心血管ICU护士对危急值掌握情况的调查

目的了解目前心血管专科ICU各层次护理人员对危急值临床意义、范围及报告流程的认知情况，探讨如何提高护理人员对危急值的认识水平。方法采用白拟的问卷调查表，对心血管ICU护士进行有关危急值临床意义及相关知识的调查，并对结果进行分析。结果100％的心血管ICU护士都认同危急值的重要意义。52．63％的心血管ICU护士能够掌握危急值的范围，其中，中专和大专及以上学历的护士对危急值的掌握比率分别为69．7％和49．8％，两组比较，差异有统计学意义（X2=8．873，P〈0．01）。92．1％的心血管ICU护士能够掌握危急值报告流程。护龄〈5年和t〉5年的护士对危急值的掌握比率为88．9％和96．1％，差异有统计学意义（x2=4．007，P〈0．05）。同时还发现血钾、血糖、血钠、自细胞计数、血小板计数是心血管ICU护士工作中最常见的5项危急值，内、外科室间虽然略有差别，但内容相同。结论通过此次调查可以看出，目前心血管ICU护士对危急值掌握情况还不能完全满足临床需要，不同层次护士的掌握情况存在一定的差异，应该有针对性地加强相关教育与培训。同时，也提醒心血管领域的同仁们，在临床工作中加强对血钾、血糖、血钠、白细胞计数、血小板计数等5项检测指标的监测。

Investigation of mastering of urgent value in cardiovascular ICU nurses

Objective To investigate the cognition status of the clinical value,range and reporting process of urgent value in cardiovascular ICU nurses on all levels,and explore how to improve the cognition level.Methods A survey was conducted by a self-designed questionnaire about the cognition status of the clinical value and related knowledge of urgent value in cardiovascular ICU nurses,and the results were analyzed.Results 100％ nurses confirmed the importance of urgent value.52.63％ nurses could master the urgent value range,including 69.7％ in nurses graduated in technical secondary school,and 49.8％ in nurses graduated from junior college and above,the difference was significant ( x2 =8.873,P ＜ 0.01 ).92.1％ nurses have mastered the reporting process.The mastering rate of nurses' work less than 5 years was 88.9％ and 96.1 ％ in nurses whose work years were more than 5 years,the difference was significant ( x2 =4.007,P ＜0.05).Of all the urgent values,blood potassium,glucose,sodium,white blood cell count,and platelet count were the most common and the order was a litter different between the surgery and internal medicine ward,however,the content was the same.Conclusions This investigation showed insufficient knowledge of urgent value of ICU nurses,and the difference was existed in different level nurses.We should reinforce the targeted education and training,and remind the staffs in cardiovascular area that blood potassium,glucose,sodium,white blood cell count,and platelet count should be monitored closely.