NICU医护人员对家庭参与式护理的认知与实践调查  

Investigation on the cognition and practice of family-integrated care among medical staff in NICU

作　　者：傅亚丽 张先红[1] 李禄全[1] 周梅[1] 魏璐 FU Yali;ZHANG Xianhong;LI Luquan;ZHOU Mei;WEI Lu

机构地区：[1]重庆医科大学附属儿童医院/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心(重庆)/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室新生儿诊治中心,重庆市400014

出　　处：《中华护理杂志》2021年第12期1806-1812,共7页Chinese Journal of Nursing

基　　金：2019年重庆医科大学附属儿童医院临床新技术(2019-285)。

摘　　要：目的调查NICU医护人员对家庭参与式护理(family-integrated care,FICare)的认知、态度及实践现状,为构建FICare方案提供参考。方法自行编制调查问卷,采用便利抽样法,于2021年3月10日—30日对13个省市23所三级甲等医院的764名NICU医护人员进行调查。结果共调查5所儿童专科医院、7所妇幼保健院/妇女儿童医院、11所综合医院,回收655份有效问卷,有效问卷回收率为85.7%。医护人员对FICare的认知得分为(68.22±7.99)分,得分率为90.96%;态度得分为(27.34±4.14)分,得分率为78.11%。17所医院已经开展FICare,但不同类型医院实践方法差异较大,儿童专科医院开展比例较高(80.0%)。影响FICare开展的主要因素包括病房条件有限、人力资源不足、缺乏科学系统的运行方法等。结论医护人员对FICare的认识不够全面,有必要开展针对性的培训。有实践经验的医院可联合制订科学、规范的FICare流程,发挥辐射引领作用,指导并促进下级医疗机构开展FICare。Objective To investigate the cognition and attitude of family-integrated care(FICare)among medical staff in NICU and to clarify the status of implementation,aiming at providing a reference for the construction of FICare program.Methods A total of 764 NICU medical staff from 23 grade A tertiary hospitals across 13 provinces and cities were selected between March 10th to March 30th,2021 by convenience sampling to respond to a self-designed questionnaire.Results A total of 655 valid questionnaires were collected from 5 children’s hospitals,7 women and children’s hospitals,and 11 general hospitals,with a response rate of 85.7%.The cognition scores of medical staff are(68.22±7.99)points,with the score rate of 90.96%.The attitude scores are(27.34±4.14)poins,with the score rate of 78.11%.FICare has been launched in 17 of the hospitals surveyed,but with variable practice methods.The children’s hospitals have a higher implementation rate(80.0%).The major obstacles against implementing this program include limited space in NICU,insufficient human resources,and the lack of a scientific and systematic implementation approach,etc.Conclusion Medical staff do not fully understand FICare,and it is necessary to conduct targeted and in-depth training.Hospitals with practical experience can jointly develop a scientific and standardized FICare procedure,and play a leading role in guiding and promoting its implementation in the lower-level medical institutions.

关 键 词：重症监护病房 新生儿 家庭参与 健康知识 态度 实践 横断面研究 新生儿护理 

分 类 号：R47[医药卫生—护理学]