护理人员肠内营养管路安全管理认知及行为现状的调查

An investigation of nurses′knowledge,attitude and behavior status about the safety management of enteral nutrition tube among nurses

目的调查北京市某三级甲等医院护士的肠内营养管路安全管理认知及行为现状。方法采用经信效度验证的调研自设问卷,便利选取北京市某三级甲等医院从事肠内营养护理工作的309名护士进行调查。结果肠内营养管路安全管理知识得分(28.58±6.09)分,态度得分(37.65±5.03)分,行为得分(70.01±5.45)分,得分率分别为57.16%、94.13%、93.35%。单因素分析显示,工作年限影响护士的行为得分(F=23.61,P=0.032),职称影响护士的知识得分(F=4.48,P=0.012),管饲操作频率对护士的知识及行为影响较大(F=9.64,P<0.001;F=34.59,P=0.018),而培训频率对护士的知识、态度、行为得分影响差异无统计学意义(F=0.85,P=0.497;F=12.56,P=0.231;F=18.97,P=3.479)。结论护士对肠内营养管路的安全管理持积极态度,但知识水平尚待提高,行为需进一步规范。开展高质量培训以规范临床操作有利于肠内营养管路的安全管理。

Objective To investigate nurses'knowledge,attitude and behavior status about the safety management of enteral nutrition tube in a tertiary Class A hospital in Beijing.Methods A self-designed questionnaire based on reliability and validity was used.Besides,a convenient sampling method was used to select 309 nurses working on enteral nutrition from the hospital.Results Nurses scored(28.58±6.09)for knowledge,(37.65±5.03)for attitude and(70.01±5.45)for behavior.The percentage of average scores in the three indicators were 57.16%,94.13%and 93.35%.According to the single factor analysis,the score of behavior differed among nurses with different working years(F=23.61,P=0.032).The score of knowledge differed among nurses with different titles(F=4.48,P=0.012).Besides,the frequency of tube feeding operations had great effects on nurses′knowledge and behavior(F=9.64,P<0.001;F=34.59,P=0.018).But there was no statistical difference in the knowledge,attitude,and behavior scores among nurses trained at different frequencies(F=0.85,P=0.497;F=12.56,P=0.231;F=18.97,P=3.479).Conclusions Nurses have a positive attitude towards the safety management of enteral nutrition tube,but their knowledge level is poor and their behavior needs to be further regulated.It is necessary to carry out relevant training to standardize clinical operations and ensure the safety management of enteral feeding tube.