胸外科护士对肺切除术后胸腔引流管护理知信行现状的调查研究  

Current status of knowledge, attitude and practice of nurses in Thoracic Surgery Department on thoracic drainage tube nursing after pneumonectomy

作　　者：刘赛赛 杨慧 于川川 陈静儒 陈瑞云 吕秀霞 Liu Saisai;Yang Hui;Yu Chuanchuan;Chen Jingru;Chen Ruiyun;Lyu Xiuxia(Department of Thoracic Surgery,Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Nursing,Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院郑州大学人民医院胸外科,郑州450003 [2]河南省人民医院郑州大学人民医院护理部,郑州450003

出　　处：《中华现代护理杂志》2021年第26期3540-3546,共7页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2019年护理学科研究引导课题(CMAPH-NRI2019007)。

摘　　要：目的探讨胸外科护士对肺切除术后胸腔引流管护理的知信行现状及其影响因素,旨在为临床胸外科专科护理人才培养提供依据。方法采用便利抽样法,选取2020年8月13日—11月13日河南省319名护士作为研究对象,采用自行设计的肺切除术后胸腔引流管护理知信行调查表进行调查。共发放问卷319份,回收有效问卷300份,有效回收率为94.04%。结果300名胸外科护士对肺切除术后胸腔引流管护理知信行总分、知识维度、态度维度和行为维度得分分别为(72.09±6.65)、(7.96±2.51)、(26.04±2.24)、(38.09±4.78)分。多重线性回归分析结果显示,胸外科护士对肺切除术后胸腔引流管护理知识的主要影响因素为文化程度、职称及职务(P<0.05);态度的影响因素为工作年限(P<0.05);行为的影响因素为知识、态度、职务及是否参加过胸腔引流培训(P<0.05);知信行总分的影响因素为职称(P<0.05)。结论胸外科护士对肺切除术后胸腔引流管护理态度积极,但知识及行为水平有待提高。护理领导者应根据护士的不同特征开展胸腔引流管护理培训,同时需要鼓励护士主动学习新知识,不断更新自我知识体系,从而改变护理行为,提高胸外科护理质量。Objective To explore the current status and influencing factors of knowledge,attitude and practice of nurses in Thoracic Surgery Department on thoracic drainage tube nursing after pneumonectomy,aiming to provide a basis for the training of clinical thoracic surgery specialist nursing personnel.Methods Using the convenient sampling method,a total of 319 nurses in Henan Province were selected as research objects from August 13 to November 13,2020,and self-designed questionnaire on knowledge,attitude and practice of thoracic drainage tube nursing after pneumonectomy was used to investigate.A total of 319 questionnaires were issued and 300 valid questionnaires were returned,with an effective recovery rate of 94.04%.Results The total score of knowledge,attitude and practice of 300 Thoracic Surgery Department nurses on thoracic drainage tube nursing after pneumonectomy and scores of knowledge,attitude and behavior dimensions were respectively(72.09±6.65),(7.96±2.51),(26.04±2.24)and(38.09±4.78).The results of multiple linear regression analysis showed that main influencing factors of nursing knowledge of Thoracic Surgery Department nurses on thoracic drainage tube after pneumonectomy were education level,professional title and position(P<0.05).The influential factor of attitude was working years(P<0.05).The influencing factors of behavior were knowledge,attitude,position and whether participated a thoracic drainage training or not(P<0.05).The influencing factor of total score of knowledge,attitude and practice was professional title(P<0.05).Conclusions Thoracic Surgery Department nurses have a positive attitude towards thoracic drainage tube nursing after pneumonectomy,but their knowledge and behavior level need to be improved.Nursing leaders should carry out thoracic drainage tube nursing training according to the different characteristics of nurses.At the same time,they need to encourage nurses to actively learn new knowledge and constantly update their own knowledge system,so as to change nursing behavior and imp

关 键 词：胸外科学 肺切除术 问卷调查 胸腔引流管 知信行 

分 类 号：R473.6[医药卫生—护理学]