手术室护士急救能力现状调查及影响因素分析

Operating room nurses' first aid capability: current status and influencing factors

目的调查手术室护士的急救能力的现状,并分析其影响因素,旨在为手术室管理者开展急救能力的培训提供依据.方法采用整群随机抽样法,于2018年2-3月选取4家上海市手术室护士适任证书培训基地医院432名手术室护士作为研究对象.采用自行设计的护士一般情况调查表收集护士的临床资料,并应用手术室护士急救能力测评问卷对手术室护士急救能力进行自评.运用单因素法分析不同特征的手术室护士在急救能力水平上的差异,运用多元线性回归法分析手术室护士急救能力的影响因素.结果手术室护士急救能力得分为(110.95±13.09)分,呈较高水平.单因素分析显示,不同能级、不同护龄、是否有急诊工作经验、是否参与过急救、是否参与过急救培训、是否参与过急救演练在急救能力总体得分上差异有统计学意义(P<0.05);不同年龄、不同学历、不同职称在急救能力5个分维度得分差异均有统计学意义(P<0.05),而急救能力总体得分差异无统计学意义(P>0.05).多元线性回归分析显示,是否参加过急救培训、能级、是否有急诊工作经验、护龄是手术室护士急救能力的影响因素(P<0.05).结论能级高、护龄长、具有急诊工作经验以及参加过急救培训的手术室护士急救能力水平较高,故手术室管理者针对低能级、低年资、缺乏急诊工作经验以及急救培训的护士可实施个体化、专业化、阶段化的培训及教育,可有效提高其急救能力水平,提高患者抢救成功率.

Objective To investigate the current situation of the first aid capability of operating room nurses and analyze the influencing factors of their first aid capability, so as to provide reference for operating room nursing managers to carry out first aid training. Methods Using cluster random sampling method,from February to March of 2018,432 operating room nurses from 4 operating room nurse competency certificate training base hospitals in Shanghai were selected as the research participants. The Self-Designed General Information Questionnaire was used to collect the nurses' clinical data,and the Operating Room Nurses First Aid capability Assessment Scale was used for the operating room nurses in self-evaluation about their first aid capability. Univariate analysis was used to analyze the differences of first aid capability among the operating room nurses with different characteristics,and multivariate linear regression was used to analyze the influencing factors of the operating room nurses' first aid capability. Results The score of operating room nurses' first aid capability was (110.95±13.09), which was at a high level. Univariate analysis showed that there were statistically significant differences in the overall score of first aid capability among nurses with different professional levels, nursing ages, emergency working experience, first aid experience, first aid training participating experience and first aid drill participating experience (P< 0.05). Nurses with different ages, educational backgrounds and professional titles achieved different scores in the 5 sub-dimensions of Operating Room Nurses First Aid capability Assessment Scale with statistical significance(P<0.05), but showed no statistical difference in the total score (P>0.05). Multivariate linear regression analysis indicated that,"whether had participated in first aid training","professional level","whether had emergency working experience","nursing age"were the influencing factors on the operating room nurses' first aid capability (P<0.05). Conclusions Operating room nurses with high professional levels, long nursing ages, emergency working experience, and have participated first aid training have high levels of first aid capability, therefore the operating room managers should carry out individualized, professional, staged training and education targeting the nurses with low professional levels, short nursing ages, lacking in emergency working experience and first aid training,so as to improve their first aid capability and success rate of rescue for patients.