中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
29期
3631-3633
,共3页
肺炎,呼吸机相关性%重症监护病房%认知
肺炎,呼吸機相關性%重癥鑑護病房%認知
폐염,호흡궤상관성%중증감호병방%인지
Pneumonia,ventilator-associated%ICU%Cognition
目的 了解ICU护士对于呼吸机相关性肺炎(VAP)护理知识的认知情况,以更好地为临床工作提供指导.方法 随机抽取2010年7月至2012年12月进行ICU知识培训的护理人员及在ICU工作的护士100名.自行设计调查问卷,问卷内容包括VAP的相关护理知识和护士实施预防VAP的护理行为.ICU护士对于VAP相关知识的认知问卷信度Cronbach'sα系数为0.854 6,ICU护士预防VAP的护理行为问卷信度Cronbach's α系数为0.8473.结果 两种问卷均发放100份,收回问卷100份,回收率均为100％.ICU护士对于VAP相关知识的认知调查显示,排在前3位的是:气管插管气囊压适宜,使用声门下吸痰,每4～8小时检测气囊压;排在后3位的是:使用密闭式吸痰系统,生理盐水棉球做口腔护理,及时吸痰.ICU护士预防VAP的护理行为调查,排在前3位的是:评估患者的镇静状态,给患者翻身扣背、注意防止呼吸机管道中的冷凝水反流,接触不同患者前洗手;排在后3位的是:接触患者不同部位时洗手,给机械通气患者进行胃内营养,给机械通气患者声门下分泌物吸引.结论 ICU护士对于VAP知识的掌握程度有所欠缺,应加强ICU护士对于专业知识的业务培训,以更好地为患者提供护理服务.
目的 瞭解ICU護士對于呼吸機相關性肺炎(VAP)護理知識的認知情況,以更好地為臨床工作提供指導.方法 隨機抽取2010年7月至2012年12月進行ICU知識培訓的護理人員及在ICU工作的護士100名.自行設計調查問捲,問捲內容包括VAP的相關護理知識和護士實施預防VAP的護理行為.ICU護士對于VAP相關知識的認知問捲信度Cronbach'sα繫數為0.854 6,ICU護士預防VAP的護理行為問捲信度Cronbach's α繫數為0.8473.結果 兩種問捲均髮放100份,收迴問捲100份,迴收率均為100％.ICU護士對于VAP相關知識的認知調查顯示,排在前3位的是:氣管插管氣囊壓適宜,使用聲門下吸痰,每4～8小時檢測氣囊壓;排在後3位的是:使用密閉式吸痰繫統,生理鹽水棉毬做口腔護理,及時吸痰.ICU護士預防VAP的護理行為調查,排在前3位的是:評估患者的鎮靜狀態,給患者翻身釦揹、註意防止呼吸機管道中的冷凝水反流,接觸不同患者前洗手;排在後3位的是:接觸患者不同部位時洗手,給機械通氣患者進行胃內營養,給機械通氣患者聲門下分泌物吸引.結論 ICU護士對于VAP知識的掌握程度有所欠缺,應加彊ICU護士對于專業知識的業務培訓,以更好地為患者提供護理服務.
목적 료해ICU호사대우호흡궤상관성폐염(VAP)호리지식적인지정황,이경호지위림상공작제공지도.방법 수궤추취2010년7월지2012년12월진행ICU지식배훈적호리인원급재ICU공작적호사100명.자행설계조사문권,문권내용포괄VAP적상관호리지식화호사실시예방VAP적호리행위.ICU호사대우VAP상관지식적인지문권신도Cronbach'sα계수위0.854 6,ICU호사예방VAP적호리행위문권신도Cronbach's α계수위0.8473.결과 량충문권균발방100빈,수회문권100빈,회수솔균위100％.ICU호사대우VAP상관지식적인지조사현시,배재전3위적시:기관삽관기낭압괄의,사용성문하흡담,매4～8소시검측기낭압;배재후3위적시:사용밀폐식흡담계통,생리염수면구주구강호리,급시흡담.ICU호사예방VAP적호리행위조사,배재전3위적시:평고환자적진정상태,급환자번신구배、주의방지호흡궤관도중적냉응수반류,접촉불동환자전세수;배재후3위적시:접촉환자불동부위시세수,급궤계통기환자진행위내영양,급궤계통기환자성문하분비물흡인.결론 ICU호사대우VAP지식적장악정도유소흠결,응가강ICU호사대우전업지식적업무배훈,이경호지위환자제공호리복무.
Objective To investigate the intensive care unit (ICU) nurses' cognition for ventilator-associated pneumonia (VAP) and nursing knowledge so as to provide guidance for clinical work better.Methods One hundred nurses who were trained for nursing and worked in the ICU were randomly chosen from July 2010 to December 2012.The survey questionnaire was self-designed including the nursing knowledge of VAP and the nursing behaviors for preventing of VAP.The Cronbach's α coefficient of questionnaire about understanding the VAP-related knowledge of nurses in ICU was 0.854 6,and the Cronbach's α coefficient of questionnaire about the nursing behaviors for preventing of VAP was 0.847 3.Results One hundred questionnaires were issued and 100 questionnaires were responsive with an effective response rate of 100％ in the two kinds of questionnaires.The investigation of ICU nurses' cognition for ventilator-associated pneumonia (VAP) displayed the top 3 which were respectively appropriate endotracheal tube cuff pressure,suction via subglottic and testing the gas pressure every 4-8 hours,and the below 3 which were respectively the use of closed suction system,oral care with cotton ball immersing in physiological saline and suction time.The survey of the nursing behaviors for preventing of VAP displayed the top 3 which were respectively assessment of patients'sedation,helping patients turn button back,paying attention to prevent condensate reflux in the pipe of ventilator and washing your hands before contacting with different patients,and the below 3 which were respectively washing your hands when you contracted the different locations in patients,enteral nutrition in patients with mechanical ventilation and sustaining subglottic secretion drainage in patients with mechanical ventilation.Conclusions The master degree of knowledge of VAP in ICU nurses is deficient,and we should strengthen professional knowledge training for ICU nurses in order to provide better nursing for patients.
