CAJ | 학술논문

目的：了解深圳市二级医院护理人员对管道护理的知识-态度-行为(KAP)现状，分析有关影响因素，为管道护理培训及临床管理提供依据。方法采用便利抽样问卷调查法，对深圳市3所二级医院护龄在1年以上的410名护理人员进行问卷调查，内容包括知、信、行3个维度20个条目，按KAP得分结果分为良好、中等、较差等级，通过单因素和多因素Logistic回归分析，确定知、信、行中的影响因素。结果本组有效问卷384份(占93.6%)，护理人员对管道护理的知、信、行总体得分为(3.29±0.55)分，其中，知识得分偏低，为(3.09±0.46)分；态度、行为得分较高，分别为(3.22±0.56)、(3.58±0.63)分。进一步采用多因素Logistic回归分析显示，护理人员对管道护理的知、信、行与文化程度、所在的科室密切相关(P=0.000、0.000)；与护龄、职称相关(P=0.005、0.003)。结论深圳市二级医院护理人员管道护理的知、信、行现况呈中等水平，管道护理知识缺乏突显，应加强对护理人员进行管道护理相关知识的培训，并结合学业层次及科室专科特性有针对性的培训，提高其对管道护理的认知度、依从性，从而保障临床管道护理的安全性及有效性。
목적：료해심수시이급의원호리인원대관도호리적지식-태도-행위(KAP)현상，분석유관영향인소，위관도호리배훈급림상관리제공의거。방법채용편리추양문권조사법，대심수시3소이급의원호령재1년이상적410명호리인원진행문권조사，내용포괄지、신、행3개유도20개조목，안KAP득분결과분위량호、중등、교차등급，통과단인소화다인소Logistic회귀분석，학정지、신、행중적영향인소。결과본조유효문권384빈(점93.6%)，호리인원대관도호리적지、신、행총체득분위(3.29±0.55)분，기중，지식득분편저，위(3.09±0.46)분；태도、행위득분교고，분별위(3.22±0.56)、(3.58±0.63)분。진일보채용다인소Logistic회귀분석현시，호리인원대관도호리적지、신、행여문화정도、소재적과실밀절상관(P=0.000、0.000)；여호령、직칭상관(P=0.005、0.003)。결론심수시이급의원호리인원관도호리적지、신、행현황정중등수평，관도호리지식결핍돌현，응가강대호리인원진행관도호리상관지식적배훈，병결합학업층차급과실전과특성유침대성적배훈，제고기대관도호리적인지도、의종성，종이보장림상관도호리적안전성급유효성。
Objective To investigate the status of nurses' knowledge-attitude-practice (KAP) on catheter nursing train-ing and, analyze the correlative factors and provide reference for catheter nursing training and clinical management. Methods By convenience sampling methods, 410 nurses of more than 1 year service from three second-class hospitals in Shenzhen were investigated by questionnaire. The questionnaire included KAP 3 dimensions (20 items), all were di-vided into good group, normal group and bad group according to the score of KAP. By the single factor and multiple factors Logistic regression analysis to determine the influencing factors of catheter care KAP. Results 384 question-naires were available (93.6%). The nurses' average KAP score was (3.29±0.55) scores, knowledge score was lower [(3.09±0.46) scores];attitude and behavior scores were higher [(3.22±0.56), (3.58±0.63) scores] respectively. Further re-gression analysis showed that, the nurses' KAP level on catheter nursing was related with the length of service, profes-sional title (P=0.005, 0.003), and closely related with the department and educational background (P= 0.000, 0.000). Conclusion The status of nurses' KAP on catheter nursing in second-class hospitals of Shenzhen City is of medium level, the problem of nurses lacking of catheter nursing knowledge is obvious. The managerial staff should strengthen the training and management about relevant information of catheter nursing, especially combine with their different de-partments and educational backgrounds, to improve the cognition and compliance of nurses on catheter nursing, and en-sure the nursing safety and quality.