深圳市血液透析护士透析用留置针使用情况与意愿的现状调查  

Investigation on the status quo and willingness of Shenzhen hemodialysis nurses'use of indwelling needle in dialysis

作　　者：丁小容[1] 游励红[1] 傅华珍[2] 刘正翠[2] Ding Xiaorong;You Lihong;Fu Huazhen;Liu Zhengcui(Nursing Department,Peking University Shenzhen Hospital,Shenzhen 518000,China;Blood Purification Center,Peking University Shenzhen Hospital,Shenzhen 518000,China)

机构地区：[1]北京大学深圳医院护理部,518036 [2]北京大学深圳医院血液净化室,518036

出　　处：《中华现代护理杂志》2019年第33期4296-4300,共5页Chinese Journal of Modern Nursing

基　　金：深圳市科技创新委员会科技计划资助项目(JCYJ20160428172636458)。

摘　　要：目的了解血液透析护士透析用留置针使用意愿及透析用留置针的应用现状。方法自行设计调查问卷,采用便利抽样的方法,以深圳市34家医院的295名血液透析护士为研究对象,对透析用留置针的使用情况及意愿进行调查,采用SPSS 22.0统计软件进行数据分析。结果共回收248份有效问卷,其中200名(80.6%)血液透析护士愿意使用透析用留置针。单因素分析显示,护士所在医院等级及其认为透析用留置针是否安全与其是否愿意使用透析用留置针有关(P<0.05)。多因素分析显示,护士是否了解透析用留置针以及认为透析用留置针是否安全是其使用透析用留置针意愿的影响因素(P<0.05)。有167名(67.34%)护士未使用过透析用留置针,影响其推广应用的前2位原因是原有操作习惯不易更改(31.05%)和科室未推广使用(27.82%),血液透析护士对透析用留置针使用最大的担忧是透析用留置针的固定问题(16.13%),其次是冲/封管问题(8.87%)。结论绝大多数血液透析护士在护理工作中愿意使用透析用留置针,但透析用留置针的推广应用情况不容乐观,对此可以从医院层面、科室层面、个人层面制定相关的干预措施,加强对科室管理者及护士的培训,促进其观念的转变。Objective To explore the willingness ofhemodialysis nurses and current application of indwelling needles for dialysis.Methods Based on the method of random survey and SPSS 22.0 statistical software,295 hemodialysis nurses from 34 hospitals in Shenzhen were investigated by aself-designed questionnaire in a way to explore and application of indwelling needles for dialysis and the nurses'willingness of using them.Results Among 248 collected valid questionnaires,there were 200(80.6%)hemodialysis nurses who are willing to use dialysis indwells.Univariate analysis showed the results are influenced by the class of hospitals and the safety of indwelling needles in their mind(P<0.05).Multivariate analysis showed that whether nurses know dialysis indwelling needle and the safety of the dialysis indwelling needles in their mind are the influencing factors of their willingness to use the indwelling needle for dialysis.There were 167(67.34%)nurses who had never used the dialysis indwelling needle.The first two influence factor of promotion of dialysis indwelling needle were the entrenched operating habits(31.05%)and their department had not applied the usage of them(27.82%).The biggest concern of hemodialysis nurses was the fixation of the indwelling needle(16.13%),followed by the punch/seal problem(8.87%).Conclusions The vast majority of hemodialysis nurses were willing to use dialysis indwelling needle in nursing work,but its promotion and application was not optimistic.Therefore,intervention measures should be carried out at individual,department and hospitallevel,intensifying the training and conceptual changes of department regulators and nurses.

关 键 词：透析 透析用留置针 使用情况 意愿 

分 类 号：R47[医药卫生—护理学]