妇幼专科医院急诊科护士对静脉输注高警示药物认知现状调查

Investigation on cognitive status of emergency nurses on intravenous infusion of high-alert drugs in maternal and child hospital

目的了解妇幼专科医院急诊科护士对静脉输注高警示药物的认知现状及影响因素。方法采取方便抽样、整群抽样法,选取四川大学华西第二医院、四川省妇幼保健院、成都市妇女儿童中心医院、成都市龙泉驿区妇幼保健院、成都市成华区妇幼保健院、四川省彭州市妇幼保健院6所妇幼专科医院急诊护士171名,通过问卷调查急诊科护士对静脉输注高警示药物的认知现状。结果妇幼专科医院急诊科护士静脉输注高警示药物知识平均得分为(29.52±2.74)分,各条目的正确率22.2%~100.0%;多元逐步回归分析显示,月收入、急诊护理工作年限、职称影响护士对静脉输注高警示药物的知识水平,模型解释了12.7%的变异量(R2值为0.127,P<0.01)。结论目前妇幼专科医院急诊科护士对静脉输注高警示药物的认知不足,护士对知识的需求较高,医院管理者和教育者应结合孕产妇和儿童的生理特殊性,亟待制订针对性的培训方案,提高护士对高警示药物的知识水平,保障临床用药安全。

Objective To describe the status and influencing factors of emergency nurses′high-alert drugs knowledge level in maternal and child hospital.Methods Totally 171 nurses working in emergency department from 6 hospitals in Chengdu including West China Second University Hospital,Sichuan University,Sichuan Maternal and Child Health Hospital,Chengdu Women and Children Central Hospital,Chengdu Longquanyi Maternal and Child Health Hospital,Chengdu Chenghua Maternal and Child Health Hospital,Chengdu Pengzhou Maternal and Child Health Hospital were selected through convenient sampling to fill out the scale.Results Nurses′average score of high-alert drugs knowledge was 29.52±2.74.The accuracy of each item ranged from 22.2%to 100.0%.Multivariate linear regression analysis showed that major influencing factors for their knowledge level included monthly income,length of service in the emergency department,professional title,the model explained 12.7%amount of variance(R2 value was 0.127,P<0.01).Conclusions Emergency department nurses in maternal and child hospitals have insufficient awareness of intravenous infusion of high-alert drugs,and they have a high demand for knowledge.In order to ensure the safety of clinical drug use,it is urgent to formulate targeted training programs to improve nurses'knowledge level of high-alert drugs.