东北及内蒙古地区儿科重症监护病房护士镇痛镇静护理行为现状调查及影响因素分析

The investigation and influencing factors analysis of analgesia and sedation nursing behavior of pediatric intensive care unit nurses in Northeast China and Inner Mongolia

目的通过横断面调查,了解东北及内蒙古地区儿科重症监护病房(pediatric intesive care unit,PICU)护士镇痛镇静护理行为现状并对其影响因素进行分析,为进一步构建规范化培训方案及研发标准化镇痛镇静护理流程提供参考依据。方法采用自行设计的PICU护士镇痛镇静护理知信行现状调查问卷对东北及内蒙古地区18家医院的435名PICU护士进行问卷调查。结果东北及内蒙古地区PICU护士镇痛镇静护理行为问卷平均得分为(70.54±13.63)分。不同年龄、护龄、PICU护龄、学历、职称,以及是否是重症专科护士、是否接受过镇痛镇静培训、有无护理镇痛镇静患儿经历,各组间护士的行为得分比较,差异均有统计学意义(均P<0.05)。护士是否接受过镇痛镇静相关培训、有无护理镇痛镇静患儿经历及对镇痛镇静的态度是影响PICU护士镇痛镇静行为的主要因素。结论东北及内蒙古地区PICU护士镇痛镇静护理行为尚有很大提升空间,PICU护士参加镇痛镇静相关培训次数越多、护理镇痛镇静患儿经历越丰富、镇痛镇静态度越积极,其临床护理实践能力越强。

Objective Based on a cross-sectional survey about the status of analgesia and sedation nursing behavior of PICU nurses in Northeast China and Inner Mongolia,to analyze the influencing factors and to provide reference for further constructing standardized training programs and developing standardized for analgesia and sedation nursing process.Methods The self-designed questionnaire was made for investigation from 435 PICU nurses in 18 hospitals in Northeast China and Inner Mongolia.Results The average questionnaire score of the analgesia and sedation nursing behavior of PICU nurses was(70.54±13.63)in Northeast China and Inner Mongolia.The behavioral scores were different in each group between different age,nursing age,PICU nursing age,educational background,professional title,and whether was the intensive care unit nurse,whether trained in analgesia and sedation,whether have experience in caring children with analgesia and sedation,and the differences were all statistically significant(P<0.05).The main factors influencing the analgesia and sedation behavior of PICU nurses were whether have received training in analgesia and sedation,whether have experience in caring children with analgesia and sedation treatment and their attitude score to analgesia and sedation.Conclusion There is still much space for development in analgesia and sedation nursing behavior of PICU nurses in Northeast China and Inner Mongolia.The more analgesia and sedation training PICU nurses take participate in,the more experience and positive attitudes they have in nursing children with analgesia and sedation,their clinical nursing practice ability could become more stronger.