泌尿外科护士对根治性膀胱切除术患者早期活动的知识、态度及行为调查研究  

Investigation on urological nurses'knowledge,attitude and behavior about early activities in patients undergoing radical cystectomy

作　　者：黄慧敏 张芳[1] 刘亚珍[1] 杨绮璇 申海燕[1] Huang Huimin;Zhang Fang;Liu Yazhen;Yang Qixuan;Shen Haiyan(Department of Urology,Zhujiang Hospital of Southern Medical University,Guangzhou 510282,China)

机构地区：[1]南方医科大学珠江医院泌尿外科,广州510282

出　　处：《中华现代护理杂志》2020年第17期2305-2310,共6页Chinese Journal of Modern Nursing

基　　金：广东省护理学会护理科研项目(gdhlxueh2019zx031)。

摘　　要：目的了解泌尿外科护士对于行根治性膀胱切除术患者早期活动的认知、态度、行为现状及影响因素,为早期活动在根治性膀胱切除术患者中顺利开展提供参考。方法2018年10—12月采取便利抽样法选取广东省10所医院240名泌尿外科护士,采用一般资料调查表和泌尿外科护士对行根治性膀胱切除术患者早期活动的知识、态度及行为调查问卷进行调查,采用多重线性回归分析其影响因素。结果泌尿外科护士对于行根治性膀胱切除术患者早期活动的知识、态度、行为得分分别为(3.42±1.23)、(30.40±3.18)、(10.65±2.20)分。多重线性回归结果显示,职称是泌尿外科护士对根治性膀胱切除患者早期活动知识的影响因素(P<0.05);在泌尿外科的工作年限、职称、是否接受过早期活动相关培训是泌尿外科护士对根治性膀胱切除患者早期活动态度的影响因素(P<0.05);所在科室是否开展加速康复外科、是否接受过早期活动相关培训是泌尿外科护士对根治性膀胱切除患者早期活动行为的影响因素(P<0.05)。结论护士对于根治性膀胱切除术患者早期活动的态度较好,但知识储备较为薄弱,行为现状不理想。应加强护士对早期活动相关知识的培训,以多学科合作为模式,制订早期活动方案,促进早期活动在临床上科学、有效的实施。Objective To explore urological nurses'knowledge,attitude and behavior about early activities in patients undergoing radical cystectomy and the influencing factors,and provide a reference for early activities to be successfully carried out in patients undergoing radical cystectomy.Methods Totally 240 urological nurses from 10 hospitals in Guangdong Province were selected using convenient sampling and investigated with the general information questionnaire and the urological nurse's knowledge,attitude and behavior about early activities in patients undergoing radical cystectomy questionnaire between October and December 2018.Multiple linear regression was used to analyze the influencing factors.Results The urological nurses'knowledge,attitude,and behavior scores about early activities of patients undergoing radical cystectomy were(3.42±1.23),(30.40±3.18)and(10.65±2.20).Multiple linear regression showed that job title was the influencing factor of urological nurses'knowledge towards early activities in patients undergoing radical cystectomy(P<0.05);working years in urology department,job title and whether they received early activity-related training were the influencing factors of urological nurses'attitude towards early activities in patients undergoing radical cystectomy(P<0.05);whether their department carried out accelerated rehabilitation surgery and whether they received early activity-related training were the influencing factors of urological nurses'behavior about early activities in patients undergoing radical cystectomy(P<0.05).Conclusions Nurses have a good attitude towards early activities of patients undergoing radical cystectomy,but their knowledge reserves and behaviors are not satisfying.It is necessary to strengthen the training of nurses on the knowledge of early activities,formulate an early activity plan based on multi-disciplinary cooperation,and promote the proper and effective implementation of early activities in clinical practice.

关 键 词：膀胱切除术 泌尿外科 加速康复外科 早期活动 影响因素 

分 类 号：R473.73[医药卫生—护理学]