天津市手术室护士预防术中压力性损伤护理知信行现状及影响因素研究

Study on the status quo and influencing factors of knowledge-attitude-performance of surgical nurses for preventing intra-operatively acquired pressure injury in Tianjin

目的:探究天津市手术室护士压力性损伤知信行现状及影响因素。方法:于2019年10月便利选取595名天津市二级及以上医院的手术室护士作为研究对象,采用自行设计的手术室护士压力性损伤知信行问卷进行调查。结果:天津市手术室护士压力性损伤护理知识得分(61.80±14.00)分,处于中等水平,总正确率为59.91%;态度维度得分(47.30±5.87)分,处于较高水平;行为维度得分(24.50±3.59)分,处于中等水平。职称是知识的影响因素,护理过的患者是否发生过压力性损伤是态度的影响因素,工作年限是行为的影响因素(均P<0.05)。结论:天津市手术室护士压力性损伤护理态度较积极,但知识和行为水平亟待提高,基于知信行理论开展多种形式的压力性损伤分层培训是提高手术室护士压力性损伤知信行水平的有效措施。

Objective:To investigate the level of knowledge-attitude-performance of surgical nurses for preventing pressure injury and its influence factors in Tianjin.Methods:In October 2019,595 surgical nurses from Grade II and above hospitals in Tianjin were conveniently selected as the research objects,and a self-designed questionnaire on knowledge-attitude-performance for prevention of pressure injury was used to investigate.Results:The scores of nursing knowledge of pressure injury in this study were 61.80±14.00,in moderate level,with a total accuracy of 59.91%for knowledge dimension.The score of attitude dimension was 47.30±5.87,which was at a high level.The score of performance dimension was 24.50±3.59,in moderate level.Professional title was the influencing factor of knowledge;nursing experience with or without pressure injury was the influencing factor of attitude;and working years was the influencing factors of performance(P<0.005).Conclusion:The nurses exhibited a positive attitude towards pressure injury,but the level of knowledge and performance need to be improved.An effective improving measure is to carry out various forms of hierarchical training of pressure injury based on the theory of knowledge,attitude and performance.