摘要
目的:了解护士抗生素知信行情况,为正确规范使用抗生素,确保抗生素用药规范安全提供参考依据。方法:在参考相关文献及结合实际工作基础上设计调查问卷,随机抽取该院260名护士进行调查。结果:回收有效问卷254份,有效应答率97. 69%。护士常用抗生素知识总体知晓率为67. 81%,知晓率较高的为"静脉滴注时间和速度要求"、"溶媒选择原则"和"不良反应种类",分别为79. 13%、73. 23%和72. 05%。较低的为"不同类别抗生素作用特点"和"过敏反应预防原则",分别为51. 97%和61. 81%。在使用抗生素态度方面,认可"掌握抗生素基本知识"和"加强患者抗生素使用的健康宣教"的必要性的比例分别为80. 71%和70. 08%。在使用抗生素行为方面,对抗生素使用规范,护士"基本能做到"及"完全能做到"总体执行率为91. 57%,较高的为"严格执行查对制度"(99. 21%)、"严格执行药物间的配伍禁忌"(96. 85%)、"严格执行用药监护"(94. 49%)。较低的为"观察药物疗效"(79. 92%)、"药物现配现用"(88. 58)%和"严格执行给药速度"(89. 37%)。结论:该院护士常用抗生素知识总体知晓率处于中等水平,总体执行率尚可。医院管理者应加强护士抗生素知识培训,提高护士抗生素知识知晓率水平,促使护士树立正确的认知态度,进一步提高抗生素的安全规范使用率。
Objective To explore the nurses’ knowledge attitude and practice of antibiotics,to provide reference for the rational use of antibiotics,and to ensure the medication safety of antibiotics. Methods The questionnaire was designed on the basis of relevant literature and practical work,and the survey was conducted among a total of 260 nurses in Jinhua Hospital of Traditional Chinese Medicine. Results A total of 254( 97. 69%) valid questionnaires were collected. The overall knowledge rate of antibiotics commonly used by nurses was 67. 81%. The subjects with higher awareness rates were"time and speed requirements for intravenous infusion"( 79. 13%),"principles of solvent selection"( 72. 23%) and "types of adverse reactions"( 72. 05%). Those with lower awareness rates were"characteristics of different classes of antibiotics"( 51. 97%) and"principles for the prevention of allergic reactions"( 61. 81%). As for the attitudes towards antibiotic use,the rates of thinking it necessary to"master the basic knowledge of antibiotics"and "strengthen the health education of antibiotic use"were80. 71% and 70. 08%,respectively. As for antibiotic use behavior,the overall implementation rate of antibiotic use standards,including mainly implemented and totally implemented,was 91. 57%. The relatively high rates were those of"strict implementation of checking system"( 99. 21%),"strict enforcement of drug compatibility and contraindication"( 96. 85%),"strict implementation of drug monitoring"( 94. 49%). The relatively lower rates were those of"observation of drug efficacy"( 79. 92%),"drug dispensing and using on demand"( 88. 58%) and "strict implementation of drug delivery speed"( 89. 37%). Conclusions The general knowledge rate of antibiotics commonly used by nurses was at the medium level,and the overall implementation rate was fair. Hospital administrators should strengthen the training of antibiotics knowledge among nurses,improve nurses’ knowledge of antibiotics,encourage nurses to develop a correct cognitive attitude,so as to further improve the safety norms of antibiotic use.
作者
朱卉
ZHU Hui(Jinhua Hospital of Traditional Chinese Medicine,Jinhua,Zhejiang 321017,China)
出处
《中国农村卫生事业管理》
2018年第12期1615-1618,共4页
Chinese Rural Health Service Administration
关键词
护士
抗生素
知识不
态度
行为
调查分析
nurse
antibiotics
Knowledge,attitude and practice
investigation and analysis
