血液透析护士AVF物理检查知识现状及相关因素分析

Multicenter study on current situation of knowledge and related factors: physical examination of autogenous arteriovenous fistula among hemodialysis nurses

目的 探讨血液透析护士对自体动静脉内瘘(AVF)物理检查知识掌握现状并分析其影响因素,为制定针对性培训方案提供依据。方法 采用方便取样法,以自行设计的AVF物理检查相关知识问卷,对35家不同级别的医院258名血液透析护士进行问卷调查来收集数据并采用SPSS 23.0软件进行统计学分析,描述一般资料及血液透析护士对AVF物理检查相关知识得分与正确率。结果 血液透析护士对AVF的物理检查知识掌握有效百分比为34.9%;且工作时间、医院级别、有无接受过专业培训等因素均是血液透析护士掌握AVF物理检查相关知识水平的主要影响因素(P<0.001)。血液透析护士认为未经过系统培训、相关资料少及个人未重视为主要原因。结论 应加强血液透析护士动静脉内瘘物理检查知识培训,可根据不同的影响因素及对不同知识掌握的差异,采用有效的培训方法提高其对物理检查知识的掌握程度。

Objective To explore the current situation of knowledge and related factors regarding physical examination of acquisition autogenous arteriovenous fistula(AVF) among hemodialysis nurses, to provide evidence for targeted training programs.Methods The questionnaire survey was conducted among 258 hemodialysis nurses from 35 hospitals of different levels in the south Hebei Province, using convenient sampling and self-designed knowledge questionnaire regarding AVF physical examination. SPSS 23.0 software was used for statistical analysis of baseline data and knowledge score and correct rate for AVF physical examination among hemodialysis nurses.Results The effective rate were 34.9% for mastering knowledge regarding AVF physical examination among hemodialysis nurses. Working hours, hospital level and professional training were the main factors influencing the knowledge level regarding AVF physical examination(P< 0.001). Hemodialysis nurses believed that the main reasons were lack of systematic training, few relevant learning materials and personal neglect.Conclusion strength training of knowledge regarding AVF physical examination should be conducted among hemodialysis nurses. Based on different factors and knowledge mastery, effective training methods can improve their knowledge level of physical examination.