手术室护士预防医疗器械相关压力性损伤知信行现状及影响因素分析

Current situation and influencing factors of knowledge,attitude,and practice of nurses in operating room on preventing medicaldevice related pressure injury

目的探究手术室护士预防医疗器械相关压力性损伤的知信行现状,并分析其影响因素。方法采用便利抽样和整群抽样结合的方法,于2022年8至12月选取浙江省内不同地区二级及以上医院的手术室护士620名为研究对象,采用自制的手术室护士医疗器械相关压力性损伤知信行量表进行横断面调查,采用多元线性回归分析手术室护士预防器械相关压力性损伤知信行的影响因素。结果问卷有效回收率99.84%。浙江省手术室护士预防医疗器械相关压力性损伤知信行总分为(76.90±26.15)分,知识维度得分为(34.82±10.34)分,信念态度维度得分为(13.69±4.72)分,行为维度得分为(28.39±10.49)分。回归分析结果显示,医院类型、职称是手术室护士预防器械相关压力性损伤知信行水平的主要影响因素(均P<0.001)。结论浙江省手术室护士预防医疗器械相关压力性损伤知信行水平较低,主要受医院类型、职称的影响。因此,管理者需要通过多种途径为护理人员进行相关知识的培训,提高其行为能力,以降低医疗器械相关性压力性损伤的发生。

Objective To explore the current situation and analyze the influencing factors of knowledge,attitude,and practice(KAP)of nurses in operating room on preventing medical device-related pressure injury(MDRPI).Methods From August to December 2022,a total of 620 operating room nurses from secondary and above hospitals in different regions of Zhejiang Province were selected as the research objects by using convenience sampling and cluster sampling.A cross-sectional survey was conducted using a self-made operating room nurse's MDRPI KAP scale,and multiple linear regression was used to analyze the influencing factors of operating room nurses'MDRPI KAP.Results The questionnaires'effective response rate was 99.84%.The scores of overall KAP,knowledge,attitude,and practice were 76.90±26.15,34.82±10.34,13.69±4.72 and 28.39±10.49,respectively.The results of regression analysis showed that hospital type and professional title were the main influencing factors on the KAP on preventing MDRPI in surgical room nurses(all P<0.001).Conclusion The KAP level of surgical room nurses in Zhejiang Province on preventing MDRPI is relatively low,mainly influenced by the type of hospital and professional title.Therefore,managers need to provide relevant KAP training through various ways for nurses and to improve their behavioral abilities,thus reducing the occurrence of MDRPI.