ICU声门下分泌物引流护理管理现状调查  

Investigation of current situation of nursing management on drainage of subglottic secretion

作　　者：王荣[1,4] 王宋超 王黎梅[2] 姚明[3] 张春梅 Wang Rong Wang Songchao Wang Limei Yao Ming Zhang Chunmei(The Second Affiliated Hospital of Wenzhou Medical University, Now Working in PACU, the First Affiliated Hospital of Jiaxing College, Wenzhou 325027, China （ Wang R The Second Affiliated Hospital of Wenzhou Medical University, Now Working at Science and Education Division, the Second Affiliated Hospital of Jiaxing College, Wenzhou 325027, China （ Wang SC The First Affiliated Hospital of Jiaxing College, Jiaxing 314000, China （ Wang LM, Yao M Nursing Department, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China （ Zhang CM)

机构地区：[1]温州医科大学附属第二医院,325027 [2]嘉兴学院附属第一医院,314000 [3]温州医科大学附属第二医院护理部,325027 [4]嘉兴学院附属第一医院PACU [5]嘉兴学院附属第二医院科教科

出　　处：《中华现代护理杂志》2016年第25期3599-3602,共4页Chinese Journal of Modern Nursing

基　　金：浙江省浙北麻醉学区域专病中心建设项目（浙卫发[2015]21号）;嘉兴市科技局资助项目（2011AY1050-4）

摘　　要：目的：了解重症监护室行声门下分泌物引流的护理管理现状，为护理管理者制定相关措施及规范临床声门下分泌物引流技术提供参考。方法采用便利抽样法，自行设计问卷，通过“问卷网”专业网络调研平台，对20个省市的293名ICU护理人员进行调查。结果常规进行声门下分泌物引流的科室占81.02％，其中已制定吸引操作规范与流程的占77.97％；26.44％的科室使用专门声门下引流器材；53.90％的科室有进行声门下分泌物引流相关知识培训，不同护床比的科室在进行声门下分泌物引流相关知识培训方面差异有统计学意义（χ2＝8.059，P〈0.05），护理人员对声门下分泌物引流相关知识培训的需求89.83％，其中80.00％的人希望获得知识的途径为科室培训。结论临床护理管理者需要提高声门下分泌物引流规范管理水平，完善吸引器材，加强护理人力资源配置和科室培训，从而提高声门下分泌物引流的效果。Objective To explore the current situation of nursing management on drainage of subglottic secretion in ICU in order to provide references for nursing managers to develop relevant measures and standard clinical technique of subglottic secretion drainage. Methods The questionnaire professional network research platform, the convenient sampling method and self-designed questionnaire were used to investigate 293 ICU nurses from 20 provinces and cities. Results The departments, which had routine drainage of subglottic secretion, accounted for 81. 02%, and the one formulated operational standards and procedures accounted for 77. 97%. The departments that had used special subglottic drainage equipment only 26. 44%. The departments that had knowledge trained on drainage of subglottic secretion accounted for 53.90%, while the departments with different nursing bed ratio had statistical differences in the SSD related knowledge training （χ2 =8. 059, P〈0. 05） ,the needs for knowledge of nursing staff on the drainage of subglottic secretion accounted for 89. 83%, which 80.00% of them hope the way to obtain knowledgehope was department training.Conclusions In order to improve the effect of subglottic secretions drainage, clinical nursing managers need to improve the standard management of the drainage of subglottic secretion, perfect the equipment of drainage, strengthen the nursing human resources allocation and department training.

关 键 词：护士 管理 引流技术 声门下分泌物 

分 类 号：R472.2[医药卫生—急诊医学]