摘要
目的 了解ICU护士对急性胃肠损伤非药物疗法的知识、态度与实践现状,分析其影响因素,为急性胃肠损伤非药物疗法系统培训提供参考。方法 便利选取深圳市16所综合医院的237名ICU护士作为研究对象,采用基于急性胃肠损伤相关专家共识和知信行模式框架自行设计的ICU护士对急性胃肠损伤非药物疗法的知信行问卷进行调查。结果 ICU护士对急性胃肠损伤非药物疗法的知信行问卷中,知识维度16.0(8.0,19.0)分,信念维度36.0(30.0,39.0)分,行为维度36.0(32.0,42.0)分。多元线性回归分析结果显示,学历、是否为重症专科护士、护理急性胃肠损伤患者经历、对ICU职业成长满意度、对个人能力发挥满意度是知识水平的影响因素,是否为重症专科护士、护理急性胃肠损伤患者经历、对ICU职业成长满意度、对个人能力发挥满意度是信念水平的影响因素,对ICU职业成长满意度、对个人能力发挥满意度是行为水平的影响因素(均P<0.05)。结论 ICU护士对急性胃肠损伤非药物疗法的信念较强,但知识和行为水平有待提升,其知信行水平受多种因素影响。建议护理管理者提供系统性支持,制订标准化工作流程,开展分层级培训等,提高ICU护士的职业成长与个人能力发挥满意度,以提升其急性胃肠损伤非药物疗法的知信行水平。
Objective To assess ICU nurses′knowledge,attitude,and practice(KAP)regarding non-pharmacological interventions for acute gastrointestinal injury(AGI),and to analyze the influencing factors,thereby providing a reference for developing systematic training programs.Methods A total of 237 ICU nurses from 16 general hospitals in Shenzhen were conveniently selected as participants,then they were investigated by using a self-administered questionnaire of ICU nurses′KAP regarding non-pharmacological interventions for AGI,which was developed based on AGI expert consensus and the KAP framework.Results In the KAP questionnaire for ICU nurses regarding non-pharmacological interventions for AGI,the participants′knowledge dimension was 16.0(8.0,19.0)points,attitude dimension was 36.0(30.0,39.0)points,and practice dimension was 36.0(32.0,42.0)points.Multiple linear regression analysis showed that,knowledge was influenced by education level,critical care specialist nurse or not,AGI patients care experience,satisfaction with professional growth in ICU,and satisfaction with personal competency utilization;attitude was influenced by critical care specialist nurse or not,AGI patients care experience,satisfaction with professional growth in ICU and satisfaction with personal competency utilization;practice was influenced by satisfaction with professional growth in ICU and satisfaction with personal competency utilization(all P<0.05).Conclusion ICU nurses demonstrates strong attitude in non-pharmacological interventions for AGI,while their knowledge and practical levels require improvement,and their KAP levels are influenced by various factors.It is recommended that nursing administrators provide systematic support,establish standardized procedures,conduct stratified training programs,and enhance ICU nurses′satisfaction with professional growth and personal competency utilization to improve their KAP regarding non-pharmacological interventions for AGI.
作者
翟惠敏
高莹莹
史蕾
Zhai Huimin;Gao Yingying;Shi Lei(School of Nursing,Southern Medical University,Guangzhou 510515,China)
出处
《护理学杂志》
北大核心
2025年第18期47-51,共5页
Journal of Nursing Science
关键词
ICU护士
急性胃肠损伤
非药物疗法
知信行
ICU职业成长满意度
个人能力发挥满意度
影响因素
ICU nurses
acute gastrointestinal injury
non-pharmacological interventions
knowledge-attitude-practice
satisfaction with professional growth in ICU
satisfaction with personal competency utilization
influencing factors
作者简介
翟惠敏,女,硕士,教授,zhai1066@sina.com;通信作者:史蕾,35508897@qq.com。
