精神科护士对身体约束的知、信、行现状及培训需求调查

Survey and analysis of KAP and training demands about physical restraint of nurses in psychiatric department

目的了解精神科护士对身体约束的知信行现状及培训需求,为护理管理者制定干预措施提供依据。方法采取便利抽样的方法,采用自行设计的身体约束知、信、行问卷及身体约束培训需求问卷对深圳市康宁医院110名精神科护士进行横断面现况调查。结果精神科护士身体约束知识、态度和行为得分分别为(15.82±1.75)分、(38.14±4.69)分、(68.16±5.01)分,身体约束知识与态度呈负相关(r=-0.42,P<0.01)、知识与行为呈正相关(r=0.38,P<0.01),态度与行为呈负相关(r=-0.26,P<0.05)。培训需求前3位依次为暴力管理技能培训、攻击风险评估及约束替代性措施。结论精神科护士身体约束知识掌握较好,对身体约束呈中性态度,有恰当的约束行为。对精神科护士应加强暴力管理技能、攻击风险评估及约束替代性措施的培训。

Objective To survey and analysis of KAP and training demands about physical restraint of nurses in psychiatric de-partment,so as to provide references for managers to develop training programs for reducing the use of physical restraint. Methods 110 psychiatric nurses from Shenzhen Kangning Hospital were selected by convenience sampling method,andtwo self - designed question-naires,the KAP and the training needs about physical restraint were employed to to carry on the cross - sectional survey. Results The mean scores of the knowledge,the attitudes and behaviors about physical restraint were（15. 82 ± 1. 75）,（38. 14 ± 4. 69）,（68. 16 ± 5. 01）,respectively. Knowledge and behavior（r = - 0. 42,P 〈 0. 01）,knowledge and attitude（r = 0. 38,P 〈 0. 01）,attitude and behav-ior（r = - 0. 26,P 〈 0. 05）showed correlation. The 3 top factors of training demands about physical restraint were violence management skills,violence risk assessment and alternative measures about physical restraint. Conclusion The knowledge is well mastered,the at-titude is neutral,and the behavior is appropriate about physical restraint by psychiatric nurses. Specific training should be carried out according to the nursesˊ need of physical restraint training.