三级甲等医院眼科护士对术后眼内感染防控的知信行现状分析  

Analysis on the knowledge,attitude and practice of ophthalmic nurses′on prevention of post-operative intraocular infections in gradeⅢclass A hospitals

作　　者：孙佳丽[1] 杨滢瑞 金学民[1] 康彦霞 赵亚丽 白娜娜 贺兴兴 张玉新 Sun Jiali;Yang Yingrui;Jin Xuemin;Kang Yanxia;Zhao Yali;Bai Nana;He Xingxing;Zhang Yuxin(Department of Ophthalmology,Henan Provincial People′s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院眼科,郑州450003

出　　处：《中国实用护理杂志》2022年第8期606-612,共7页Chinese Journal of Practical Nursing

基　　金：郑州市科技惠民计划(2019KJHM0002)。

摘　　要：目的分析三级甲等医院眼科护士对术后眼内感染防控的知识、态度和行为现状及其影响因素。方法 2020年1—6月采用自行设计的术后眼内感染防控知信行调查问卷对郑州市8所三级甲等医院236名眼科护士进行调查, 采用Pearson相关性分析分析眼科护士对术后眼内感染防控的知识、态度、行为维度之间的相关性, 采用多因素Logistic回归分析影响眼科护士术后眼内感染防控知信行的因素。结果眼科护士对术后眼内感染防控的知识、态度、行为维度得分分别为(26.08 ± 2.46)、(67.45 ± 8.48)、(50.31 ± 6.67)分, 得分率分别为(87.0 ± 8.2)%、(84.3 ± 10.1)%、(83.9 ± 9.8)%, 且各维度之间呈正相关(r值为0.26~0.42, 均P<0.05);多因素Logistic回归分析显示, 学历、职称及眼内感染防控知识培训经历是知识得分的独立影响因素(P<0.05), 学历、职称、眼内感染防控知识培训经历及眼内感染防控知识培训需求是态度得分的独立影响因素(P<0.05), 护龄及岗位(手术室)是行为得分的独立影响因素(P<0.05)。结论三级甲等医院眼科护士在眼内感染防控方面的知信行水平整体良好, 医院管理部门仍需根据人员特点制订合理管理对策提升护理人员眼内感染防控的态度和执行力, 减少术后眼内感染的发生。Objective To investigate the knowledge,attitude and practice status of ophthalmic nurses on prevention and control of intraocular infection in gradeⅢclass A hospitals.Methods A self-made questionnaire was used to investigate the knowledge,attitude and practice of 236 nurses on prevention and control of intraocular infection in the ophthalmology department of 8 gradeⅢclass A hospitals in Zhengzhou from January to June 2020.The correlation between the knowledge,attitude and practice were analyzed by Pearson correlation analysis and the influencing factors of each term were analyzed by multivariate Logistic regression.Results The scores of knowledge,attitude,practice of all nurses were(26.08±2.46),(67.45±8.48),(50.31±6.67)points,and the scoring rate were(87.0±8.2)%,(84.3±10.1)%,(83.9±9.8)%,respectively.The scores of each dimension of knowledge,attitude and practice were significantly positively correlated(r values were 0.26-0.42,all P<0.05),respectively.Multivariate Logistic regression analysis showed that education background,professional title and training experience of infection were the influencing factors of knowledge score(P<0.05),education background,professional title,training experience of infection and demand were the influencing factors of attitude score(P<0.05),and nursing age and work post were the influencing factors of practice score(P<0.05).Conclusions The level of knowledge,attitude and practice of ophthalmic nurses in gradeⅢclass A hospitals on prevention and control of intraocular infection is overall good.Hospital management department still needs to make reasonable management countermeasures according to personnel characteristics to improve the knowledge,attitude and practice level of ophthalmic nurses and to reduce post-operative intraocular infection.

关 键 词：眼科 护士 眼内感染 知信行 影响因素 

分 类 号：R473.77[医药卫生—护理学]