儿科ICU护士对每日唤醒患儿的知信行现状调查

A survey of pediatric ICU nurses’cognition,attitude and practice on daily sedation interruption

目的调查儿科ICU护士对每日唤醒的知信行情况,为临床培训提供参考。方法采用方便抽样法,于2021年7月对我国7所三级甲等儿童医院的298名儿科ICU护士进行问卷调查,调查工具为自行设计的一般资料调查表、每日唤醒知信行问卷。结果298名儿科ICU护士对每日唤醒的认知:知识得分为4(2,4)分,得分率为40%,157名(52.68%)护士表示不太了解或从未听说过每日唤醒。态度:认可度得分32(27,34)分,得分率为80%,217名(72.82%)护士愿意实施每日唤醒,258名(86.58%)护士想获得系统培训。实践行为:221名(74.16%)护士未接受过相关培训,159名(53.35%)护士从不或很少实施每日唤醒。结论儿科ICU护士对每日唤醒知识掌握较差,对每日唤醒的认可度较高,实践行为还有待加强,护理管理者应充分重视儿科ICU护士的培训需求,开展每日唤醒基础知识和实践技能的系统培训,提高护士每日唤醒实践水平。

Objective To investigate the cognition,attitude and practice of pediatric ICU nurses on daily sedation interruption(DSI),and to provide references for clinical training.Methods Convenience sampling was used to conduct a questionnaire survey among 298 pediatric ICU nurses in 7 tertiary A children hospitals in China in July 2021.The general information questionnaire,questionnaires of knowledge,attitude,and behavior on DSI were self-designed.Results In terms of the cognition of 298 pediatric nurses on DSI,their knowledge score was 4(2,4)out of 10,and a total of 157 nurses(52.68%)said they did not know well or had never heard of DSI.In terms of attitude,their recognition score was 32(27,34)out of 40,and 217 nurses(72.82%)were willing to implement DSI,and 258 nurses(86.58%)wanted systematic training.In practice of nurses,221(74.16%)have not received relevant training,and 159 nurses(53.35%)never or rarely performed DSI.Conclusion Pediatric ICU nurses have a poor grasp of knowledge on DSI,while their recognition toward DSI is high.Their practice needs to be strengthened.Nursing managers should pay full attention to the training needs of pediatric ICU nurses and carry out systematic training on DSI basic knowledge and practical skills,so as to improve DSI practice level of nurses.