广东省16家医院ICU护士人工气道气囊压力监测认知现状调查及对策

Investigation of recognition situation and strategy of artificial airway gasbag pressure monitoring among ICU nurses in 16 hospitals Guangdong province

目的：了解广东省ICU护士对人工气道气囊压力监测技术相关知识的认知现状,为规范人工气道气囊压力监测提供依据。方法采用问卷调查法,对广东省16家医院28个ICU的250名护士行人工气道气囊压力监测技术相关知识的调查。结果广东省ICU护士只有58.92%的护士进行过人工气道气囊相关知识的系统培训；低年资、低职称、低学历的护士对人工气道气囊压力的相关知识的掌握程度低于高年资、高职称、高学历的护士,差异有统计学意义（t值分别为2.75,7.93,2.37；P〈0.05）；综合ICU护士对人工气道气囊压力的相关知识的掌握优于专科lCU护士,差异有统计学意义（ t=2.41, P〈0.05）。广东省ICU使用气囊测压表进行检测的占到73.44%,仍有26.56%使用估测法进行气囊压力的检测,持续气囊压力监测目前尚没有医院开展。结论广东省ICU护士对人工气道气囊压力监测的认知度有待提高,需加强培训与监控。

Objective To investigate the situation of nurses′ knowledge related to artificial airway gasbag pressure monitoring technology from ICU of Guangdong province as well as providing evidence for the standardization of the artificial airway gasbag pressure monitoring. Methods We used the questionnaire to investigate knowledge related to the artificial airway ballonet pressure monitoring technology among 250 nurses from 28 ICU 16 hospitals in Guangdong province. Results There was only 58. 92% ICU nursed having the systematical training related artificial airway gasbag pressure monitoring; the knowledge mastery of artificial airway gasbag pressure monitoring among nurses with low seniority, low occupational title and low educational background had statistical significance with people who acquired high seniority, high occupational title and high educational background （t =2. 75,7. 93,2. 37;P 〈0. 05）; the general nurses related knowledge mastery of artificial airway gasbag pressure monitoring was better than ICU nurses （t =2. 41,P 〈0. 05）. There was 73. 44% ICU used artificial airway gasbag pressure monitoring and 26. 56% of them still applied estimated method for artificial airway gasbag pressure monitoring. The sustainable artificial airway gasbag pressure monitoring was not yet carried out in the hospitals. Conclusions The cognition of ICU nurses from Guangdong province on the artifical airway ballonet pressure monitoring should be improved, and they required intensive training and monitoring.