临床一线护士新型冠状病毒肺炎知识、态度现状和对防护行为习惯影响的研究  

Influence of COVID-19 knowledge,attitude on protective behavior among clinical nurses

作　　者：王蕾[1] 聂圣肖[1] 孙超[1] 王霞[1] 王贞慧[1] 胡慧秀[1] 杨雪[1] Wang Lei;Nie Shengxiao;Sun Chao;Wang Xia;Wang Zhenhui;Hu Huixiu;Yang Xue(Nursing Department,Beijing Hospital,National Geriatrics Center,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院护理部国家老年医学中心,中国医学科学院老年医学研究院,100730

出　　处：《中华现代护理杂志》2020年第18期2405-2411,共7页Chinese Journal of Modern Nursing

摘　　要：目的了解临床一线护士新型冠状病毒肺炎(COVID-19)相关知识、态度现状,及对防护行为习惯的影响,为制定有效的干预策略提供参考。方法本研究为横断面调查,采取便利抽样法,2020年2月通过北京医院护理部工作微信群向全院护士发送微信问卷星的链接,并将链接发至朋友圈,邀请符合纳入排除标准的临床一线护士进行填写。采用自行设计的COVID-19相关知识、态度和行为调查问卷进行调查。结果750名临床一线护士COVID-19相关知识自我评价≥7分的百分率平均为70.04%,91.6%的护士有战胜疫情的决心。发生COVID-19疫情后,94.1%的护士更加严格地执行手卫生,在“可能接触患者血液、体液、分泌物和排泄物的操作中戴手套”“进行有可能引起血液、体液、分泌物和排泄物喷溅的操作时戴护目镜、穿防护服”的操作中行为有改变的占89.2%、81.5%和71.6%。Pearson相关分析显示,750名护士COVID-19相关知识掌握情况与态度的3个维度“对感染COVID-19的担心”“标准预防的有效性”“影响采取标准预防措施的因素”无相关性(P>0.05)。结果显示,临床一线护士COVID-19相关知识掌握情况除对执行手卫生无影响外,对其态度(“对处理COVID-19疫情工作的看法”维度)及防护行为习惯均有影响(P<0.05);且其态度除对执行手卫生无影响外,对其他防护行为习惯均有影响(P<0.05)。结论临床一线护士对COVID-19相关知识的掌握程度有待提高,防护行为仍需要进一步转变。Objective To explore the COVID-19 knowledge and attitude,and its influences on protective behavior among clinical nurses so as to provide a reference for developing effective intervention strategy.Methods Cross-sectional investigation was used to hospital-wide nurses selected by convenience sampling in February 2020 through sending a link of Wenjuanxing to work WeChat group of Nursing Department of Beijing Hospital and to circle of friends.Clinical nurses met the inclusion and exclusion criteria were invited to fill in the questionnaire.The self-designed COVID-19 related knowledge,attitude and behavior questionnaire was used to the investigation.Results Among 750 clinical nurses,the self-assessment of COVID-19 related knowledge was≥7,with 70.04%for the average percentage.There were 91.6%of nurses with the confidence to fight with epidemic situation.After COVID-19 broke out,94.1%of nurses strictly carried out the hand hygiene.Behavior changes in"wearing gloves when potentially contacting bloods,body fluids,secretions and excreta","wearing goggles and protective clothing when bloods,body fluids,secretions and excreta potentially splashing"accounted for 89.2%,81.5%and 71.6%respectively.Pearson correlation analysis showed that COVID-19 related knowledge of 750 nurses had no correlations with three dimensions"worrying about infecting COVID-19","effectiveness of standard precaution"and"influencing factors of taking standard precaution"of attitude with no statistical differences(P>0.05).The results showed that the clinical knowledge of the first-line nurses of COVID-19 had no impact on the implementation of hand hygiene,but also had impacts on their attitudes("views on dealing with the epidemic of COVID-19"dimension)and protective behavior habits(P<0.05);their attitudes had no effect on the implementation of hand hygiene,and had impacts on other protective behavior habits(P<0.05).Conclusions COVID-19 related knowledge of clinical nurses need to be improved and protective behavior should be changed further.

关 键 词：护士 新型冠状病毒肺炎 知识 态度 行为 

分 类 号：R47[医药卫生—护理学]