云南省各级医疗机构临床护士PICC维护知识认知及影响因素

Cognition of PICC Maintenance Knowledge and Influencing Factors of Medical Nurses at Different Levels in Yunnan Province

目的了解云南省各级医疗机构临床护士对外周静脉穿刺置入中心静脉导管(PICC)维护相关知识的认知情况及影响因素,为提高本地区PICC维护能力措施的制定提供依据。方法采用分层抽样的方法,对云南省67家医院4297名临床护士行问卷调查。结果PICC维护相关知识平均分(52.19±12.38)分,1.56%优秀,31.86%合格,66.58%不及格;医院级别、是否为静脉输液或PICC护理小组成员、学历、职称、每月维护例数、总共接受过的培训次数是影响得分的重要因素(P<0.05)。结论云南省各级医疗机构临床护士对PICC相关维护知识整体掌握情况不佳,各级医院应针对各院具体情况加强培训,探索适宜的培训方式,以提高护士认知水平。

Objective To understand the cognitive status and influencing factors of clinical nurses at all levels of medical institutions in Yunnan Province for the treatment of peripheral venous puncture and central venous catheter(PICC),and to provide evidence for improving the PICC maintenance capacity measures in this area.Methods A stratified sampling method was used to survey 4297 clinical nurses in 67 hospitals in Yunnan Province.Results PICC maintenance related knowledge average score was 52.19±12.38 points,with 1.56%of excellent rate,31.86%of qualified rate,and 66.58%fo failed rate.Hospital level,whether intravenous infusion or PICC nursing team members,education,professional title,monthly maintenance cases,the total number of training received were important factors influencing the score(P<0.05).Conclusions The clinical nurses at all levels of medical institutions in Yunnan Province have poor overall knowledge of PICC-related maintenance knowledge.Hospitals at all levels should strengthen training for each hospital’s specific conditions and explore appropriate training methods to improve nurses’cognitive level.