ICU护士报警疲劳的影响因素研究

Study on factors influencing alarm fatigue among ICU nurses

目的 调查ICU护士报警疲劳状况,分析其影响因素,为临床制定相关报警疲劳干预策略提供参考。方法 采用便利抽样法选取贵州省3所三级甲等医院的252名ICU护士作为调查对象,使用一般资料调查表、ICU护士报警疲劳量表、护士同情心负荷量表进行问卷调查。结果 ICU护士报警疲劳总分为(25.52±5.57)分,同情心疲乏得分为(19.90±5.75)分,工作倦怠得分为(20.22±3.28)分。同情心疲乏及工作倦怠均与ICU护士报警疲劳呈显著正相关(均P<0.05)。多元逐步回归分析显示,对护理工作的喜爱程度、设置报警参数的频率、职称、同情心疲乏和工作倦怠是ICU护士报警疲劳的影响因素(均P<0.05),共解释43.1%的总变异。结论 护理管理者应高度重视ICU护士同情心疲乏及工作倦怠情况,合理安排人力资源,积极进行医疗仪器设备报警相关培训,提高护士对护理工作的满意度、适当设置报警参数以降低ICU护士报警疲劳水平。

Objective To investigate the status of alarm fatigue among ICU nurses,analyze its influencing factors,and provide refe-rences for the development of intervention strategies in clinical settings.Methods Convenient sampling was employed to select 252 ICU nurses from three tertiary grade-A hospitals in Guizhou province.Questionnaire surveys were conducted using the general information questionnaire,ICU Nurses′Alarm Fatigue Questionnaire,and the Compassion Fatigue Measurement.Results The total score for alarm fatigue,compassion fatigue and burnout among ICU nurses was(25.52±5.57),(19.90±5.75),and(20.22±3.28),respectively.Both compassion fatigue and burnout were significantly positively correlated with alarm fatigue among ICU nurses(both P<0.05).Multiple stepwise regression analysis revealed that attitudes towards nursing profession,frequency of setting alarm parameters,professional title,compassion fatigue,and burnout were influencing factors for ICU nurse alarm fatigue(all P<0.05),explaining 43.1%of the total variance.Conclusion Nursing managers should pay close attention to the compassion fatigue and burnout of ICU nurses.It is recommended to optimize staffing arrangements,provide training on medical equipment alarms,enhance nurses′satisfaction with nursing work,and appropriately set alarm parameters to reduce the level of alarm fatigue among ICU nurses.