青岛某三甲综合医院ICU护士对ICU获得性衰弱认知的调查分析
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摘要
目的探讨ICU护士对ICU获得性衰弱的认知状况,为科室开展相关知识培训,制定科室决策提供依据。方法采用自制的护士ICU获得性衰弱知信行问卷,对我院97名ICU护士进行现场调查,分析ICU护士对ICUAW相关知识、信念、行为的情况。结果共发放问卷97份,回收有效问卷93份,有效率回收率为95.87%。ICU护士对ICUAW认知总分为(71.08±10.77)分,优良率为66.67%;3个维度得分比较,由高到低依次为信念、行为、知识。不同年龄、不同岗位类型、不同学历层次、不同ICU工龄的护士知识、信念、行为得分比较,差异有统计学意义(P<0.05);不同性别、不同结婚状况的护士知识、信念、行为得分比较,差异无统计学意义(P>0.05)。结论低学历、低年资年轻ICU护士及ICU护理管理者对ICUAW相关知识缺乏,应加强对ICUAW的重视及对ICU护士ICUAW相关知识的培训,从而减少ICUAW的发生率,提高患者生活质量。
Objective To explore the cognitive status of ICU nurses' acquired weakness in ICU, and to provide relevant knowledge training for the department and to provide basis for decision-making in department. Methods A self-made nurse ICU was used to obtain a questionnaire on sexual weakness and knowledge. A questionnaire was conducted on 97 ICU nurses in our hospital to analyze the knowledge, beliefs and behaviors of ICUW among ICU nurses. Results A total of 97 questionnaires were distributed and 93 valid questionnaires were returned. The effective recovery rate was95.87%. ICU nurses had a total score of ICUAW(71.08±10.77), and the excellent and good rate was 66.67%. The scores of the three dimensions were higher, lower, followed by belief, behavior, and knowledge. The differences in knowledge, beliefs, and behavioral scores of nurses of different ages,different job types, different academic levels, and different ICU working years were statistically significant(P<0.05). Comparison of nurses' knowledge,beliefs, and behavior scores between different genders and different marriage statuses,the difference was not statistically significant( P>0.05). Conclusion Low-educated, low-age young ICU nurses and ICU care managers lack knowledge about ICUAW. They should strengthen the emphasis on ICUAW and the training of ICUW-related knowledge in ICU nurses, thereby reducing the incidence of ICUAW and improving the quality of life of patients.
Objective To explore the cognitive status of ICU nurses' acquired weakness in ICU, and to provide relevant knowledge training for the department and to provide basis for decision-making in department. Methods A self-made nurse ICU was used to obtain a questionnaire on sexual weakness and knowledge. A questionnaire was conducted on 97 ICU nurses in our hospital to analyze the knowledge, beliefs and behaviors of ICUW among ICU nurses. Results A total of 97 questionnaires were distributed and 93 valid questionnaires were returned. The effective recovery rate was95.87%. ICU nurses had a total score of ICUAW(71.08±10.77), and the excellent and good rate was 66.67%. The scores of the three dimensions were higher, lower, followed by belief, behavior, and knowledge. The differences in knowledge, beliefs, and behavioral scores of nurses of different ages,different job types, different academic levels, and different ICU working years were statistically significant(P<0.05). Comparison of nurses' knowledge,beliefs, and behavior scores between different genders and different marriage statuses,the difference was not statistically significant( P>0.05). Conclusion Low-educated, low-age young ICU nurses and ICU care managers lack knowledge about ICUAW. They should strengthen the emphasis on ICUAW and the training of ICUW-related knowledge in ICU nurses, thereby reducing the incidence of ICUAW and improving the quality of life of patients.
引文
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[7]冯金华,田永明,聂孟珍,等.某院253名ICU护士对ICU获得性衰弱认知情况现状分析[J].护理学报,2015,22(17):43-47.
[8]李维瑜,刘静,余桂华,等.知信行理论模式在护理工作中的应用现状与展望[J].护理学杂志,2015,30(6):107-110.
[9]董大伟,冯波,段艳丽,等.南京市4所三级医院ICU护士对ICU获得性衰弱认知度的调查分析[J].护理管理杂志,2016,16(10):723-725.
[10]李苗苗,罗健,谢霖,等.预防ICU获得性谵妄和获得性衰弱的集束化策略研究进展[J].中华护理杂志,2018,53(3):358-362.
[2]倪莹莹,王首红,宋为群,等.神经重症康复中国专家共识(上)[J].中国康复医学杂志,2018,33(1):7-14.
[3]Wieske L,Dettling-Ihnenfeldt DS,Verhamme C,et al.Impact of ICU-acquired weakness on post-ICU physical functioning:a follow-up study[J].Critical Care,2015,19(1):196.
[4]吴雨晨,丁楠楠,姜变通,等.ICU获得性肌无力患者功能评估的系统评价[J].中华危重病急救医学,2018,30(12):1154-1160.
[5]Jolley SE,Bunnell AE,Hough CL.ICU-Acquired Weakness[J].Chest,2016,150(5):1129-1140.
[6]Hermans G,Van MH,Clerckx B,et al.Acute outcomes and 1-year mortality of intensive care unit-acquired weakness.A cohort study and propensity-matched analysis[J].American Journal of Respiratory&Critical Care Medicine,2014,190(4):410-20.
[7]冯金华,田永明,聂孟珍,等.某院253名ICU护士对ICU获得性衰弱认知情况现状分析[J].护理学报,2015,22(17):43-47.
[8]李维瑜,刘静,余桂华,等.知信行理论模式在护理工作中的应用现状与展望[J].护理学杂志,2015,30(6):107-110.
[9]董大伟,冯波,段艳丽,等.南京市4所三级医院ICU护士对ICU获得性衰弱认知度的调查分析[J].护理管理杂志,2016,16(10):723-725.
[10]李苗苗,罗健,谢霖,等.预防ICU获得性谵妄和获得性衰弱的集束化策略研究进展[J].中华护理杂志,2018,53(3):358-362.