宁夏三级甲等医院外科护士预防患者静脉血栓栓塞症形成的知信行现状及其影响因素

Status and Influencing Factors Investigation of Knowledge-Attitude-Practice of Surgical Nurses in Ningxia 3A-Level General Hospitals in Preventing Venous Thromboembolism

目的了解宁夏地区三级甲等医院外科护士预防患者静脉血栓栓塞症(VTE)形成的知信行现状,并探讨了其影响因素。方法通过便利抽样法,共选取宁夏地区3所公立三级甲等医院的外科护士283名,使用自设的一般资料调查表和外科护士预防患者VTE形成的知信行调查问卷进行研究。结果宁夏地区外科护士预防患者VTE形成的知信行总得分为(167.58±14.92)分,总得分率为79.80%;知识、态度及行为各维度得分和得分率依次为(54.26±10.98)、(43.53±2.72)、(69.79±7.94)分和72.34%、87.05%、82.11%。多元线性回归结果显示,不同科室、床位利用率和培训频次是影响外科护士预防患者VTE形成的知信行问卷得分的独立影响因素。结论宁夏地区外科护士预防患者VTE形成的知信行总体处于中等水平,应加强外科VTE专科护士的培养和管理,以此提升专科护理质量。

Objective To understand the current situation of surgical nurses’knowledge-attitude-practice in preventing patients from venous thromboembolism(VTE)formation in ClassⅢand Class A hospitals in Ningxia,and analyze its influencing factors.Methods Using the convenient sampling method,283 surgical nurses from 3 public tertiary A hospitals in Ningxia were selected and investigated using the self-designed general data questionnaire and the knowledge-attitude-practice questionnaire formed by surgical nurses to prevent patients from VTE.Results The total score of surgical nurses’knowledge-attitude-practice in preventing VTE formation was(167.58±14.92),and the total score rate was 79.80%.The scores and scoring rates of knowledge-attitude-practicer were(54.26±10.98),(43.53±2.72),(69.79±7.94)and 72.34%,87.05% and 82.11% respectively.The results of multiple linear regression showed that different departments,bed utilization rate and training frequency were independent influencing factors on the scores of the surgical nurses’knowledge-attitude-practice questionnaire for VTE prevention.Conclusion The knowledge-attitude-practice of surgical nurses to prevent patients from VTE in Ningxia is generally at a moderate level.The training and management of surgical VTE specialist nurses should be strengthened to improve the quality of specialist nursing.