬柟娉曘傚埄鐢姢澹涔犳垨寮浼氭椂鏈虹粺涓鍙戞斁璋冩煡闂嵎锛岀幇鍦哄瀹屽嵆鏀跺洖銆傝皟鏌墠鐢辩粡杩囩粺涓鍩硅鐨勫伐浣滀汉鍛橀伒寰煡鎯呭悓鎰忓師鍒欏悜鎶璇存槑璋冩煡鐨勭洰鐨勩佹剰涔夊拰濉啓鏂规硶锛屽苟鍦鍐欒繃绋嬩腑杩涜鐫療銆佹寚瀵笺佽瘎浠凤紝鏁寸悊鏃剁璁佽婕忋?銆銆1.4 鏍锋湰閲忚绠?銆銆鏍规嵁Kendall鐨勬牱鏈惈閲忚绠楀師鍒欙紝鏍锋湰鍚噺鍙栨潯鐩殑10锝?0鍊嶏紝閫夊畾340鍚嶏紝鑰冭檻鍒伴棶鍗风殑娴佸銆佹棤鏁堢瓑鎯呭喌锛岄傚綋澧炲姞20%鐨勬牱鏈紝鏈鍚庣瀹氭牱鏈噺涓?10浠姐?銆銆1.5 缁熻瀛柟娉?銆銆灏嗘敹闆嗗埌鐨勮祫鏂欐寜缂栧彿瑁呰鎴愬唽锛屽簲鐢PSS 17.0杞欢寤虹珛鏁版嵁搴擄紝杩涜鏁版嵁褰曞叆銆佺粺璁拰鍒嗘瀽锛屾姢澹绠亾鎶悊鐭佷俊銆佽璇勫垎閲囩敤鍧囨暟卤鏍囧噯宸紙x卤s锛夎鎻忚堪銆傞噰鐢鍥犵礌logistic鍥炲綊鍒嗘瀽鎺鎶瀵圭閬撴姢鐞嗚鐭殑褰卞搷鍥犵礌銆備互P 0.05涓哄樊寮傛湁缁熻瀛剰涔夈?銆銆2 缁撴灉 銆銆2.1 涓鑸儏鍐?銆銆3 璁 銆銆3.1 鎶绠亾鎶悊KAP璁瘑鐜扮姸 銆銆ICU銆佸唴绉戙佸绉戙佸浜銆佸効绉戠瓑绉戝涓嵄閲嶇棁鍜屾墜鏈偅鑰呭父闇鐣欑疆澶氱绠亾锛屽父瑙佺殑绠亾鍖呮嫭鍚告哀绠佽儍绠佽緭娑茬銆佸灏跨銆佷腑蹇冮潤鑴夊绠強寮曟祦绠瓑銆傜閬撴姢鐞嗘槸鎶悊宸綔鐨勯噸瑕侀儴鍒嗭紝鍏舵姢鐞嗚川閲忕洿鎺奖鍝嶅埌鎮呯殑搴峰锛岃屾姢澹湪涓村簥宸綔涓線寰瀵圭閬撴姢鐞嗙殑鐩稿叧鐭瘑缂轰箯銆傚惔鎯犺姵绛塠7鎶亾鍙戠敓绠亾鎶悊涓嶈壇浜嬩欢涓昏鏄敱浜庢姢澹笓绉戠煡璇嗘瑺缂恒佹姢鐞嗙粡楠屼笉瓒充互鍙婂鎮呰瘎浼颁笉鍒颁綅閫犳垚鐨勩傛湰鐮旂鏄剧锛屾姢澹绠亾鎶悊鐭佷俊銆佽鐨勬讳綋骞冲潎寰楀垎涓猴紙3.29卤0.55锛夊垎锛屽憟涓瓑姘村钩锛屽叾涓紝鐭瘑寰楀垎杈冧綆锛?.09卤0.46锛夊垎锛屾佸害鍜岃涓哄緱鍒嗚緝楂榌锛?.22卤0.56锛夈侊紙3.58卤0.63锛夊垎銆傝缁撴灉琛槑锛屾繁鍦冲競浜岀骇鍖婚櫌鎶瀵圭閬撴姢鐞嗙殑鐩稿叧鐭瘑灏氱己涔忥紝鍗虫姢澹櫧鐒跺湪鎬佸害鍜岃涓轰笂瀵圭閬撴姢鐞嗘湁寰堝鐨勮鐭紝浣嗙敱浜庝笓涓氱煡璇嗙殑缂轰箯锛屽湪瀹夊叏鎰忚瘑鍜岃涓烘柟闈殑閲嶈鍔垮繀鍙楀奖鍝嶃備笉鑳界敤涓板瘜鐨勪笓涓氱煡璇嗘寚瀵艰涓猴紝鍏舵墽琛屽姏涓嶅銆佹姢鐞嗘帾鏂借惤瀹炰笉鍒颁綅锛屽鑷存姢鐞嗘晥鏋滃樊銆傚悓鏍峰湪KAP妯紡涓紝鐭瘑鍜屽涔犳槸鍩虹锛屼俊蹇靛拰鎬佸害鏄姩鍔涳紝鍋悍琛屼负鏄洰鏍囷紝鍏朵腑鍏抽敭鐨勬楠槸鑾峰彇鐭瘑銆佸仴搴蜂俊蹇垫垨鎬佸害鐨勭绔媅8-9銆備笁鑰呭叧绯绘槸鐩镐簰渚濆瓨锛屽郊姝叧鑱斻傚洜姝紝瀵逛簬鎶悊绠悊鑰呮潵璇达紝瑕侀噸瑙嗕复搴婃姢鐞嗕汉鍛樺绠亾鎶悊鐩稿叧鐭瘑鐨勬帉鎻繍鐢紝鏈夐拡瀵规佹寔缁佸父鎬佸寲鐨勫煿璁紝浜槸鎶瑙勮寖鍖栧煿璁腑涓嶅彲鎴栫己鐨勫唴瀹广?銆銆3.2 鎶绠亾鎶悊KAP鐩稿叧褰卞搷鍥犵礌 銆銆KAP鐞嗚涓紝鐭瘑姘村钩鏄墠鎻愶紝鍙湁鎷湁涓瀹氱殑鐭瘑姘村钩鎵嶈兘褰垚绉瀬姝鐨勬佸害锛岃繘鑰屽舰鎴愬仴搴疯涓篬10-11銆備絾涓村簥鎶悊瀹炶返锛屾姢澹墍鍏峰鐨勭閬撴姢鐞嗕笓涓氱煡璇嗐佽壇濂界殑鎬佸害鍙婅涓哄彈澶氱鍥犵礌鐨勫奖鍝嶏紝鍏朵腑锛屼笓涓氱煡璇嗕笌鍙楁暀鑲茬搴拰鍩硅鏈夊叧锛屾佸害鍜岃涓轰富瑕佷笌涓綋鐨勮矗浠诲績銆佽嚜寰嬫互鍙婅嚜韬洜绱犵瓑鏈夊叧銆傛湰鐮旂杩涗竴姝噰鐢鍥犵礌鍥炲綊鍒嗘瀽鏄剧锛屾姢鐞嗕汉鍛樺绠亾鎶悊鐨勭煡淇涓庢枃鍖栫搴佹墍鍦殑绉戝瀵嗗垏鐩稿叧锛圥 = 0.000銆?.000锛夛紝涓庢姢澹姢榫勫強鑱岀鐩稿叧锛圥 = 0.005銆?.003锛夈傛枃鍖栫搴佹墍鍦瀹鎶绠亾鎶悊KAP姘村钩鐨勫奖鍝嶆渶瀵嗗垏锛屽叾鍘熷洜鍙兘鏄姢澹鍘嗗眰娆珮鑰咃紝鎺彈鐨勪笓涓氱煡璇嗘瘮浣庡鍘嗚呮洿澶氾紝鍩虹鐭瘑鎵庡疄锛岀浉瀵瑰叿鏈夎緝楂樼殑涓撲笟姘村钩锛涗笖鏂囧寲绋嬪害楂樿呭鐭瘑鐨勬帴鍙椼佸涔犺兘鍔涖佷复搴婃濈淮浜緝寮猴紝鍥犺岀閬撴姢鐞嗙殑鐭瘑銆佹佸害銆佽涓烘按骞充篃杈冮珮銆傚悓鏃讹紝绗旇呰涓轰笉鍚岀瀹敱浜庝笓绉戠壒鎬佺梾绉嶅強鎮呯梾鎯呯殑宸紓閫犳垚浜嗙閬撴姢鐞嗙殑绉嶇被涓嶅悓锛岃嫢鎮呯梾鎯呴噸銆佺閬撶被鍒锛屾姢澹湪涓村簥瀹炶返涓绠亾鎶悊鎺銆佸疄璺电殑鏈轰細浜锛屽绠亾鎶悊鐨勭浉鍏崇煡璇嗕害涓嶆柇绉疮涓板瘜锛岃嚜鐒朵簡瑙叾绠亾鎶悊鐨勫畨鍏侀噸瑕佹紝鍔垮繀褰垚绉瀬鍋悍鐨勪俊蹇垫垨鎬佸害锛屽弬涓庣殑琛屼负鑳藉姏闅忎箣鎻愰珮锛屾墽琛屽姏涔熼殢涔嬪寮恒傚彟涓缁撴灉鏄剧锛屾姢澹殑鎶緞銆佽亴绉颁笌绠亾鎶悊KAP姘村钩涓鑸浉鍏筹紝鍒嗘瀽鍏跺師鍥犳槸鎶緞闀裤佽亴绉伴珮鍏舵姢澹伐浣滄椂闂撮暱锛屽绠亾鎶悊绉疮鏈変竴瀹氱殑涓村簥缁忛獙锛涚敱浜庨槄鍘嗙殑澧為暱鍏惰矗浠诲績銆佽嚜寰嬫佷富瑙傝兘鍔害浼氬寮猴紝鏇村姞璁瘑鍒扮閬撴姢鐞嗗湪涓村簥鎶悊涓殑閲嶈鎬佸畨鍏紝蹇呯劧鎻愰珮浜嗗绠亾鎶悊鐨勮鐭害鍜屼緷浠庢? 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