河南省二、三级综合医院从事肠造口护理专业护士理论知识水平的调查分析

Theoretical knowledge level of professional nurses engaged in enterostomy nursing in secondary and tertiary general hospitals in Henan Province

目的调查河南省二、三级综合医院从事肠造口护理临床护士的肠造口专科理论知识水平,为科室开展专科培训、提升肠造口专科护理质量提供依据。方法在查阅文献、专家函询的基础上形成包含肠造口专科护理维度、患者健康教育维度的临床护士肠造口知识测验。采用便利抽样法,于2019年2—5月选取河南省39所二、三级综合医院从事肠造口相关护理工作的临床护士为研究对象。采用临床护士肠造口知识测验对护士的肠造口专科知识的掌握情况进行调查,并对其测验得分进行单因素分析。本研究共发放测验420份,回收有效测验382份,有效回收率为90.95%。结果382名护士的肠造口知识测验总分为(65.80±13.84)分,肠造口专科护理维度总分为(32.17±7.12)分,患者健康教育维度总分为(33.64±7.66)分。62.83%(240/382)的护士基本掌握肠造口知识。临床护士肠造口知识测验中,并发症预防识别、并发症管理、造口袋临床选择应用的错误率较高。不同医院级别、最高学历、技术职称、工作时限和从事肠造口护理工作时限护士的肠造口知识测验得分比较,差异有统计学意义(P<0.05)。结论河南省肠造口护理专业护士对肠造口相关知识掌握得不够全面,科室应提高对肠造口专科护理培训的重视度,提升科室整体肠造口护理水平。

Objective To investigate the theoretical knowledge level of clinical nurses engaged in enterostomy nursing in secondary and tertiary general hospitals in Henan Province,so as to provide the basis for departments to carry out specialized training and improve the quality of enterostomy special nursing.Methods On the basis of literature review and expert letter consultation,enterostomy knowledge test for clinical nurses was formed,including the dimensions of enterostomy special nursing and patient health education.Using the convenient sampling method,clinical nurses who engaged in enterostomy-related nursing work in 39 secondary and tertiary general hospitals in Henan Province were selected as the research objects from February to May 2019.The enterostomy knowledge test for clinical nurses was used to investigate enterostomy specialized knowledge of nurses,and their scores were analyzed by single factor analysis.In this study,a total of 420 tests were issued and 382 valid tests were effectively recovered,with an effective recovery rate of 90.95%.Results The total score of the enterostomy knowledge test of 382 nurses was(65.80±13.84),the total score of enterostomy special nursing dimension was(32.17±7.12),and the total score of patient health education dimension was(33.64±7.66).62.83%(240/382)of nurses basically mastered the knowledge of enterostomy.In the enterostomy knowledge test for clinical nurses,the error rates of prevention and identification of complications,management of complications and clinical selection and application of stoma bag were relatively high.There were statistically significant differences in the scores of the enterostomy knowledge test among nurses of different hospital levels,highest educational background,technical title,working time limit and the time limit of engaging in enterostomy nursing work(P<0.05).Conclusions Professional nurses engaged in enterostomy nursing do not have a comprehensive grasp of enterostomy related knowledge,so the departments should pay more attention to special nursing training of enterostomy and improve overall level of enterostomy nursing in the department.