河南省急诊科护士创伤性低体温防护知信行现状及其影响因素

Current Status and Influencing Factors of Knowledge,Beliefs and Practices Regarding Protective Measures for Traumatic Hypothermia Among Emergency Nurses in Henan Province

目的调查急诊科护士创伤性低体温防护知信行的现状并分析其影响因素。方法采用一般资料调查表、急诊护士创伤性低体温防护的知信行问卷对河南省34所医院的654名急诊科护士进行问卷调查。结果急诊科护士创伤性低体温防护的知信行问卷总分为(57.37±11.43)分、知识维度得分为(7.53±2.04)分、信念维度得分为(35.30±7.69)分、行为维度得分为(19.16±6.38)分。多重线性回归分析结果显示,护士的工作年限、医院对低体温重视度、科室是否有复温措施、科室是否制定有复温流程是急诊科护士创伤性低体温防护知信行水平的影响因素。结论河南省急诊科护士对创伤性低体温防护知信行水平有待提高。管理者应注重加强创伤性低体温知识的培训,建立完善培训体系,强化急诊科护士对低体温防护的信念和行为,提升急诊科护士对创伤性低体温防护的知信行水平。

Objective To understand the current status of knowledge,beliefs and practices regarding protective measures for traumatic hypothermia among emergency nurses and analyze the influencing factors.Methods A convenience sampling method was used to survey 654 emergency department nurses from 34 hospitals in Henan Province using a self-designed questionnaire on knowledge,beliefs and practices related to traumatic hypothermia protection.Results The scores for the overall questionnaire,knowledge dimension,belief dimension and behavior dimension of protective measures for traumatic hypothermia among emergency nurses were(57.37±11.43),(7.53±2.04),(35.30±7.69),and(19.16±6.38)points,respectively.The results of multiple linear regression analysis showed that the nurses’years of experience,the level of importance given to hypothermia by the hospital,the presence of rewarming measures in the department and the establishment of rewarming protocols in the department were influencing factors for the knowledge,beliefs and practices of emergency nurses regarding protective measures for traumatic hypothermia.Conclusion The knowledge,beliefs and practices of emergency nurses in Henan Province regarding protective measures for traumatic hypothermia need to be improved.Managers should focus on strengthening training related to traumatic hypothermia,establishing standardized protocols,changing the nursing behaviors towards traumatic hypothermia patients,further reinforcing their beliefs,and enhancing the knowledge,beliefs and practices of emergency nurses in the care of traumatic hypothermia.