护理人员实施术中低体温护理干预的现状及相关因素分析

Current status and influence factors of intraoperative hypothermia nursing intervention

目的：探讨影响护理人员在临床中实施术中低体温护理干预的相关因素。方法采用分层整群抽样法，自新疆三级甲等医院中随机抽取17家医院的手术室护理人员617名作为研究对象，运用6个量表评估其在临床工作中实施术中低体温护理干预的应用现状，并分析相关影响因素。结果共发放问卷617份，回收607份，问卷有效回收率为98．4％。607名手术室护理人员的认知现状量表评分为（77．02±8．40）分，自我效能感量表评分为（59．96±7．84）分，安全文化态度量表评分为（87．84±9．67）分，职业倦怠量表评分为（61．05±15．68）分，管理现状量表评分为（38．28±5．97）分，行为现状量表评分为（45．97±8．66）分。单因素相关分析结果显示：职业倦怠仅与行为现状相关（P＜0．05），其他各因素间均存在相关性（P＜0．05）。多重线性回归分析结果显示：除自我效能感外，手术室护理人员的认知现状、安全文化态度、职业倦怠、管理现状均是护理人员实施术中低体温护理干预行为现状的影响因素（P＜0．05）。结论护理管理者对手术室护理人员进行术中低体温相关认知培训和信念干预的同时，需不断增进对工作人员的人文关怀，利于提高手术室护理人员对术中患者低体温护理干预的执行率，从而提升护理服务质量。

Objective To explore the current status and influence factors of intraoperative hypothermia nursing intervention .Methods A total of 617 nurses in operation room from 17 hospitals were randomly selected by stratified cluster sampling method .The current status and influence factors of intraoperative hypothermia nursing intervention were analyzed with 6 scales.Results A total of 617 questionnaires were issued , and there were 607 valid questionnaires collected , with 98.4% recovery rate.The scores of cognition status scale , self-efficacy scale , safety culture assessment scale , Maslach Burnout Inventory , management status scale and behavior status scale were （77.02 ±8.40）, （59.96 ±7.84）, （87.84 ±9.67）, （61.05 ±15.68）, （38.28 ± 5.97） and （45.97 ±8.66）, respectively.The single factor correlation analysis showed that job burnout was only related to behavior status （P〈0.05）, and there were correlations among all the other factors （P〈0.05）. The multiple linear regression analysis showed that the cognition status , safety culture, job burnout and management status were influence factors of behavior status of intraoperative hypothermia nursing intervention （P〈0.05）.Conclusions Besides providing cognitive training and belief intervention , the nursing managers should enhance the humanistic care for nurses in order to improve the implementation of intraoperative hypothermia nursing intervention and nursing service quality .