ICU护士医用粘胶相关性皮肤损伤知信行现状及培训需求

Investigation on knowledge,attitude and practice status and training needs of medical adhesive-related skin injury among ICU nurses

目的调查ICU护士医用粘胶相关性皮肤损伤(medical adhesive-related skin injury,MARSI)的知信行现状及培训需求,为推进相关培训及提升MARSI管理提供参考。方法采用MARSI知信行量表及自行设计MARSI培训需求调查表,选取济宁地区710名ICU护士进行线上调查。结果ICU护士MARSI知识、态度、行为维度得分率分别为58.53%、90.65%、78.87%,知信行总得分率为77.56%;不同学历、ICU工作年限、职称、职务在知识维度中、态度维度中和行为维度中差异均有统计学意义(P<0.05);63.81%ICU护士认为目前MARSI专业培训不能满足现任工作需求,96.9%ICU护士有意愿参加MARSI专业培训。结论ICU护士MARSI知信行总体呈中等水平,亟待加强;护理管理者应建立ICU护士MARSI培训方案,完善MARSI干预策略,提高ICU护士预防MARSI的能力和水平。

Objective To investigate the knowledge,practice and training needs of ICU nurses with medical adhesive related skin injury(MARSI),and to provide reference for promoting relevant training and improving MARSI management.Methods 710 ICU nurses in Jining area were selected to conduct an online survey using MARSI Knowledge,attitude and practice scale and self-designed MARSI training demand questionnaire.Results The score rates of MARSI in knowledge,attitude and behavior were 58.53%,90.65% and 78.87%,respectively,and the total score rate of knowledge,belief and practice was 77.56%.Educational background,working hours in ICU,professional title,position,were statistically significant in knowledge dimension,attitude and behavior dimension(P<0.05).63.81%of ICU nurses believed that the current MARSI professional training could not meet the current job needs,and more than 96.9%of ICU nurses hoped to participate in MARSI professional training.Conclusion The general level of knowledge,attitude and practice of ICU nurses MARSI is medium,which needs to be strengthened.Nursing managers should establish MARSI training programs for ICU nurses,improve MARSI intervention strategies,and improve the ability and level of ICU nurses to prevent MARSI.