对山东省潍坊地区呼吸科护士阻塞性睡眠呼吸暂停低通气综合征认知度及健康教育状况的调查  

Study on respiratory nurses＇ comprehensive cognition and health education of obstructive sleep apnea-hypopnea syndrome （OSAHS） in Weifang district of Shandong

作　　者：王凌娟[1] 王焕君[2] 李晓静[3] 

机构地区：[1]山东省青州荣军医院五病区,潍坊262500 [2]山东省青州荣军医院医务科,潍坊262500 [3]山东省青州荣军医院三病区,潍坊262500

出　　处：《中华现代护理杂志》2013年第24期2894-2899,共6页Chinese Journal of Modern Nursing

摘　　要：目的 调查了解执业护士对阻塞性睡眠呼吸暂停低通气综合征（OSAHS）相关知识的认知及健康教育水平.方法 采用经原作者授权翻译的美国OSAHS相关知识及态度问卷（OSAKA）中文版,调查问卷以书面邮寄或电子邮件的方式对潍坊地区25所公立医院的336名从事呼吸科临床护理的护士进行问卷调查.结果 共发放问卷336份,回收问卷317份,回收率为94.35％,其中有效问卷304份,有效率为90.48％.问卷的18个问题中病因及发病机制、OSAHS诊断、流行病学、OSAHS临床表现和并发症、OSAHS的相关治疗知识得分分别为（0.91 ±0.33）,（0.76 ±0.43）,（0.74±0.27）,（0.71±0.52）,（0.53±0.76）分.92.11％以上的被调查者认为OSAHS作为一类临床疾病具有重要意义,93.40％的被调查者认识到使用CPAP的重要性,36.18％能够有信心面对OSAHS患者给予健康指导帮助,36.19％有信心处理CPAP护理中的常见问题,30.59％有信心帮助OSAHS患者接受CPAP,仅有1％的护士能够对每一位患者进行比较全面的健康教育指导.不同年龄、学历、护龄、职称的护士OSAKA得分比较,差异均无统计学意义（P＞0.05）.结论 呼吸科护士对OSAHS的重要性有所认识,但对OSAHS相关知识的掌握和健康教育能力仍有待提高.今后通过继续教育、参加培训、外出学习等各种方式全面提高护士对OSAHS的认知程度,是提高OSAHS相关护理能力及健康教育水平的关键.Objective To investigate licensed nurses＇ cognition and health education level of obstructive sleep apnea-hypopnea syndrome （OSAHS）.Methods Authorized translation of obstructive sleep apnea syndrome knowledge and attitude questionnaire （OSAKA） was used to investigate 336 nurses in 25 public hospitals who were engaged in respiratory clinical nursing by letters or emails.Results Totals of 317 out of 336 questionnaires were recovered with the rate of 94.35％,in which 304 were effective with the rate of 90.48％.The score of cause of disease and pathogenesis,diagnostic knowledge of OSAHS,epidemiological knowledge,clinical manifestation and complications of OSAHS and related treatment knowledge of OSAHS was respectively （0.91 ±0.33）,（0.76 ±0.43）,（0.74 ±0.27）,（0.71 ±0.52） and （0.53 ±0.76）.More than 92.11％ nurses thought OSAHS was significant as a kind of clinical disease,93.40％ recognized the importance of CPAP,36.18％ were confident to face OSAHS patients and provided health guidance,36.19％ were confident to deal with common problems in CPAP nursing,30.59％ believed they could help OSAHS patients to accept CPAP,and only 1％ could provide comprehensive health education for every patient.There was no statistically significantdifference of OSAKA score between nurses of different ages,education degrees,nursing ages and professional titles （P ＞ 0.05）.Conclusions Respiratory nurses have certain understanding of the importance of OSAHS,but remain to be improved in related knowledge and ability to provide health education.Further education,training and learning should be provided to improve their cognition of OSAHS,which is the key to improve their nursing ability and health education level of OSAHS.

关 键 词：睡眠呼吸暂停 阻塞性 护士 认知 健康教育 数据收集 

分 类 号：R47[医药卫生—护理学]