外科护士对麻醉相关知识认知现状调查与分析

目的调查并分析某三级甲等医院外科病房护士对麻醉相关知识的掌握情况及其影响因素，为围麻醉期护理管理提供参考。方法采用问卷调查法，对上海市某三级甲等综合性医院12个手术科室的护士进行麻醉相关知识调查。调查问卷在文献回顾基础上结合围麻醉期护理常规自行设计，经专家评议和预调查内容效度系数为0．90，信度系数为0．81-0．92。采用整群抽样法，调查所有符合纳入标准的330名护士。结果问卷的回收与有效率均为98．18％。324名外科护士对麻醉相关知识的平均得分，折合百分制后为（32±14）分；各维度得分由高至低依次为：麻醉前准备（54±29）分、麻醉后护理要点（31±18）分和基本概念（18±30）分。单因素方差分析显示：学历、职称、年龄、工作年限、科室、是否接受过麻醉课程培训均影响到护士的麻醉相关知识得分且差异有统计学意义（P〈0．05）；而进一步多元回归分析显示，仅年龄、科室以及是否参加过培训进入回归方程，可解释其总变异的35．6％。结论建议依据外科护士所在的科室、年资、培训经历等，有的放矢地实施围麻醉期的理论与技能培训，通过多途径系统化培训提高其对麻醉相关知识的认知水平和参与围麻醉期患者管理的能力，从而确保其能够为围麻醉期患者提供更为安全、专业的预见性护理。

Investigation and analysis of the current cognition status of anesthesia-related knowledge for surgical nurses

Objective To investigate and analysis of the current cognition status of surgical nurses' anesthesia-related knowledge in a certain hospital at the level of grade Ⅲ class A in Shanghai,and to provide a scientific basis for perianesthesia nursing management.Methods Using questionnaires,330 nurses from 12 surgical departments were investigated with their informed consent.Questionnaire was self-designed based on the literature review combined with the perianesthesia care and the validity is 0.90,reliability is 0.81-0.92.Results Both the questionnaire recycling and efficiency are 98.18％.The scores of 324 surgical nurses' anesthesia-related knowledge were (32±14),followed by pre-anesthetic preparation (54±-29),nursing care (31 ±18) and basic conception (18±30).When the knowledge scores were further analyzed by nurses' background characteristics based on one-way analysis of variance,significant difference was found among nurses in terms of education degree,title,age,work years,departments,course training(P＜0.05).While multiple regression analysis revealed that age,departments,accepted anesthesia-related course training were principal factors influencing the cognitive status of anesthesia-related knowledge,which can explain 35.6％ of the total variance.Conclusions In order to improve the cognitive level and the ability of participating in perianesthesia care,Surgical nurses must be trained with the anesthesia theory and skills according to their department,qualification and educated experience etc.They must be trained systematically to ensure that they could provide more security and professional predictive care for perianesthesia patients.