护士与患儿照顾者对ICU探视信念与态度的调查研究

Investigation on beliefs and attitudes to ICU visit in nurses and pediatric caregivers

目的调查儿科重症监护室(ICU)护士与患儿照顾者对于ICU探视制度的信念与态度,并探讨其影响因素,为后续进行以家庭为中心的探视制度改进提供依据。方法于2017年7月1日—9月30日,采用中文版ICU探视信念与态度量表对95名护士及138名ICU患儿照顾者进行调查。结果 ICU护士与患儿照顾者之间ICU探视信念与态度量表总分及探视信念、态度2个维度得分均存在统计学差异(P均<0.05);ICU护士与患儿照顾者之间ICU探视信念的家属和护理治疗2个维度得分存在统计学差异(P均<0.05);护士ICU探视信念的患者维度和家属维度得分前三项基本与患儿照顾者相符,但护理治疗维度得分两者差异较大;多因素回归分析显示,工作时间短、护士工龄长以及参加过探视培训是儿科护士ICU探视信念与态度的保护因素;影响患儿照顾者ICU探视信念及态度的主要因素是与患儿的关系。结论儿科护士和患儿照顾者对于ICU探视信念与态度存在较大差异,今后可以培养护士以家庭为中心的护理理念,拓展探视相关知识的培训面,有助于改善儿科护士对ICU探视的信念与态度。

Objective To investigate the beliefs and attitudes to ICU visit in nurses and pediatric caregivers,explore the influencing factors,and provide a basis for the improvement of family-centered visit system.Methods The Chinese version of ICU Visit Belief and Attitude Scale was used to survey 95 ICU nurses and 138 pediatric caregivers during July and September 2017.Results There were statistical differences in overall scale score and subscale scores between ICU nurses and pediatric caregivers(P<0.05).Regarding beliefs,there were statistical differences in the dimension scores of family member and nursing care between ICU nurses and pediatric caregivers(P<0.05).Multivariate regression analysis showed that short working hours,long working year and participation in visit training were protective factors of beliefs and attitudes to ICU visit in nurses.The main influencing factor of beliefs and attitudes to ICU visit in pediatric caregivers was their relationship with children.Conclusion There are significant differences in beliefs and attitudes to ICU visit between nurses and pediatric caregivers.Family-centered nursing concept should be established and the visit-related knowledge training should be strengthened to improve the beliefs and attitudes to ICU visit in nurses and pediatric caregivers.