ICU护士人工气道内吸痰护理相关知识与态度调查分析

目的:了解ICU护理人员对人工气道内吸痰护理知识、态度的情况,分析护理人员知识得分和态度得分之间的相关性。方法:以方便取样的方法选取北京市8所"三甲"医院ICU中为机械通气患者实施人工气道内吸痰护理的148名护理人员,对其进行问卷调查。结果:①调查对象的人工气道内吸痰护理知识平均得分为(51.55±18.21)分,73.7%的护理人员得分低于60分;方差分析结果显示,在ICU工作时间>5年的护士其知识水平高于在ICU工作时间<1年的护士(P<0.05)。②调查对象对人工气道内吸痰护理的态度整体较好,年龄>30岁、工作时间>10年的护理人员态度更好些(P<0.05)。③调查对象人工气道内吸痰护理的知识得分与态度得分无相关性(r=0.077,P=0.351)。结论:应注意引导护士积极的工作态度,为护士提供分层次、多样化的继续教育途径,丰富护士的人工气道内吸痰护理知识,提高临床护理质量。

ICU Nurses' Knowledge and Attitude about Endotracheal Suctioning of Mechanically Ventilated Patients with Artificial Airways

Objective： To investigate the knowledge and attitude of the nurses in ICU about endotracheal suctioning of intubated adult patients, and to analyze the relationship between the knowledge and the attitude. Methods： A cross-section investigation was conducted among 148 ICU nurses from 8 Third-Grade Class A hospitals in Beijing to obtain their knowledge and attitude about endotracheal suctioning of the intubated adult patients by a self-designed questionnaire. Results： （1） The average score of knowledge was 51.55±18.21 and 73.7% nurses＇scores were lower than 60; The knowledge scores of the nurses who worked in ICU more than 5 years were obviously higher than those of nurses who worked in ICU less than 1 year （P〈0.05）. （2） The average score of knowledge was 88.08±7.27. The attitude scores of the nurses over 30 or who worked more than 10 years were obviously higher than those of others （P〈0.05）; （3） There was no significantly correlation between the scores of knowledge and their attitude （r=0.077, P=0.351）. Conclusion： We should give proper guidance to nurses＇ active manner, strengthen their continuing education about endotracheal suctioning to ensure them obtain comprehensive knowledge and then reinforce their practice and promote nursing quality.