三级甲等医院护士重症患者早期肠内营养知信行现状

Nurses'knowledge-attitude-practice status on early enteral nutrition of critically ill patients in ClassⅢGrade A hospitals

目的调查三级甲等医院护士对重症患者早期肠内营养的知识、态度和行为的现状.方法 采用方便取样的方法,于2019年3月选取北京市某三级甲等医院的114名护士,采用自行编制的护士对重症患者早期肠内营养的知信行调查问卷进行调查,问卷内容包括一般资料以及重症患者早期肠内营养相关的知识、态度、行为.结果护士对重症患者早期肠内营养知识问卷的得分为5.00~85.00分,中位数为35.00分;态度问卷得分为0.00~80.00分,中位数为80.00分;行为问卷得分为(51.49±13.18)分,范围为13.33~83.33分;27.19%的护士从未接受过相关知识培训.结论护士应具备全面的重症患者早期肠内营养知识,使患者接受更有效的肠内营养支持,重视幽门后喂养技术的临床应用,将动态营养 筛查及腹内压的测量融入到日常护理工作中,及时发现重症患者早期肠内营养实施过程中存在的问题,提升整体护理质量,使重症患者得到最有效的肠内营养支持.

Objective To explore the current status of nurses'knowledge,attitude and practice in ClassⅢGrade A hospitals on early enteral nutrition in critically ill patients.Methods A total of 114 nurses in a ClassⅢGrade A hospital in Beijing were selected by convenience sampling method on March of 2019.Self-designed Nurses'Knowledge,Attitude and Practice Questionnaire on Early Enteral Nutrition in Critically Ill Patients was used to investigate the nurses,and the contents included their general information and their related knowledge,attitude,practice towards the critically ill patient's early enteral nutrition.Results Nurses scored 5.00-85.00 points on Nurses'Knowledge Questionnaire on Early Enteral Nutrition in Critically Ill Patients,with a median of 35.00 points;Attitude Questionnaire scored 0.00-80.00 points,with a median of 80.00 points;Practice Questionnaire scored(51.49±13.18)points,ranging from 13.33 to 83.33 points;27.19%of nurses had never received relevant knowledge training.Conclusions Nurses should have comprehensive knowledge of early enteral nutrition for severely ill patient to enable patients receive more effective enteral nutrition support,pay attention to the clinical application of pyloric retroperitoneal feeding technology,integrate dynamic nutrition screening and intra-abdominal pressure measurement into routine nursing work,and find out the exist problems of early enteral nutrition in severely ill patients in time,improve the quality of holistic nursing,so that severely ill patients can get the most effective enteral nutrition support.