ICU患者营养支持中的医护合作现状及影响因素分析  

The status and influencing factors of the physician-nurse collaboration in feeding critically ill patients

作　　者：梅彬彬[1] 谭丽萍[2] 王玉宇[3] 崖飞飞 王雯婷[1] 温尊甲 丁建平[1] 沈梅芬[5] 

机构地区：[1]苏州大学护理学院 [2]苏州大学附属第二医院护理部 [3]苏州大学附属第一医院护理部,215006 [4]苏州大学附属第一医院重症医学科,215006 [5]苏州大学附属第一医院神经外科,215006

出　　处：《中国实用护理杂志》2017年第11期846-850,共5页Chinese Journal of Practical Nursing

摘　　要：目的 调查ICU患者营养支持中的医护合作现状及影响因素,为提高医护人员在营养支持中的合作提供依据.方法 采用医生和护士合作量表（NPCS）对苏州市15家医院ICU的65名医生和266名护士展开调查.结果 医生在ICU患者营养支持中的医护合作状况得分为（87.42±15.73）分,高于护士的（80.97±13.80）分,差异有统计学意义（t=3.279,P=0.001）,且其在维度1下条目1、3、5及维度2、维度3下各条目得分均高于护士,差异有统计学意义（Z=-3.894--1.964,均P〈0.01或0.05）.年龄影响护士合作程度（F=3.499,P=0.016）,技术职称和文化程度影响医生合作程度（χ2=11.037,P=0.012;F=3.488,P=0.037）.结论 医生在ICU患者营养支持中感知的医护合作状况优于护士,但两者均有待加强.在营养支持中应重视医护合作,且应通过规范化的流程管理和积极的团队合作来提高营养支持质量.Objective To investigate the status and influencing factors of cooperation of doctors and nurses in the nutritional support of critically ill patients, and provide the basis for future improve the physician-nurse collaboration in the nutritional support. Methods Doctors and nurses who from ICU in Soochow were investigated by the Nurse-Physician Collaboration Scale （NPCS）. Results The doctors′score of physician-nurse collaboration in the nutritional support of critically ill patients was 87.42 ±15.73, which was significantly higher than 80.97 ± 13.80 the nurses′（t=3.279, P= 0.001）.In addition, under the item 1, 3, 5 in the dimension one as well as the total items in the dimensions two and three, the doctors′score was similarly higher than the nurses, and the differences are also statistically significant （Z=-3.894--1.964, all P〈0.01 or 0.05）. Technical titles, educational level and age was significantly related to the cooperative level between doctors and nurses respectively （χ2=11.037, P=0.012;F=3.488, P=0.037; F=3.499, P=0.016）. Conclusions Doctors have higher levels of perceived collaboration than nurses in the nutritional support of critically ill patients, while both require further improvement. We should highlight the physician-nurse collaboration in feeding critically ill patients, and should improve the nutrition quality through standardized process management and active team cooperation.

关 键 词：营养支持 危重病 医生护士关系 合作行为 

分 类 号：R473[医药卫生—护理学]