康复医院护士对高压氧治疗及陪舱的认知现状调查

Awareness survey of the knowledge among rehabilitation hospital nurses on hyperbaric oxygen therapy and chamber attending care

目的:探讨陪舱护士对高压氧治疗相关知识的认知状况及其对陪舱的态度和需求。方法:2022年10月采用自行设计的调查问卷对南京市某三级康复医院10个护理单元的156名护士进行调查,了解护士对高压氧治疗相关知识和陪舱管理的认知现状。结果:康复医院护士对高压氧舱认知项目的回答正确率从高到低依次为:“高压氧舱内常见护理操作”83.9%,“氧舱内火灾的处理”79.5%,“高压氧治疗进舱前要求”73.7%,“高压氧治疗的适应证、禁忌证”70.5%,“高压氧治疗时的常规压力”67.9%,“高压氧舱概念”65.4%;主管护师以上职称的护理人员对高压氧治疗的认知得分优于护师及护士,差异有统计学意义( P<0.05)。所有护士均认为陪舱非常必要,但75.0%的护士对陪舱的危害有所顾虑;94.9%的护士希望定期接受心理疏导以缓解压力,85.3%的护士提出陪舱管理制度有待改进。 结论:康复医院需要加强陪舱护士高压氧治疗的系统化培训和宣教指导,定期对其开展多种形式的心理疏导,并联合相关科室制订更加合理的陪舱管理制度。

ObjectiveTo investigate the awareness of the knowledge of hyperbaric oxygen(HBO)therapy in chamber attending nurses of a rehabilitation hospital and their attitudes and needs towards chamber attending care.MethodsIn October 2022,a self-designed questionnaire was used to investigate 156 nurses from ten nursing units in a tertiary rehabilitation hospital in Nanjing to survey their knodwledge and understanding regarding HBO therapy and the management of HBO chamber attending care.ResultsAccording to the answers of the rehabilitation hospital nurses regarding the knowledge of HBO chambers,the items with the correct answer rate from high to low were as follows:“Common nursing operations inside the HBO chamber”(83.9%),“Extinguishing fires inside the HBO chamber”(79.5%),“Requirements before entering the HBO chamber”(73.7%),“Indications and contraindications of HBO therapy”(70.5%),“Standard pressure during HBO therapy”(67.9%),and“HBO chamber related concepts”(65.4%).Nursing personnel with senior academic titles had a better grasp of HBO knowledge compared with nurses with medium academic titles and jonior nurses,and the differences were statistically significant(P<0.05).All of the nurses considered chamber attending care is very necessary,but 75%of them worried about the potential risks of chamber attending on their own health,94.9%of them wished to alleviate stress through regular psychological counseling,and 85.3%of them suggested that the chamber attending management system should be improved.ConclusionThe rehabilitation hospitals need to strengthen systematic training and educational guidance on HBO knowledge for chamber attending nurses.Regular psychological counseling in various forms should be provided,and the relevant departments should jointly improve the chamber attending management system.