对腹部手术患者术后早期下床活动阻碍因素的认知调查分析

Nurses'awareness of hindering factors for early out-of-bed activities in patients undergoing abdominal surgery

目的调查护士关于腹部手术患者术后早期下床活动阻碍因素的安置认知现状,为促进患者早期下床活动提供参考。方法2018年3—4月采用便利抽样法选择四川省某三级甲等综合医院的165名普外科护士,采用自行设计的腹部手术患者术后早期下床活动的阻碍因素调查表进行调查。结果患者术后疼痛[(3.83±1.17)分]、虚弱[(3.68±1.08)分]、安置心电监护[(3.48±1.18)分]是护士认为影响患者早期下床活动的主要阻碍因素;不同文化程度(F=5.410,P=0.005)、职称(F=6.333,P=0.002)及工作年限(r=-0.159,P=0.042)的护士认知阻碍因素比较,差异有统计学意义(P<0.05)。结论患者相关因素是护士认为影响腹部手术患者早期下床活动的主要阻碍因素,且医生在术后管理方面的欠缺也是重要阻碍因素。

Objective To explore nurses'awareness of the hindering factors for early out-of-bed activities in patients undergoing abdominal surgery and provide a reference for promoting their early out-of-bed activities.Methods Totally 165 nurses from the Department of General Surgery of a ClassⅢGrade A hospital in Sichuan Province were selected by convenient sampling and investigated with the self-designed hindering factor questionnaire for early out-of-bed activities in patients undergoing abdominal surgery between March and April 2018.Results The patients'postoperative pain(3.83±1.17),weak(3.68±1.08)and ECG monitoring(3.48±1.18)were the main hindering factors that nurses thought would affect their early out-of-bed activities;and there were statistically significant differences(P<0.05)in the awareness of hindering factors between nurses with different educational levels(F=5.410,P=0.005),job titles(F=6.333,P=0.002)and working years(r=-0.159,P=0.042).Conclusions Patient-related factors are the main hindering factors that nurses think affect their early out-of-bed activities,and doctors'lack of postoperative management is also an important hindering factor.