蚌埠市ICU医护对高侧卧位应用与重症肺部感染认知、态度、行为现状及障碍因素分析

    Analysis of the current status of cognition, attitude, behavior and hindrance factors of ICU medical staff in Bengbu City regarding the application of high lateral position and severe pulmonary infection

    • 摘要:
      目的: 了解蚌埠市ICU医护人员对实施高侧卧位的认知、态度和实践现状,分析其影响因素。
      Y方法: 采用便利抽样法,采用自行编制的高侧卧位调查问卷对蚌埠市7所医院的ICU医护人员进行问卷调查,包括4个方面,55个题目。
      结果: 回收问卷222份,有效问卷为220份。知识维度的得分为76.33分,得分率为64.72%;态度维度的得分为93.27分,得分率为87.64%;行为维度的得分为71.05分,得分率为60.36%。是否为呼吸小组成员是影响医护对高侧卧位相关知识掌握情况的独立危险因素;ICU工作年限和科室是否有专职的呼吸治疗师是影响医护对实施高侧卧位态度的独立危险因素;是否为呼吸小组成员是影响医护对实施高侧卧位行为的独立危险因素(P < 0.05)。
      结论: ICU 医护人员对实施高侧卧位的知识水平有待提高,但态度较为积极,因此,ICU 医护管理者应将理论结合临床实践,对医护人员进行培训,提高医护人员的认知。

       

      Abstract:
      Objective To understand the cognition, attitude and current practice status of ICU medical staff in Bengbu City regarding the implementation of high lateral position, and analyze its influencing factors.
      Methods By using the convenience sampling method, a self-developed high lateral position questionnaire was used to conduct a questionnaire survey among ICU medical staff in 7 hospitals in Bengbu City, covering 4 aspects and 55 questions.
      Results A total of 222 questionnaires were retrieved, among which 220 were valid. The score of knowledge dimension was 76.33 points, with a score rate of 64.72%. The score of attitude dimension was 93.27 points, with a scoring rate of 87.64%. The score of behavioral dimension was 71.05 points, with a score rate of 60.36%. Whether one was a member of the respiratory team was an independent risk factor affecting the mastery of knowledge related to the high lateral position by medical staff. The years of working in the ICU and whether there were full-time respiratory therapists in the department were the independent risk factors affecting the attitude of medical staff towards the implementation of the high lateral position. Whether one was a member of the respiratory group was an independent risk factor affecting the implementation of high lateral position behavior by medical staff (P < 0.05).
      Conclusions The knowledge level of ICU medical staff regarding the implementation of high lateral position needs to be improved, but their attitude is relatively positive. Therefore, ICU medical managers should combine theory with clinical practice to train medical staff and enhance their awareness.

       

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