摘要
目的调查ICU护士中央导管相关血流感染(CLABSI)预防现状,并分析其影响因素。方法采用便利抽样方法选取2021年12月至2022年1月哈尔滨医科大学附属第一、二及肿瘤医院的245名ICU护士为研究对象。采用CLABSI预防知信行量表评估ICU护士CLABSI预防现状,采用一般资料调查表、ICU护士报警疲劳量表对ICU护士进行横断面调查,并评估CLABSI预防影响因素。结果ICU护士CLABSI预防知信行量表的知识、态度、行为维度及报警疲劳量表得分分别为(13.74±2.87)、(50.92±4.10)、(85.44±8.52)、(31.35±5.06)分。ICU护士报警疲劳量表得分与CLABSI预防知信行量表中的知识、态度、行为维度得分均呈负相关(r=-0.360、-0.378、-0.408,均P<0.01)。多元线性回归分析显示,报警疲劳、是否参加过CLABSI培训、第一学历是ICU护士CLABSI预防知识、态度的主要影响因素(P<0.01);报警疲劳、是否参加过CLABSI培训、最高学历是ICU护士CLABSI预防行为的主要影响因素(P<0.01)。结论ICU护士CLABSI预防知信行总体处于中等水平,报警疲劳、是否参加过CLABSI培训及学历(第一学历、最高学历)是ICU护士CLABSI预防知信行的影响因素。管理者应增加对CLABSI预防的重视程度,提供更多机会与途径对ICU护士进行培训和考核,加强CLABSI预防的薄弱环节,使ICU护士尽快掌握CLABSI预防知识体系。
Objective In order to investigate the status quo of central line-associated bloodstream infections(CLABSI)prevention among ICU nurses and analyze its influencing factors.Methods A total of 245 ICU nurses from Harbin Medical University Affiliated First,Second,and Cancer Hospitals from December 2021 to January 2022 were selected by convenience sampling method.To evaluate the status quo of CLABSI prevention among ICU nurses by using Central Line-associated Bloodstream Infections Prevention Knowledge and Practice Scale,a cross-sectional survey was conducted among ICU nurses by using General Data Questionnaire and ICU Nurse Alarm Fatigue Scale,and the influencing factors of CLABSI prevention were evaluated.Results The knowledge,attitude,behavior dimensions and alarm fatigue scores of ICU nurses on CLABSI prevention were(13.74±2.87),(50.92±4.10),(85.44±8.52),and(31.35±5.06),respectively.The score of ICU nurses'alarm fatigue was negatively correlated with the score of knowledge,attitude and behavior dimensions in CLABSI prevention knowledge and practice(r=-0.360,-0.378,-0.408,all P<0.01).The results of multiple regression analysis showed that alarm fatigue,CLABSI training and first education degree were the main influencing factors of ICU nurses'knowledge and attitude to CLABSI prevention(P<0.01).Alarm fatigue,CLABSI training and the highest education degree were the main influencing factors of ICU nurses'CLABSI prevention(P<0.01).Conclusions ICU nurses'knowledge and practice of CLABSI prevention were at the middle level.Alarm fatigue,participation in CLABSI training,and educational background(first and highest)are the influencing factors for the prevention of CLABSI among ICU nurses in terms of knowledge,belief,and behavior.The administrators should pay more attention to CLABSI prevention,provide more opportunities and ways to train and examine ICU nurses,strengthen the weak links of CLABSI prevention,and make ICU nurses master the Knowledge System of CLABSI prevention as soon as possible.
作者
徐丽群
刘靓
纪玉晶
董磊
Xu Liqun;Liu Liang;Ji Yujing;Dong Lei(Department of Intensive Care Unit,Harbin Medical University Cancer Hospital,Harbin 150040,China)
出处
《中国实用护理杂志》
2023年第30期2382-2388,共7页
Chinese Journal of Practical Nursing
关键词
护理
ICU护士
中央导管
导管相关血流感染
Nursing care
ICU nurse
Central catheter
Central line-associated bloodstream infections
