ICU护士人工气道内吸痰护理相关知识与态度调查分析

ICU Nurses' Knowledge and Attitude about Endotracheal Suctioning of Mechanically Ventilated Patients with Artificial Airways

目的:了解ICU护理人员对人工气道内吸痰护理知识、态度的情况,分析护理人员知识得分和态度得分之间的相关性。方法:以方便取样的方法选取北京市8所"三甲"医院ICU中为机械通气患者实施人工气道内吸痰护理的148名护理人员,对其进行问卷调查。结果:①调查对象的人工气道内吸痰护理知识平均得分为(51.55±18.21)分,73.7%的护理人员得分低于60分;方差分析结果显示,在ICU工作时间>5年的护士其知识水平高于在ICU工作时间<1年的护士(P<0.05)。②调查对象对人工气道内吸痰护理的态度整体较好,年龄>30岁、工作时间>10年的护理人员态度更好些(P<0.05)。③调查对象人工气道内吸痰护理的知识得分与态度得分无相关性(r=0.077,P=0.351)。结论:应注意引导护士积极的工作态度,为护士提供分层次、多样化的继续教育途径,丰富护士的人工气道内吸痰护理知识,提高临床护理质量。

Objective： To investigate the knowledge and attitude of the nurses in ICU about endotracheal suctioning of intubated adult patients, and to analyze the relationship between the knowledge and the attitude. Methods： A cross-section investigation was conducted among 148 ICU nurses from 8 Third-Grade Class A hospitals in Beijing to obtain their knowledge and attitude about endotracheal suctioning of the intubated adult patients by a self-designed questionnaire. Results： （1） The average score of knowledge was 51.55±18.21 and 73.7% nurses＇scores were lower than 60; The knowledge scores of the nurses who worked in ICU more than 5 years were obviously higher than those of nurses who worked in ICU less than 1 year （P〈0.05）. （2） The average score of knowledge was 88.08±7.27. The attitude scores of the nurses over 30 or who worked more than 10 years were obviously higher than those of others （P〈0.05）; （3） There was no significantly correlation between the scores of knowledge and their attitude （r=0.077, P=0.351）. Conclusion： We should give proper guidance to nurses＇ active manner, strengthen their continuing education about endotracheal suctioning to ensure them obtain comprehensive knowledge and then reinforce their practice and promote nursing quality.