知信行管理模式对内科护士预防静脉血栓栓塞症行为的影响  

Effect of knowledge and credit management on the preventive nursing behavior of internal medical nurses during venous thromboembolism

作　　者：吴焰[1] 张娟[1] Wu Yan;Zhang Juan(The Eighth Affiliated Hospital,Sun Yat-sen University,Shenzhen,518033,China)

机构地区：[1]中山大学附属第八医院,广东深圳518033

出　　处：《现代临床护理》2018年第8期50-55,共6页Modern Clinical Nursing

摘　　要：目的探讨知信行管理模式对内科护士预防静脉血栓栓塞症(venous thromboembolism,VTE)行为的效果,提高护士预防患者VTE知识水平与自觉行为。方法采用整群抽样法选择本院内科护士103名作为研究对象,对其实施知信行管理,分别从知识、信念、行为3个方面进行预防VTE评估、预防强化训练,第一阶段实施知信行管理,第二阶段为行为习惯强化期,第三阶段为行为习惯巩固期。训练前后比较3个阶段护士VTE知信行问卷评分、VTE风险评估和预防护理措施执行合格率情况。结果行为习惯强化期第1天与强化期第1个月护士知识、信念、行为评分及总分分别高于干预前,而且强化期第1个月护士行为评分及总分分别高于行为习惯强化期第1天(均P<0.001);行为习惯强化期第1个月与行为习惯巩固期结束护士VTE风险评估和预防护理措施执行合格率明显高于行为习惯强化期第1天(均P<0.001)。结论知信行管理模式可明显提高内科护士对预防患者VTE的知识和态度水平,并规范及强化了内科护士对VTE的风险评估和预防护理行为。Objective To study the effect of the knowledge, belief and behavior management mode on prevention of VTE behavior of internal medical nurses. Methods We selected 103 nurses from the internal medicine department of our hospital as the subjects of our study by the whole group sampling method. We carried out knowledge, belief and behavior management to them by carrying out VTE evaluation and reinforced prevention-oriented training from the three aspects of knowledge, belief and behavior respectively. At the first stage, the management mode was implemented, at the second, the behavioral habit was strengthened, and at the third, the behavioral habit was consolidated. Before and after the training, the scores by VTE questionnaire, VTE risk assessment and implementation rate of preventive nursing measures at the three stages were compared. Results The scores on knowledge, belief, behavior and total scores of nurses on the first day of the reinforcement period and in the first month of the reinforcement period were higher than those before the intervention. Moreover, the score and total score in the 1-month intensive period were higher than those of the first day of the reinforcement period （all P〈0.001）. The rate of compliance of VTE risk assessment and preventive nursing measures was significantly higher than that of day 1 （all P〈0.001）. Conclusion The management mode of knowledge, belief and behavior can significantly improve the knowledge and attitude of internal medical nurses on preventing patients from VTE, and standardize and strengthen the risk assessment and preventive nursing behaviors.

关 键 词：护士 内科 静脉血栓栓塞症 知信行管理模式 

分 类 号：R47[医药卫生—护理学]