北京地区骨科护士对老年患者围手术期护理风险认知现状及影响因素分析  

Current status and influencing factors of orthopedic nurses'cognition on perioperative nursing risk among elderly patients in Beijing

作　　者：刘名名[1] 韩冰[2] 张金庆[3] 韩骁[4] 陈俏 吕玉艳 Liu Mingming;Han Bing;Zhang Jinqing;Han Xiao;Chen Qiao;Lyu Yuyan(Department of Spine Surgery,Beijing Jishuitan Hospital,Beijing 100035,China;Nursing Department,Beijing Jishuitan Hospital,Beijing 100035,China;Office of the Director of Orthopedics,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Spine Surgery,Beijing Jishuitan Hospital&Beijing Institute of Traumatology and Orthopedics,Beijing 100035,China;Department of Orthopedics,Miyun Hospital,Peking University First Hospital,Beijing 101500,China;Department of Orthopedics and Traumatology,Shunyi Hospital,Beijing Hospital of Traditional Chinese Medicine,Beijing 100030,China)

机构地区：[1]北京积水潭医院脊柱外科,100035 [2]北京积水潭医院护理部,100035 [3]北京积水潭医院矫形骨科主任办公室,100035 [4]北京积水潭医院脊柱外科、北京市创伤骨科研究所,100035 [5]北京大学第一医院密云医院骨科,北京101500 [6]北京中医医院顺义医院骨伤科,100030

出　　处：《中华现代护理杂志》2020年第35期4929-4934,共6页Chinese Journal of Modern Nursing

基　　金：首都卫生发展科研专项基金(CFH2020-2-1121)。

摘　　要：目的调查北京地区骨科护士对骨科老年患者围手术期护理风险认知状况,并了解其影响因素。方法 2019年8—10月选择北京2所三级甲等医院、1所二级甲等医院的171名骨科护士作为研究对象,自行设计问卷进行问卷调查,调查内容包括调查对象的一般资料、护理风险认知和护理风险管理状况。采用t检验或单因素方差分析进行组间比较,采用多重线性回归分析进行多因素分析。结果调查的171名骨科护士护理风险总得分(39.56±7.85)分。单项评分中跌倒原因及预防措施2个方面知晓情况得分最高,分别为(3.62±0.76)、(4.04±0.72)分,术后谵妄得分最低,分别为(3.00±0.99)、(3.06±1.02)分。单因素分析显示,学历、职务、是否是骨科专科护士、病区老年患者占比、护理管理者重视程度、近2年科室培训次数不同的护士对骨科老年患者围手术期护理风险认知得分差异均有统计学意义(P<0.01)。多因素分析显示,是否是骨科专科护士、病区老年患者占比、护理管理者重视程度、近2年科室培训次数是骨科护士对老年患者围手术期护理风险认知的影响因素(P<0.05)。结论骨科护士对骨科老年患者护理风险认知处于中度水平,整体认识尚需提高。护理管理者应着重培养骨科护士风险意识和风险评估能力,重视骨科专科护士的培养及使用,完善骨科专科护士的管理制度。Objective To investigate the cognition of orthopedic nurses on perioperative nursing risk of orthopedic elderly patients in Beijing,and to understand its influencing factors.Methods From August to October 2019,171 orthopedic nurses from two ClassⅢGrade A hospitals and one ClassⅡGrade A hospital in Beijing were selected as research subjects.The self-designed questionnaire was used to conduct a questionnaire survey,and the survey content included the general information,nursing risk cognition and nursing risk management of the survey subject.The t-test and one-way ANOVA analysis were used for group comparisons,and multiple linear regression analysis was used for multivariate analysis.Results Among 171 orthopedic nurses,the total score of nursing risk was(39.56±7.85).In individual scores,two aspects of awareness of the cause and preventive measures of falls had the highest scores,respectively(3.62±0.76)and(4.04±0.72),and the lowest postoperative delirium score was(3.00±0.99)and(3.06±1.02)respectively.Univariate analysis showed that there were statistical differences in the scores of nurses'cognition on perioperative nursing risk of orthopedic elderly patients among nurses with different education levels,positions,whether they were specialist orthopedic nurses,the proportion of elderly patients in the ward,the importance of nursing managers and the number of department training in the past two years(P<0.01).Multivariate analysis showed that the influencing factors of orthopedic nurses'cognition on perioperative nursing risk of orthopedic elderly patients included whether they were specialist orthopedic nurses,the proportion of elderly patients in the ward,the importance of nursing managers and the number of department training in the past two years with statistical differences(P<0.05).Conclusions Orthopedic nurses have a moderate level of cognition on the nursing risk of orthopedic elderly patients,and their overall cognition needs to be improved.Nursing managers should focus on cultivating the risk awarenes

关 键 词：护士 医院 骨科 老年人 护理风险 影响因素 

分 类 号：R473.6[医药卫生—护理学]