摘要
目的:调查儿科护士经外周置入中心静脉导管(PICC)拔管的现状并分析其影响因素,为保障患儿静脉治疗安全提供借鉴。方法:采用方便抽样的方法,2024年5月对北京市16家三级甲等医院230例儿科护士进行问卷调查。调查工具为自行设计的一般资料问卷、儿科护士PICC拔管知信行问卷。结果:儿科护士对PICC拔除的知识、态度和行为各维度得分分别为(14.83±2.76)分、(126.33±16.97)分、(129.14±10.76)分,得分率分别为67.4%、93.6%、86.1%;多元线性回归分析结果显示,医院性质、近3年内是否接受过PICC拔管操作培训、PICC拔管态度是儿科护士PICC拔管行为的影响因素(P<0.05)。结论:儿科护士对PICC拔管知识掌握情况欠佳,但态度积极,行为表现尚可。护理管理者应高度重视PICC拔管护理知识和技能的培训,积极构建专业培训平台,为儿科护士提供全面且深入的PICC拔管管理培训,从而进一步提升静脉治疗护理质量,保障患儿生命安全。
Objective:To examine pediatric nurses'behavior in managing Peripherally Inserted Central Catheters(PICC)extubation and identify influencing factors.Methods:A survey was conducted among 230 pediatric nurses from 16 tertiary grade A hospitals in Beijing using convenience sampling.The survey included questions on nurses'knowledge,attitude,and behaviors related to removing PICC.Results:Pediatric nurses achieved mean scores of 14.83±2.76,126.33±16.97,and 129.14±10.76 for knowledge,attitude,and behavior related to PICC removal,respectively,with the corresponding score rates being 67.4%,93.6%,and 86.1%,separately.The results of multiple linear regression analysis showed that the nature of hospital,whether receiving PICC extubation training within 3 years,and the attitude dimension scores were the influencing factors of PICC extubation behavior of those pediatric nurses.Conclusion:Although the pediatric nurses lack knowledge and skills in PICC extubation,they have relatively good behaviors with active attitudes.Therefore,nursing administrators should prioritize training and create a professional platform for comprehensive training for nurses to enhance safe care for children.
作者
杜雪燕
袁艳丽
高誉恒
黄晓芳
茹喜芳
张倩男
蒙景雯
DU Xueyan;YUAN Yanli;GAO Yuheng;HUANG Xiaofang;RU Xifang;ZHANG Qiannan;MENG Jingwen(The Pediatric Department of Peking University First Hospital,Beijing,100034,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第8期1125-1129,共5页
Chinese Nursing Management
关键词
经外周静脉置入中心静脉导管
拔管
行为
儿科护士
影响因素
循证护理
Peripherally Inserted Central Catheter
extubation
behavior
pediatric nurse
influencing factor
evidencebased nursing
作者简介
第一作者:杜雪燕,本科,主管护师,护士长;通信作者:蒙景雯,本科,副主任护师,护理部主任,E-mail:jingwen5277@163.com。
