北京市急诊科护士鼻肠管护理知信行现状及影响因素分析

Current situation and influencing factors of knowledge,attitude and practice of nasointestinal tube nursing among emergency department nurses in Beijing

目的了解急诊科护士鼻肠管护理知信行现状, 并分析其影响因素。方法采用便利抽样法, 于2023年12月-2024年1月选取北京市35家开展鼻肠管技术医院的470名急诊科护士为调查对象。使用一般资料调查表、急诊科护士鼻肠管护理知信行调查问卷进行调查。采用多重线性回归分析对护士鼻肠管护理知信行水平的影响因素进行分析。结果发放问卷470份, 回收有效问卷470份, 问卷有效回收率为100.0%。急诊科护士鼻肠管护理知识、态度、行为维度得分及总分分别为(25.14±6.80)(44.55±6.94)(79.33±11.73)(149.03±18.35)分。多重线性回归分析结果显示, 急诊科护士的学历、是否为带教老师、是否系统护理过鼻肠管、是否遇到过鼻肠管堵管情况是知识维度的影响因素(P<0.05), 护士的职称是态度维度的影响因素(P<0.05), 医院级别、是否系统学习过鼻肠管护理、是否独立完成过鼻肠管置管是行为维度的影响因素(P<0.05)。结论急诊科护士鼻肠管护理水平仍有待提高且受多种因素影响, 护理管理者应加强对鼻肠管护理的培训和指导, 培养临床营养专科护士, 制定有针对性的培训计划, 并开展多种方式相结合的质量督导, 全方面促进护士鼻肠管护理水平的提高。

Objective To understand the current situation of knowledge,attitude and practice of nasointestinal tube nursing among emergency department nurses and analyze its influencing factors.Methods A total of 470 emergency department nurses from 35 hospitals with nasoenteric tube technology in Beijing were selected as the survey objects by the convenient sampling method from December 2023 to January 2024.The general data questionnaire and Knowledge,Attitude and Practice Questionnaire on Nasointestinal Tube Nursing among Emergency Department Nurses were used to investigate.Multiple linear regression analysis was used to analyze influencing factors on the knowledge,attitude and practice level of nurses in nasointestinal tube nursing.Results A total of 470 questionnaires were sent out and 470 were effectively collected,with the effective recovery rate of 100.0%.The scores of knowledge,attitude and practice dimensions and total score of emergency department nurses in nasointestinal tube nursing were(25.14±6.80),(44.55±6.94),(79.33±11.73)and(149.03±18.35),respectively.The results of multiple linear regression analysis showed that the education level of emergency department nurses,whether they were teachers,whether they had systematically cared for nasointestinal tubes and whether they had encountered nasointestinal tube blockage were the influencing factors of knowledge dimension(P<0.05),the professional title of nurses was the influencing factor of attitude dimension(P<0.05),and hospital level,whether they systematically studied and whether they could independently complete nasointestinal tube placement were the influencing factors of practice dimension(P<0.05).Conclusions The nasointestinal tube nursing level of nurses in the emergency department still needs to be improved and is affected by various factors.Nursing managers should strengthen the training and guidance of nasointestinal tube nursing,train clinical nutrition specialized nurses,formulate targeted training plans and carry out quality supervision combining various methods to comprehensively promote the improvement of nurses'nasointestinal tube nursing level.