基于聚类分析的护士预防导尿管感染知信行现状研究

Research on the status knowledge, attitude and practice of nurses’ prevention and treatment of catheter infection based on cluster analysis

目的探讨护士预防导尿管感染知信行的现状及知信行水平分类,为提升护士预防导尿管感染及对不同类别的护士提供相应的教育方式提供参考.方法采用《护理人员预防导尿管相关尿路感染的知信行问卷》,于2018年12月对杭州市某三级甲等医院896名护理人员进行调查.采用聚类分析识别潜类别,分析影响潜在类别的因素.结果潜类别分析表明,预防导尿管感染的知信行得分为50~86分,平均(80.309±4.733)分,896名护理人员最佳潜类别数为3,分别命名为Ⅰ类707例(78.91%)、Ⅱ类11例(1.23%)、Ⅲ类178例(19.87%).3类护理人员在性别、学历、科室方面比较差异具有统计学意义(均P<0.05),对以上有统计学意义的3项因素进行多元Logistic回归分析,结果表明性别、科室、学历对护士预防导尿管感染知信行的潜类别分类具有统计学意义(P<0.05或P<0.01).结论通过聚类分析将护理人员预防导尿管感染的知信行水平进行分类,将为管理者对不同类别的护理人员制定有针对性的培训计划提供参考依据.

Objective To investigate the status of nurses' prevention and treatment of catheter infection and the classification of knowledge, attitude and practice, and to provide reference for improving nurses' prevention of catheter infection and providing corresponding education methods for different types of nurses. Methods 896 nursing staff from a third-grade hospital in Hangzhou were investigated with the questionnaire of “knowledge, attitude and practice of medical staff in preventing urinary catheter related urinary tract infection”. Cluster analysis was used to identify latent categories and the factors affecting potential categories were analyzed. Results The analysis of latent categories showed that the scores of knowledge, attitude and practice for preventing catheter infection were 50-86 points, with an average of(80.309±4.733) points, and the optimal number of potential categories for 896 nursing staff was 3, which were named as Class Ⅰ with 707 cases(78.91%), Class Ⅱ with 11 cases(1.23%), Class Ⅲ with 178 cases(19.87%). The differences in gender, education, and department between the three types of nursing staff were statistically significant(P<0.05). Multivariate logistic regression analysis was performed on the above three statistically significant factors. The results showed that there was statistically significant difference in gender, department, and education for the knowledge, attitude and practice of the classification of latent categories for nurses to prevent urinary catheter infection(P<0.05 or P<0.01). Conclusion Classifying the level of knowledge, attitude and practice of preventing catheter infection in nursing staff by cluster analysis can provide a reference for managers to develop targeted training programs for different types of nursing staff.