ICU护士医疗器械相关压力性损伤预防的知信行水平现状及影响因素分析

Current situation of knowledge, attitude and practice level of ICU nurses in the prevention of medical device-related pressure injuries and its influencing factors

目的调查ICU护士对危重患者医疗器械相关压力性损伤(MDRPI)预防的知信行水平现状并分析其影响因素。方法2019年5-8月,采用自行修订的ICU护士MDRPI预防知信行问卷对浙江省8所三级综合性医院540名ICU护士进行调查。分析ICU护士MDRPI预防知信行现状及影响因素,探讨预防知识、态度与行为3个维度之间关系。结果ICU护士MDRPI预防知信行问卷总均分为(3.87±0.46)分,其中知识维度条目均分为(3.43±0.69)分,态度维度条目均分为(4.13±0.51)分,行为维度条目均分为(4.06±0.56)分。不同性别、婚姻、工作年限、职称、职务、是否为医院伤口造口或压疮小组成员、是否护理过MDRPI患者、是否接受过MDRPI专题培训的ICU护士MDRPI预防知信行均分比较,差异有统计学意义(P<0.05)。多重线性回归分析结果显示,工作年限、是否护理过MDRPI患者、是否接受过MDRPI伤的专题培训为ICU护士MDRPI预防知信行水平的影响因素(P<0.05)。ICU护士MDRPI预防知识、预防态度和预防行为两两呈正相关(P<0.05)。结论ICU护士对MDRPI预防的态度和行为较为积极,但相关MDRPI预防的知识较为缺乏。护理管理者应重视对ICU护士MDRPI预防知识的培训,提升其MDRPI的识别及护理能力。

Objective To investigate the current situation of knowledge,attitude and practice level of ICU nurses in the prevention of medical device-related pressure injuries(MDRPI)in critically ill patients and analyze its influencing factors.Methods From May to August 2019,540 ICU nurses in 8 ClassⅢgeneral hospitals in Zhejiang province were surveyed by using"MDRPI Prevention Knowledge,Attitude and Practice Questionnaire for ICU Nurses".Current situation and influencing factors of knowledge,attitude and practice of ICU nurses in the prevention of MDRPI were analyzed and relationships among prevention knowledge,attitude and practice were explored.Results The overall average score of knowledge,attitude and practice level of ICU nurses in the prevention of MDRPI was(3.87±0.46).Of which,the average score of knowledge dimension items was(3.43±0.69),the average score of attitude dimension items was(4.13±0.51),and the average score of practice dimension items was(4.06±0.56).There were statistically significant differences in the overall average scores of knowledge,attitude and practice in the prevention of MDRPI in ICU nurses with different genders,marital status,years of work,titles,duties,whether they are members of the wound stoma or pressure ulcer group,whether they have cared for MDRPI patients,whether they have received MDRPI training(P<0.05).Multiple linear regression analysis showed that years of work,whether they had cared for MDRPI patients and whether they had received training in MDRPI were influencing factors of knowledge,attitude and practice level of ICU nurses in the prevention of MDRPI(P<0.05).ICU nurses MDRPI prevention knowledge,attitude and practice were positively correlated(P<0.05).Conclusions ICU nurses have a more positive attitude and behavior towards MDRPI prevention,but their knowledge of MDRPI prevention is relatively lacking.Nursing managers should attach importance to training on ICU nurses'knowledge of MDRPI prevention so as to improve their MDRPI recognition and nursing ability.