PICU护士气道吸引循证护理实践现状及其影响因素分析

摘要

Objective:To investigate and analyze PICU nurses' airway attraction evidence-based nursing cognition and behavior status and its influencing factors.Methods: From June 2016 to December 2016, a total of 123 PICU nurses were surveyed by three self-designed questionnaires in three tertiary hospitals in Nanjing, Suzhou and Xuzhou.Results: PICU nurses achieved (6.66±1.37) points in the airway attraction evidence-based nursing cognition.The three lowest scores were the selection of suction pipe diameters, infusion of normal saline before operation and deep or shallow suction option.The evidence-based nursing scores were (9.45±1.80) points, of which the lowest scores of the three items were the balloon gas injection and pressure measurement, the appropriate constraints in children and the raise of the bed by 30°~45°.The first two factors which affected the nurses' airway attraction evidence-based nursing practice were working factors, including the shortage of nurses and forget the content of evidence-based nursing during clinical practice.General demographic data in the working years and PICU years of service were main predictors for PICU nurses to obtain attract evidence-based care behavior score and the interpretation of the amount was 9.4%.Conclusion: PICU nurses' airway attraction evidence-based nursing cognition need to be improved and the evidence-based nursing behavior needs to be further strengthened.To strengthen the construction of PICU specialist nurses and optimize nursing human resources management can enhance practice status quo of PICU nurses' airway attraction evidence-based nursing.%目的:调查与分析PICU护士气道吸引循证护理认知和行为现状及其影响因素.方法:2016年6~12月,采用方便抽样法,通过自行设计的问卷对江苏省南京市、苏州市、徐州市三家三级甲等医院123名PICU护士进行调查.结果:PICU护士气道吸引循证护理认知得分为(6.66±1.37)分,其中得分最低的3项内容为吸痰管管径选择、操作前是否滴注生理盐水、深或浅度吸引选择;循证护理行为得分为(9.45±1.80)分,其中得分最低的3项内容为气囊注气与测压、适当约束患儿、抬高床头30°~45°;影响护士气道吸引循证护理实践的前2名因素均为工作因素,包括护理人员紧缺、临床操作中易遗忘循证护理实践内容;一般人口学资料中工作年限和PICU工作年限是PICU护士气道吸引循证护理行为得分的主要预测因子,其解释量为9.4%.结论:PICU护士气道吸引循证护理认知水平有待提高,循证护理行为需进一步强化,而加强PICU专科护士队伍建设、优化护理人力资源管理有助于提升PICU护士气道吸引的循证护理实践现状.