三甲医院ICU护士身体约束知信行现况及影响因素分析

Investigation into the status and influencing factors of knowledge of,attitude towards,and practice of physical restraint in ICU nurses working in first-class hospitals

目的 调查ICU护士对患者身体约束知信行现况及影响因素,为身体约束持续质量改进提供参考。方法 采用一般资料调查问卷、患者身体约束知信行问卷,对湖北省15所三甲医院777名ICU护士进行调查。结果 ICU护士对患者身体约束知识得分(93.73±6.95)分,态度得分(70.99±12.59)分,行为得分(197.47±28.28)分。多元线性回归分析显示,年龄和学历对ICU护士患者身体约束知识产生影响,重症专科护士认证及知识、态度、工作年限对其行为产生影响(均P<0.05)。结论 ICU护士身体约束知识处于较高水平,身体约束的知识、行为分别受年龄、学历、工作年限、重症专科认证等因素影响。护理管理者应针对不同影响因素实施针对性培训,进一步提高ICU护士患者身体约束管理水平。

Objective To investigate the status and influencing factors of ICU nurses′ knowledge of,attitude towards,and practice of physical restraint,in order to provide reference for continuous quality improvement of physical restraint.Methods Totally,777 ICU nurses from 15 first-class hospitals in Hubei province were investigated by using the Knowledge-Attitude-Practice(KAP) Questionnaire of Physical Restraint.Results The nurses scored(93.73±6.95) points in knowledge,(70.99±12.59) points in attitude,and(197.47±28.28) points in practice,respectively.Multiple linear regression analysis showed that,age,and education level inf-luenced nurses′ knowledge of physical restraint;the critical care nurse certification,knowledge,attitude and years of working influenced nurses′ practice of physical restraint(all P<0.05).Conclusion ICU nurses′ knowledge of physical restraint is at a high level,and their knowledge and practice of physical restraint are influenced by age,education level,years of working,and critical care nurse certification.Nursing managers should formulate and implement targeted training plans for different groups of nurses to further improve the level of physical restraint management.