ICU医护人员探视信念与态度的影响因素分析

Analysis of Factors Influencing the Beliefs and Attitudes of ICU Medical Staff Towards Visiting Patients

目的调查ICU医护人员对家属探视行为的信念与态度现状,分析ICU医护人员探视信念与态度的可能影响因素,为ICU探视制度制定提供依据。方法于2023年2月,使用医护人员探视信念与态度调查量表,采用便利抽样的方法调查266名厦门市ICU的医护人员。结果266名ICU医护人员的探视信念量表均值为(2.64±0.30)分,态度量表均值为5.00(4.33,5.67)分。ICU探视信念得分与每日工作时长、职业、工作性质、对现行探视制度是否满意、是否支持开放探视、认为增加探视次数是否有利有关,差异有统计学意义(P<0.05);ICU探视态度得分与每日工作时长、工作性质、是否支持开放探视、认为增加探视次数是否有利有关,差异有统计学意义(P<0.05)。多元线性回归分析显示,每日工作时长、职业、工作性质、对现行探视制度是否满意、是否支持开放探视、认为增加探视次数是否有利是ICU探视信念的影响因素(P<0.05);每日工作时长、是否支持开放探视、认为增加探视次数是ICU探视态度的影响因素(P<0.05)。在开放性问题中,多数医护人员对探视态度消极,也有医护人员建议根据患者病情设置合适的探视频率。结论ICU医护人员探视态度较积极,探视信念中等水平。每日工作时长、职业、工作性质、对现行探视制度是否满意、是否支持开放探视、认为增加探视次数是否有利是ICU医护人员探视信念及态度的影响因素。

Objective To investigate the current status of ICU medical staff's beliefs and attitudes towards family visits,analyze the possible influencing factors of ICU medical staff's beliefs and attitudes,and provide a basis for the formulation of ICU visitation system.Methods In February 2023,a total of 266 medical staff in ICU in Xiamen were investigated by convenience sampling using the visiting beliefs and attitudes of medical staff questionnaire.Results A total of 266 ICU nurses visit beliefs scale averages(2.64±0.30)points,the mean attitude scale of 5.00(4.33,5.67)points.ICU visitation belief score was correlated with daily working hours,occupation,work nature,satisfaction with the current visitation system,whether to support open visits,and whether to believe that increasing the number of visits,with statistical significance(P<0.05).ICU visitation attitude score was related to daily working hours,work nature,whether to support open visits,and whether to believe that increasing the number of visits,with statistical significance(P<0.05).Multiple linear regression analysis showed that daily working hours,occupation,work nature,satisfaction with the current visitation system,whether to support open visits,and whether it is beneficial to increase the number of visits were the influencing factors of ICU visitation belief(P<0.05).Daily working hours,whether to support open visits,and whether to believe that increasing the number of visits were the influencing factors of ICU visitation attitude(P<0.05).In the open-ended questions,most of the medical staff had a negative attitude towards visits,and some medical staff suggested setting the appropriate visit frequency according to the patient's condition.Conclusion ICU medical staff have a positive attitude and a medium level of visitation belief.Daily working hours,occupation,nature of work,satisfaction with the current visitation system,whether to support open visits,and whether to believe that increasing the number of visits is beneficial to patients are the influencing factors of ICU medical staff's beliefs and attitudes about visits.