护士预防围手术期患者深静脉血栓形成知信行的现状调查

Status quo of knowledge,attitude and practice of nurses on prevention of deep vein thrombosis in patients during perioperative period

目的调查围手术期相关护士预防患者深静脉血栓形成知信行现状,为深入研究围手术期全期、连续护理流程提供依据。方法采用分层、便利抽样法选取三级医院10所、二级医院13所的外科护士、手术室护士905名作为调查对象。采用自行编制的护理人员围手术期预防患者深静脉血栓形成知信行现状调查问卷对其进行调查。结果905名围手术期相关护士预防深静脉血栓知、信、行得分分别为(8.40±2.58)、(38.26±12.53)、(52.79±13.10)分。多重线性回归分析显示,护士的性别、所在科室护士长的职称及所在医院是否有预防血栓护理学组是影响围手术期相关护理人员预防深静脉血栓形成知信行现状的共同因素(P<0.05)。结论围手术期相关护士预防深静脉血栓形成的知识、行为得分较低,有待进一步提高。应借鉴知信行理论模式尝试构建围手术期专科护理培训体系。

Objective To investigate the status quo of knowledge,attitude and practice of perioperative related nurses on prevention of deep vein thrombosis in patients,so as to provide basis for in-depth study of the whole perioperative period and continuous nursing process.Methods A stratified and convenient sampling method was used to select 905 surgical nurses and operating room nurses in 10 tertiary hospitals and 13 secondary hospitals as the objects of the survey.A self-made questionnaire on the status quo of knowledge,attitude and practice of nursing staff to prevent deep vein thrombosis during perioperative period was investigated.Results The scores of knowledge,attitude and practice of 905 perioperative related nurses on prevention of deep vein thrombosis were respectively(8.40±2.58),(38.26±12.53)and(52.79±13.10).Multiple linear regression analysis showed that the gender of nurses,the title of head nurse in the department and whether the hospital had a thrombosis-prevention nursing group were the common factors affecting the status quo of knowledge,attitude and practice of perioperative related nursing staff in prevention of deep vein thrombosis(P<0.05).Conclusions The knowledge attitude and practice scores of perioperative related nurses in prevention of deep vein thrombosis are low,which should be further improved.It is necessary to construct the perioperative specialized nursing training system by referring to the theory of knowledge,attitude and practice.