ICU护士预防再喂养综合征知识、态度和行为的现况及其影响因素

Knowledge,attitudes and behaviours and its influencing factor of ICU nurses in prevention of refeeding syndrome

目的调查重症监护病房(intensive care unit,ICU)护士预防再喂养综合征知识、态度和行为现况,并分析其影响因素,为临床开展相关教学、培训提供依据。方法采用便利抽样法,自行编制一般资料调查表、ICU护士对预防RFS再喂养综合征(refeeding syndrome,RFS)知识、态度和行为问卷以及护理阻碍因素及知识需求问卷,对上海市5所三级甲等综合医院和2所二级甲等综合医院的366名ICU护士进行调查,并采用多重线性回归分析RFS的知识、态度和行为的影响因素。结果366名ICU护士预防RFS知识、态度和行为问卷总分、知识维度、态度维度、主观规范、感知行为控制及行为意向维度得分分别为(133.73±20.55)分、(35.79±9.04)分、(37.44±6.20)分、(12.07±2.27)分、(17.82±4.00)分、(30.61±6.09)分,总分处于中等水平。多重线性回归分析显示,医院级别、ICU类型以及是否为营养学组成员、接受过相关培训、从学术期刊获取知识的频率是ICU护士对预防RFS知识、态度和行为的影响因素(均P<0.05),共同解释其20.90%的变异。结论从学术期刊获取知识、三级医院、综合ICU及接受过RFS相关知识培训、营养学组成员的护士有较高的预防RFS知识、态度和行为水平。护理管理者应重视ICU护士的培训,加强其对预防RFS护理的知识和行为,从而提高ICU护理管理质量。

Objective To investigate the current knowledge,attitudes and behaviours of ICU nurses towards the prevention of refeeding syndrome(RFS),and analyse the related factors,therefore to provide a reference for clinical teaching and training.Methods A cross-sectional survey was conducted using convenience sampling and a self-developed questionnaire on the knowledge,attitudes and behaviours of ICU nurses and obstructive factor and knowledge demand regarding the prevention of RFS.The survey was conducted among the ICU nurses from 5 Grade IIIA general hospitals and 2 Grade IIA general hospitals in Shanghai,China.Results A total of 366 ICU nurses were surveyed.The total score,the score of knowledge,attitude,subjective norm,perceived behavioural control and behavioural intention in concern with the RFS prevention were(133.73±20.55),(35.79±9.04),(37.44±6.20),(12.07±2.27),(17.82±4.00)and(30.61±6.09),respectively,where the total score was at middle level.Multiple linear regression analysis showed that the grade of hospital,speciality of ICU and menber of nutrition group,RFS training,freguency of obtaining knowledge from academic journal were the influencing factors to the knowledge,attitudes and behaviours of ICU nurses towards the RFS prevention(all P<0.05).Conclusions Nurses from Grade IIIA hospitals,comprehensive ICUs and those who have received RFS-related trainings and been menber of nutrition group have higher levels in knowledge,attitudes and behaviours towards the prevention of RFS.Therefore,nursing managers should pay attentions to the training of ICU nurses,strengthen the knowledge and behaviours towards the prevention of RFS,hence to improve the ICU management quality.