慢性阻塞性肺疾病相关性疲劳在三级甲等医院呼吸与危重症护士中的认知程度调查

Investigation on cognition of chronic obstructive pulmonary disease related fatigue among respiratory and critical care nurses in tertiary hospitals

目的:调查三级甲等医院(简称“三甲医院”)呼吸与危重症护士对慢性阻塞性肺疾病(COPD)相关性疲劳的认知现状,为促进COPD患者的疲劳管理提供参考。方法:采用便利抽样法,于2021年7—9月使用自行设计的调查问卷对河南省4家三甲医院的673名呼吸与危重症护士进行横断面调查。问卷回收582份,有效问卷568份,有效回收率为84.4%。调查内容包括呼吸与危重症护士对COPD相关性疲劳的认知程度、临床干预现状及进行相关知识培训方式的建议等方面。结果:568名调查对象对COPD相关性疲劳的认知得分为(38.65±4.54)分,其中了解程度维度得分为(14.83±4.22)分,影响维度得分为(23.83±1.30)分。工作中从未(或偶尔)留意过COPD患者疲劳的呼吸与危重症护士占总调查人数的65.3%(371/568),经常(或总是)留意的仅占7.6%(43/568);从未(或偶尔)对患者疲劳采取干预措施的人数占92.1%(523/568)。对于开展COPD患者疲劳相关知识培训方式的选择,大多数人员选择操作演示(351名,61.8%)和案例分析(316名,55.6%),集中授课(193名,34.0%)和自学(114名,20.1%)选择人数较少。结论:三甲医院呼吸与危重症护士对COPD相关性疲劳的影响维度了解程度较高,但对其基本知识的了解程度较差。医院应对其进行COPD相关性疲劳相关知识系统培训,及时更新其理念与护理措施。

Objective:To investigate the cognition of respiratory and critical care nurses on chronic obstructive pulmonary disease(COPD)related fatigue in the tertiary hospitals,and to provide reference for promoting the fatigue management of COPD patients.Methods:Using the convenience sampling method,from July to September,2021,a cross-sectional survey was conducted among 673 respiratory and critical care nurses in four tertiary hospitals in He’nan Province based on a self-designed questionnaire.Of the 582 collected questionnairese,568 were valid,with the effective recovery rate of 84.4%.The survey included the cognition of respiratory and critical care nurses on COPD related fatigue,the current situation of clinical intervention and suggestions on training methods of related knowledge.Results:The score of the 568 respondents on the cognition of fatigue-related knowledge of COPD patients was 38.65±4.54,including 14.83±4.22 on the understanding dimension and 23.83±1.30 on the influence dimension of fatigue.Of total investigated nurses,65.3%(371/568)had never(or occasionally)paid attention to the fatigue of COPD patients,only 7.6%(43/568)paid attention to the fatigue regularly,and 92.1%(523/568)had never(or occasionally)taken intervention measures for the fatigue.As to the choice of training methods for fatigue-related knowledge of COPD patients,most of the nurses choose operation demonstration(351,61.8%)and case analysis(316,55.6%),while few of them choose concentrated lectures(193,34.0%)and self-study(114,20.1%).Conclusion:Respiratory and critical care nurses in the tertiary hospitals have a high degree of understanding about the influence dimension of COPD relative fatigue,but they have poor basic knowledge.The hospital should carry out systematic training on COPD related fatigue,and timely update the concept and nursing measures.