ICU护士呼吸机相关性肺炎预防措施知信行及影响因素调查

Investigation of knowledge,attitudes,and behaviors regarding ventilator-associated pneumonia prevention measures and influencing factors among ICU nurses

目的了解浙江省某三级甲等医学重症监护病房护士呼吸机相关性肺炎的知识、态度、行为现状及其影响因素,为提高重症监护病房护士对呼吸机相关性肺炎的护理技能提升提供理论依据。方法于2023年5月,采用自制调查问卷整群抽取浙江省某三级甲等医院重症监护病房全部护士148名进行调查。结果浙江省某三级甲等医院ICU护士VAP知识在知识维度得分为(16.16±1.82)分,在态度维度得分为(100.01±13.86)分,在行为维度得分为(31.33±4.28)分。多元线性回归分析结果显示,在知识维度方面,管理岗相较于责任岗与知识得分呈正相关关系(P<0.05),文化程度和从事ICU护理工作的年限(年)与知识得分均呈负相关关系(P<0.05);在态度维度方面,从事ICU护理工作的年限(年)与态度评分呈正相关关系(P<0.05);在行为维度方面,管理岗和教学岗相较于责任岗,与行为评分均呈负相关关系(P<0.05)。结论浙江省某三级甲等医院重症监护病房护士呼吸机相关性肺炎的知识处于较高水平,但态度和行为水平仍有待提升。建议增加呼吸机相关性肺炎预防措施相关知识的教育工作。

Objective To understand the knowledge,attitude,behavior status,and influencing factors of ventilator-associated pneumonia among nurses in a tertiary A medical intensive care unit in Zhejiang Province,and to provide a theoretical basis for improving the nursing skills of nurses in intensive care units for ventilator-associated pneumonia.Methods In May 2023,a self-made survey questionnaire was used to cluster select 148 nurses from the intensive care unit of a tertiary A hospital in Zhejiang Province for investigation.Results ICU nurses from a tertiary A hospital in Zhejiang Province scored 16.16±1.82 in terms of VAP knowledge in the knowledge dimension,100.01±13.86 in the attitude dimension,and 31.33±4.28 in the behavior dimension.The results of multiple linear regression analysis showed that in terms of knowledge dimension,management positions showed a positive correlation trend with knowledge scores compared to responsibility positions(P<0.05),while education level and years of working in ICU nursing showed a negative correlation trend with knowledge scores(P<0.05);In terms of attitude dimension,there is a positive correlation between years of experience in ICU nursing work and attitude scores(P<0.05);In terms of behavioral dimensions,management and teaching positions show a negative correlation with behavioral scores compared to responsibility positions(P<0.05).Conclusion The knowledge of ventilator-associated pneumonia among nurses in the intensive care unit of a tertiary A hospital in Zhejiang Province is at a high level,but their attitudes and behavioral levels still need to be improved.Suggest increasing education on the prevention measures for ventilator-associated pneumonia.