三级综合性医院ICU护士亚谵妄综合征知信行水平现状及影响因素研究

Knowledge-attitude-practice on sub-syndromal delirium and its influencing factors among intensive care unit nurses in Class Ⅲ general hospitals

目的调查三级综合性医院ICU护士亚谵妄综合征知信行水平现况,并分析其影响因素。方法采用方便抽样法,于2017年6月选取浙江省内9家三级综合性医院ICU 352名护士为研究对象。采用综合性医院ICU护士亚谵妄综合征知信行水平调查量表调查ICU护士亚谵妄综合征知信行得分情况,并采用多元线性回归分析其影响因素。结果共回收问卷352份,回收有效问卷346份,有效回收率98.30%。ICU护士的亚谵妄综合征知识维度得分(40.75±14.10)分,护理态度维度得分(28.33±4.24)分,护理行为维度得分(36.07±6.99)分,总分(105.16±20.18)分。不同年龄、工作年限、ICU工作年限、学历、职称、婚姻的ICU护士亚谵妄综合征知识得分差异有统计学意义(F/t值分别为30.856、33.560、29.311、2.892、22.614、14.623;P<0.01)。多元线性回归分析显示,年龄、ICU工作年限、职称是综合性医院ICU护士亚谵妄综合征知信行总分水平的影响因素(P<0.05)。结论三级综合性医院ICU护士亚谵妄综合征的态度较为积极,但缺乏相关亚谵妄综合征的知识,且缺少亚谵妄综合征的护理行为。应积极开展对三级综合性医院ICU护士亚谵妄综合征的培训,提升其亚谵妄综合征的识别及护理能力。

Objective To investigate the status of knowledge-attitude-practice (KAP) on sub-syndromal delirium among intensive care unit (ICU) nurses in ClassⅢ general hospitals and to analyze its influencing factors. Methods In June 2017, we selected 352 ICU nurses from 9 ClassⅢ general hospitals in Zhejiang Province as subjects by convenience sampling. The general hospital ICU nurses sub-syndromal delirium KAP scale was used to investigate the score of sub-syndromal delirium KAP of ICU nurses, and the multiple linear regression was used to analyze the influencing factors the total score of sub-syndromal delirium KAP of ICU nurses. Results A total of 352 questionnaires were collected and 346 of them were valid with 98.30% for the valid recovery rate. The knowledge, nursing attitude, nursing practice score and the total score of sub-syndromal delirium of ICU nurses were (40.75±14.10),(28.33±4.24),(36.07±6.99) and (105.16±20.18) respectively. There were statistical differences in the knowledge scores of sub-syndromal delirium among ICU nurses with different ages, working lives, working lives in ICU, educational background, professional titles and marriages (F/t=30.856, 33.560, 29.311, 2.892, 22.614, 14.623;P<0.01). Multiple linear regression showed that the influencing factors of the total score of KAP on sub-syndromal delirium of ICU nurses in general hospitals included ages, working lives in ICU and professional titles (P<0.05). Conclusions ICU nurses of Class Ⅲ general hospitals have attitudes towards sub-syndromal delirium, however they lack the knowledge and nursing practice related to sub-syndromal delirium. We should provide training on sub-syndromal delirium positively for ICU nurses of Class Ⅲ general hospitals to improve their recognition ability and nursing ability of sub-syndromal delirium.