ICU护士预防医疗器械相关性压力性损伤知信行的现状调查

目的 调查ICU护士预防医疗器械相关性压力性损伤的知信行现状并探索其影响因素,旨在为临床开展相关教学、培训提供依据。方法 采用临床护士预防危重患者医疗器械相关性压力性损伤知信行量表,使用便利抽样法从河南省18个地级市中各选取1所三级医院及1所二级医院成人ICU的1 664名护士作为调查对象,进行问卷调查,并分析影响因素。结果 共回收有效问卷1 610份。ICU护士医疗器械相关性压力性损伤知信行总量表、知识维度、态度维度、行为维度得分分别为（136.93±20.42）分、（50.21±11.28）分、（38.14±5.46）分和（48.58±9.03）分。多元线性回归分析结果显示,ICU护士预防医疗器械相关性压力性损伤知识的主要影响因素为医院级别,态度的主要影响因素为医院级别、职称、职务、科室类别,行为的主要影响因素为知识、态度、年龄、性别及职务。结论 ICU护士对预防医疗器械相关性压力性损伤的态度较为积极,但知识及行为有待提高。护理管理者应根据护士的不同特征进行预防医疗器械相关性压力性损伤知识的培训,通过强化知识建立积极态度,从而带动护理行为改变,提高重症患者的护理质量。

Nurses' knowledge,attitudes and practice towards prevention of medical device related pressure injury in intensive care units:a cross-sectional study

Objective To explore the knowledge,attitudes and practice（KAP） status of preventing medical device related pressure injury（MDRPI） among clinical nurses working in ICU,and to examine factors affecting nurses’ KAP. Methods Questionnaire was used to measure nurses’ KAP of preventing MDRPI. Data was collected from 1,664 nurses in 18 tertiary hospitals and 18 secondary hospitals in Henan Province to analyze nurses’ KAP of preventing MDRPI and to explore its influencing factors. Results A total of 1,610 valid questionnaires were collected. The scores of overall KPA,knowledge,attitudes,and practice were 136.93±20.42,50.21±11.28,38.14±5.46 and 48.58±9.03,respectively. The results from multiple linear regression analysis showed that hospital level was the main influencing factor of nurses’ knowledge of preventing MDRPI;hospital level,professional title,position and department category were the main influencing factors of nurses’ attitudes of preventing MDRPI;knowledge,attitudes,age,gender and position were the main influencing factors of nurses’ practice of preventing MDRPI. Conclusion Nurses working in ICU have a positive attitude towards the prevention of MDRPI,but their knowledge and practice need to be improved. According to different characteristics of nurses,nursing managers should carry out training on the knowledge of prevention of MDRPI to establish a positive attitude,so as to drive the change of nursing practice and improve the quality of nursing in ICU.