ICU护士改良早期预警评分认知和行为现况调查及分析  

Current status and analysis of knowledge-attitude-practice on modified early warning score system in Intensive Care Unit nurses

作　　者：王艳[1] 吴静[1] 李桂芳[1] 季春晓 米光丽 Wang Yan;Wu Jing;Li Guifang;Ji Chunxiao;Mi Guangli(ICU, General Hospital of Ningxia Medical University, Yinchuan 750004, China;Nursing Department, General Hospital of Ningxia Medical University, Yinchuan 750004, China)

机构地区：[1]宁夏医科大学总医院ICU,银川750004 [2]宁夏医科大学总医院护理部,银川750004

出　　处：《中华现代护理杂志》2019年第25期3180-3184,共5页Chinese Journal of Modern Nursing

基　　金：宁夏医科大学校级项目(XM2018114);宁夏回族自治区重点研发项目(2018BEG03040).

摘　　要：目的调查ICU护士改良早期预警评分(MEWS)系统的知信行水平,并分析其影响因素,为后期相关知识培训方案的确立奠定基础。方法2018年10-11月,采用便利抽样法选取宁夏医科大学总医院ICU护士为研究对象,采用自设ICU护士改良早期预警评分系统知信行问卷通过问卷星对护士进行调查。采用单因素分析和多元线性回归分析其影响因素。结果共回收有效问卷92份。ICU护士MEWS系统知识得分为(68.42±22.09)分,态度得分为(52.29±19.75)分,行为得分为(56.64±18.99)分;多元线性回归分析显示,工作年限、是否接触过MEWS和学历是MEWS行为的影响因素(P<0.05)。结论宁夏地区ICU护士的MEWS系统知信行总体呈中下水平,其中知识掌握尚可,而态度和行为相对较差。提示管理者应将重心放至态度方面,引导ICU护士认可并主动应用其来评估患者病情,同时积极探求适合ICU危重患者的早期预警病情管理模式。Objective To investigate the knowledge-attitude-practice level of the Intensive Care Unit (ICU) nurses on the Modified Early Warning Score (MEWS) system, and analyze its influencing factors, so as to lay a foundation for the establishment of related knowledge training program later. Methods From October to November 2018, by convenience sampling, ICU nurses in General Hospital of Ningxia Medical University were selected as objects of the study. Self-designed ICU Nurses' Knowledge-Attitude-Behavior on MEWS System Questionnaire was used to investigate the nurses by means of Wenjuanxing online. The influencing factors were analyzed by single factor analysis and multiple linear regression analysis. Results Totally 92 valid questionnaires were retrieved. The ICU nurses got the score of (68.42±22.09) in the "knowledge of MEWS", and (52.29±19.75) in the "attitude of MEWS", and (56.64±18.99) in the "practice of MEWS";multiple linear regression analysis results indicated that working length, whether or not had contacted MEWS before, and educational background were the influencing factors of the practice of MEWS (P<0.05). Conclusions The knowledge, attitude and practice of ICU nurses in Ningxia are generally at the medium and low levels, among which knowledge is still acceptable, while attitude and practice are relatively poor. It suggests that managers should focus on attitudes, guide ICU nurses to recognize and actively apply them to assess patients' condition, and actively explore early warning management mode suitable for ICU critical patients.

关 键 词：重症监护病房 护士 改良早期预警评分系统 知识 态度 行为 

分 类 号：R47[医药卫生—护理学]