陕西省手术室护理人员预防术中获得性压力性损伤知信行的现况调查

Investigation on the knowledge,attitude and practice in the prevention of intraoperative acquired pressure injury among nurses in operating room in Shaanxi province

目的:调查陕西省手术室护理人员对预防术中获得性压力性损伤的知信行现状,分析其影响因素,为临床开展预防术中获得性压力性损伤知识培训提供依据。方法:采用便利抽样法,于2023年6月—8月选取陕西省317家医院的3642名手术室护理人员为调查对象,采用自行编制的手术室护理人员预防术中获得性压力性损伤知信行问卷进行调查。结果:手术室护理人员预防术中获得性压力性损伤知识、态度、行为的得分为(44.93±9.07)分、(43.84±7.24)分、(75.88±11.32)分,得分率分别为81.69%、87.68%、89.27%。培训次数、医院等级、科室类别、工作年限正向影响知识维度得分(P<0.05);培训次数、职称、医院等级正向影响态度维度得分(P<0.05);培训次数、医院等级、职称正向影响行为维度得分(P<0.05)。结论:手术室护理人员对术中获得性压力性损伤预防的态度和行为较为积极,但知识水平有待进一步提高。应充分发挥三级医院的辐射作用,从增加有效培训次数并合理利用护士个人经验着手,提高手术室护理人员术中获得性压力性损伤预防水平。

Objective:To investigate the current situation of knowledge,attitude and practice of nurses in operating room in Shaanxi province on the prevention of Intraoperative Acquired Pressure Injury(IAPI),and analyze its influencing factors,so as to provide basis for clinical training of IAPI knowledge.Methods:Using convenient sampling method,3642nurses in operating room from 317 hospitals in Shaanxi province from June to August 2023 were investigated with selfdesigned questionnaire on knowledge,attitude and practice of operating room nurses in the prevention of IAPI.Results:The scores of knowledge,attitude and practice for preventing IAPI among operating room nurses were 44.93±9.07,43.84±7.24 and 75.88±11.32.The scoring rates were 81.69%,87.68% and 89.27%,respectively.Training frequency,hospital grade,department category and working years positively affected the score of knowledge dimension(P<0.05).Training frequency,professional title and hospital grade positively affected the score of attitude dimension(P<0.05).Training frequency,hospital grade and professional title positively affected the score of practice dimension(P<0.05).Conclusion:The attitude and behavior of nurses in operating room on the prevention of IAPI are positive,but their knowledge level needs to be improved.It suggests that we should focus on fully playing the radiation effect of tertiary hospitals,increasing effective training frequency,and making reasonable use of personal experience of nurses to improve the prevention level of IAPI among nurses in operating room.