湖北省二级、三级医院护士对危重患者实施身体约束护理的知识、态度、行为情况的调查分析

Survey and analysis of knowledge, attitude and practice of physical restraint on critical parents in secondary hospitals and tertiary hospitals in Hubei province

目的调查分析湖北省二级、三级医院护士对危重患者实施身体约束的知识、态度、行为情况。方法采用问卷调查法，便利抽取湖北省4家三级医院以及4家二级医院共300名护士进行问卷调查，了解其身体约束的知识、态度、行为状况。结果护士整体的身体约束知识掌握情况较好，为（11．02±1．96）分，身体约束态度趋于中性，为（34．99±3．52）分，身体约束行为处于中等偏上水平，为（51．90±6．67）分；工作后接受继续教育情况不同，护士的身体约束知识、行为得分差异有统计学意义，不同等级医院和不同科室之间的护士在身体约束知识得分上比较差异有统计学意义，而对身体约束的态度、行为却差异无统计学意义。结论相较于非重症科室和二级医院，三级医院以及重症科室的护理管理者更应该加强对临床护士身体约束的培训教育，引导护士建立正性的身体约束态度，提高护士身体约束的行为质量。

Objective To investigate the situation of knowledge, attitude and practice of physical restraint from nurses for critical parents in secondary hospitals and tertiary hospitals in Hubei province. Methods 300 nurses from four tertiary hospitals and four secondary hospitals were investigated for the situation of knowledge, attitude and practice of physical restraint by questionnaires. Results It showed that nurses had a good knowledge of physical restraint, （11.02±1.96）, their attitude of physical restraint tended to be neutral,（34.99±3.52）, the practice of physical restraint turned out to be at meddle-up level,（51.90±6.67）. There was a statistically significant difference in the scores of physical restraint knowledge and practice between nurses who receive physical restraint train or not after they got a job, besides, there was also statistically significant difference in the scores of physical restraint knowledge between intensive department and non-intensive department,tertiary hospitals and secondary hospitals, however there was no statistically significant difference in the scores of physical restraint attitude and practice between them. Conclusions Compared with non-intensive department and secondary hospitals, the nurse managers of intensive department and tertiary hospitals should strengthen the training and education of physical restraint of clinical nurses, guide the nurses to build the positive attitude of physical restraint, to reduce the use of preventive physical restraint and then to promote their quality of practice on physical restraint.