1521名ICU护士对脓毒症一小时bundle知信行现状的调查

目的调查ICU护士对脓毒症一小时bundle的知信行现状及影响因素，同时了解临床上脓毒症一小时bundle执行延迟可能的原因。 方法便利抽取ICU护士为研究对象，采用自行设计的问卷调查ICU护士的一般资料、对脓毒症一小时bundle知信行的现状，以及可能导致脓毒症bundle延迟的原因。描述性统计ICU护士的一般情况、知识需求与来源现状，单因素方差、线性回归分析脓毒症bundle知信行的影响因素。 结果共调查了全国17个省市，1521名ICU护士。脓毒症一小时bundle中知识维度得分为（9.57±2.70）分，信念维度得分为（27.96±5.35）分，行为维度得分为（53.04±6.90）分，总分均值为（90.58±10.60）分。单因素方差分析显示，不同年资、学历及能级的护士在知识、信念和行为得分上存在显著差异（P<0.05）。临床上导致bundle延迟的原因主要是取药不及时、不能及时接到通知等。 结论ICU护士对脓毒症一小时bundle知识、信念、行为总体状况较好，但尚存在一些不足。应加强理念的更新，对于经验少、学历低的护士是重点培训对象。

Investigation and analysis of the knowledge,belief and behaviors about one-hour sepsis bundle in 1521 ICU nurses

ObjectiveTo investigate ICU nurses' knowledge, belief and behaviors of one-hour sepsis bundle and related factors to improve sepsis care. MethodsICU nurses were enrolled conveniently.A self-designed questionnaire was used to investigate ICU nurses' knowledge, belief and behaviors about one-hour sepsis bundle. ResultsA total of 1521 ICU nurses from 17 provinces and cities were investigated. The score of knowledge dimension was (9.57±2.70) scores, attitude dimension was (27.96±5.35) scores, behavior dimension was (53.04±6.90) scores, and total score was (90.58±10.60) scores. Univariate analysis of variance showed that there were significant differences in the total scores of knowledge, belief and practice among different seniorities, educational levels and competence levels (P<0.05). Clinically, the main reasons for bundle delay were not getting the medication in time, not being notified in time, etc. ConclusionICU nurses till have some deficiencies in knowledge, belief and behaviors about one-hour sepsis bundle. Nurses with low seniority and educational level need more training.