某三甲医院神经外科护士低温治疗相关知识掌握现状及培训需求调查  

Therapeutic hypothermia related knowledge and training demands of neurosurgery nurses at a ClassⅢGrade A hospital

作　　者：马春梅[1] 王军[1] 鲍月红[1] 覃勤朴 张娜芹 Ma Chunmei;Wang Jun;Bao Yuehong;Qin Qinpu;Zhang Naqin(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中华现代护理杂志》2019年第4期408-412,共5页Chinese Journal of Modern Nursing

摘　　要：目的调查某院神经外科护士对低温治疗相关知识的掌握程度及相关培训需求。方法2018年1—4月采用整群抽样法选择工作于某三级甲等医院的139名神经外科护士,采用自行设计的低温治疗相关知识问卷及培训需求调查表进行调查。结果59.7%的护士掌握了低温治疗的相关知识,但掌握较好者只占11.5%。对低温治疗相关知识回答正确率最高的3个条目为低温时镇静评估的必要性、低温时镇静镇痛的需求、低温时机械通气的支持。回答正确率最低的3个条目是降温期时长、维持期时长、低温治疗监测推荐温度。神经外科护士愿意通过多种途径学习低温治疗的相关知识。结论神经外科护士对低温治疗知识的掌握程度尚需提高,在职培训的内容及方式应充分考虑护士的知识掌握程度及需求。Objective To investigate the therapeutic hypothermia related knowledge and training demands of neurosurgery nurses at a hospital.Methods From January to April 2018,we selected 139 neurosurgery nurses at a ClassⅢGrade A hospital by cluster sampling.All of the nurses were investigated with the self-designed therapeutic hypothermia knowledge questionnaire and therapeutic hypothermia knowledge demands questionnaire of nurses.Results A total of 59.7%of nurses mastered therapeutic hypothermia related knowledge and 11.5%of them mastered the knowledge well.Three terms of therapeutic hypothermia related knowledge were with the highest accuracy rate including the necessity of calm assessment,need of sedation and analgesia as well as mechanical ventilation support at low temperature.Three terms of them were with the lowest accuracy rate including the duration of the cooling,duration of holding phase and recommended temperature of therapeutic hypothermia monitoring.Neurosurgery nurses were willing to learn therapeutic hypothermia related knowledge by various ways.Conclusions Neurosurgery nurses'mastery of therapeutic hypothermia knowledge needs to be improved.Mastery of knowledge and demands should be taken into account in contents and ways of inservice training.

关 键 词：神经外科 低温 人工 横断面研究 低温治疗 知识 需求 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]