ICU护士遵循集束化镇静镇痛策略现状及其影响因素研究

目的探讨ICU护士遵循集束化镇静镇痛策略的行为现状，并分析其影响因素。方法采用自行设计的一般资料问卷、集束化镇静镇痛策略认知问卷、一般自我效能感量表、集束化镇静镇痛策略行为问卷，对200名ICU护士进行调查。结果ICU护士遵循集束化镇静镇痛策略行为总得分为（99.17±17.94）分，得分较低的项目包括疼痛和镇静量表的使用、谵妄评估与管理、家属参与。多元线性回归分析显示，自我效能感、文化程度、ICU类型是ICU护士遵循集束化镇静镇痛策略的影响因素（P < 0.05~P < 0.01），可解释集束化镇静镇痛策略行为26%的变异量。结论ICU护士遵循集束化镇静镇痛策略的依从性不高，其现状与相关循证策略要求存在差距，应引起ICU管理者重视，注重提高ICU护士的自我效能感，对文化程度较低的ICU护士着重关注，加强各学科交流、学习与协作，促进集束化镇静镇痛策略的临床推广。

Current status and its influencing factors of ICU nurses abiding by the cluster sedation and analgesia strategies

ObjectiveTo investigate the current status of ICU nurses abiding by the cluster sedation and analgesia strategies, and analyze its influencing factors.MethodsA total of 200 ICU nurses were investigated using general questionnaire, cognitive questionnaire of cluster sedation and analgesia strategies, self-efficacy scale and behavior questionnaire of cluster sedation and analgesia strategies.ResultsThe behavior score of ICU nurses abiding by the cluster sedation and analgesia strategies was(99.17±17.94), and the items with low scores included the use of the pain and sedation scale, delirium evaluation and management, and family involvement.The results of multiple regression analysis showed that the self-efficacy, education level and ICU type were the influencing factors of ICU nurses abiding by the cluster sedation and analgesia strategies(P < 0.05 to P < 0.01), and which could explain 26% of the variance.ConclusionsThe compliance of ICU nurses abiding by the cluster sedation and analgesia strategies is not high, there is a gap between current situation and requirements of relevant evidence-based strategies, and the ICU managers should pay more attention to improve the self-efficacy sense of ICU nurses, focus on ICU nurses with low education level, strengthen the communication, learning and collaboration among different disciplines, and promote the clinical promotion of the cluster sedation and analgesia strategies.