ICU护理人员对口腔护理预防呼吸机相关肺炎的知信行调查及影响因素分析  

Analysis on knowledge-attitude-practice investigation of ICU nursing personnel to prevention of ventilator-associated pneumonia through oral teaching and the influential factors

作　　者：高丽娟[1] 陈婉[1] 李霞[1] GAO Li -juan CHEN Wan LI Xia(Zhujiang Hospital of Southern Medical University,Guangzhou 510282)

机构地区：[1]南方医科大学珠江医院ICU,广州市510282

出　　处：《护理实践与研究》2017年第5期84-86,共3页Nursing Practice and Research

摘　　要：目的:调查ICU护理人员对于口腔护理预防呼吸机相关肺炎(VAP)的知信行现状及影响因素。方法:选取2015年1月~2016年1月我院重症监护室和神经外科重症监护室工作的96名护士为研究对象,调查问卷内容包括口腔护理预防VAP的知识、态度以及行为3个维度,每个维度均包括5个问题。结果:知晓口腔护理可以预防VAP的比例为46.88%,知晓每护理班次应进行口腔评估的比例为33.33%。71.88%的调查对象认为口腔护理是所有护理工作优先要做的,53.13%的调查对象在8及12 h内进行首次口腔护理,58.33%的护理人员所在科室每半年有一次口腔护理方面的培训。多因素回归分析显示ICU工作时间、学历、参加省市级培训次数以及发表论文数为知信行总得分的独立影响因素。结论:ICU护理人员对于口腔护理预防VAP知识缺乏,需要通过加强培训提高其知信行水平。Objective：To discuss the knowledge - attitude - practice situation and influential factors of ICU nursing personnel to the prevention of ventilator -associated pneumonia （VAP） through oral nursing. Methods： Selected 96 nurses working in ICU and neurosurgery ICU of our hospital from January 2015 to January 2016 as the research target, the contents of questionnaire investigation included knowledge, attitude and practice of prevention of VAP through oral nursing, with each dimension including 5 questions. Results：The proportion of patients knowing that oral nursing could prevent VAP was 46.88% and the proportion of nurses knowing that each nursing shift should be subject to oral evaluation was 33.33%. 71.88% of the research targets thought that oral nursing was of priority in all nursing work, 53.13% of the research targets had the first oral nursing within 8 h and 12 h, and 58.33% of the nursing personnel had a training on oral nursing once every half a year in their departments. The multi - factor regression analysis showed that the work period in ICU, education degree, frequency of participating in provincial and municipal - level trainings and number of theses published were the independ- ent influential factors of total scores of knowledge - attitude - practice. Conclusion ： ICU nursing personnel were lack of knowledge of preventing VAP through oral nursing, and it is required to strengthen training to improve their knowledge - attitude - practice.

关 键 词：口腔护理 呼吸机相关肺炎 知信行 

分 类 号：R472.2[医药卫生—急诊医学]