基于计划行为理论的培训在ICU护士倡导器官捐献中的应用

Application of training based on theory of planned behavior in organ donation advocated by intensive care unit nurses

目的探讨基于计划行为理论(TPB)的教育方案对ICU护士倡导器官捐献的行为意愿的影响。方法采用目的抽样法,选取2017年8-11月哈尔滨某三级甲等医院外科ICU、心外ICU和急诊创伤ICU护士122名为研究对象,采用随机数字表法将护士分为试验组(n=60)和对照组(n=62)。试验组进行基于TPB的教育方案的培训,对照组仅发给1份医院常规器官捐献宣传手册。干预前后采用ICU护士器官捐献倡导行为问卷对两组护士进行调查。结果干预前两组护士器官捐献倡导行为问卷得分差异无统计学意义(P>0.05),干预后试验组护士器官捐献倡导行为问卷得分(2.85±0.36)分,高于对照组的(2.57±0.43)分,差异有统计学意义(t=3.893,P<0.01)。结论基于TPB的教育方案比传统宣传手段提高了ICU护士倡导器官捐献的行为意愿,有助于器官捐献事业的开展。

Objective To explore the effects of educational program based on theory of planned behavior( TPB) on behavioral intention of Intensive Care Unit( ICU) nurses on organ donation. Methods From August 2017 to November 2017, we selected 122 nurses in surgery ICU, cardiac surgery ICU and emergency ICU at a Class Ⅲ Grade A hospital in Harbin as subjects by purposive sampling. All of the nurses were divided into experimental group( n=60) and control group( n=62) with the method of random number table. Experimental group carried out educational programbased on TPB. Control group sent out a hospital brochure on organ donation. Nurses of two groups were investigated with the ICU nurses organ donation advocacy behavior questionnaire before and after intervention. Results Before intervention, there was no statistical difference in the score of organ donation advocacy behavior questionnaire of nurses between two groups( P>0.05). After intervention, the score of organ donation advocacy behavior questionnaire of nurses in experimental group was (2.85±0.36) higher than that( 2.57±0.43) in control group with a statistical difference( t=3.893,P < 0.01). Conclusions Compared with traditional brochure, the educational program based on TPB increases the behavioral intention on organ donation advocated by ICU nurses which helps the development of organ donation career.