ICU护士翻身拍背执行情况的调查

Investigation on the status of turn back and pat nursing for patients in the ICU nurses

目的调查ICU护士翻身拍背的执行情况。方法采用调查问卷的方式，对广州市3家三级甲等医院的94名ICU护士进行逐一的面对面的调查，了解其对翻身拍背的必要性和基本的动作要领的掌握程度，数据采用SPSS13．0统计软件包进行描述性统计。结果94名调查对象中，94％认为翻身拍背有必要性；能做到翻身的同时拍背者占75％，执行频次在2～4h者占76％；综合型ICU和专科型ICU护士在翻身拍背的执行人、频次以及拍背用物方面比较，差异具有统计学意义（x^2分别为18．43，9．32，7．62；P〈0．05），不同学历的护士实施翻身拍背的频次以及对实施原因的认识不同，差异具有统计学意义（X^2=10．1，8．59；P〈0．05），不同工龄的护士对实施翻身拍背必要性的认识不同，差异具有统计学意义（x^2=9．80，P〈0．05）。结论ICU护士对为患者翻身拍背的认识不足，对翻身拍背的判断差异，导致翻身拍背的依从性差，有待提高。

Objective To investigate the status of the implemention of turn back and ＇pat nursing for patients in ICU. Methods Questionnaire investigation was used. Totals of 94 ICU nurses in three grade A hospitals of Guangzhou city were recruited and their cognition on the necessity of turn back and pat nursing, master degree of the basic behavioral essentials and so on were observed. Results Among 94 cases, 94% of them recognized the necessity of turn and pat nursing, 75% performed the turn and pat simultaneously, 76% performed the turn and pat by a frequency of every 2 -4 h. There was significantly difference in the implementer, frequency, tool between comprehensive type ICU nurses and specialty type ICU nurses （ X^2 = 18.43, 9.32, 7.62, respectively; P 〈 0. 05 ）. Nurses with different education background had significantly different implemention frequency and cognition on the implemention reason （X^2 = 10.1,8.59, respectively;P 〈 0.05 ）, and nurses with different working years had different cognition on the necessity of turn and pat nursing（ X^2 = 9.80,P 〈 0.05）. Conclusions Among ICU nurses, the cognition on the turn back and pat nursing should be improved, judgments difference existing, compliance of nursing is far from good. So, it is important to improve the status.