141家医院血管介入医护人员关于对比剂肾病的认知现状调查

Survey on status quo of cognition on contrast-induced nephropathy among vascular interventional medical staffs in 141 hospitals

目的调查从事血管介入工作的医护人员有关对比剂肾病(CIN)的认知情况,为有效预防CIN提供依据。方法通过文献回顾、专家访谈及研究小组讨论设计调查问卷,于2023年5-6月采用便利抽样法对全国141家医院血管介入医护人员开展CIN认知情况的网络调查。结果共325名医护人员参与调查,其对国内外3个CIN预防相关指南的知晓率为20.31%~48.31%;医生对指南的知晓率(73.44%)高于护士(58.62%),差异有统计学意义(P<0.05)。55人(16.92%)对CIN概念非常了解,83人(25.54%)不了解;64人(19.69%)对CIN高危因素非常了解,82人(25.23%)不了解。不同岗位、工龄、学历、职称的调查对象对CIN概念及其高危因素的认知比较,差异均有统计学意义(P<0.05)。结论血管介入医护人员对CIN预防相关指南、CIN概念及其高危因素整体认知不足,建议各单位加强相关在职培训。

Objective To investigate the awareness of contrast-induced nephropathy(CIN)among medical staffs engaging in the vascular interventional work so as to provide a basis for effective prevention of CIN.Methods The questionnaire was designed by the literature review,expert interviews and research group discussions.The network survey on the CIN awareness was performed among the vascular interventional medical staffs in 141 hospitals across the country from May to June 2023 by using convenience sampling.Results A total of 325 medical staffs participated in the survey,and their awareness rate on three guidelines for the prevention of CIN at home and abroad was 20.31%-48.31%,and the awareness rate on the guidelines in doctors(73.44%)was higher than that in nurses(58.62%),and the difference was statistically significant(P<0.05).Fifty-five respondents(16.92%)were very familiar with the concept of CIN,eighty-three respondents(25.54%)did not know at all;sixty-four respondents(19.69%)were very aware of the risk factors of CIN,and eighty-two respondents(25.23%)were not aware at all.There were statistically significant differences in the cognition of CIN and its high-risk factors among the respondents with different positions,working years,educational background and professional titles(P<0.05).Conclusion The vascular interventional medical staffs have insufficient understanding of CIN prevention related guidelines,CIN concept and related high-risk factors,so it is recommended that all units strengthen the relevant on-the-job training.