四川省骨科护士对围手术期病人口渴认知及临床管理的现况  

Cognition and Clinical Management of Perioperative Thirst among Orthopaedic Nurses in Sichuan Province

作　　者：吴金玉 陈佳丽[1] 宁宁[1,2] 李鹏程 李佩芳 屈俊宏 李晔 王立群 WU Jin-yu;CHEN Jia-li;NING Ning;LI Peng-cheng;LI Pei-fang;QU Jun-hong;LI Ye;WANG Li-qun(Department of Orthopaedics,West China Hospital,Sichuan University/Orthopaedic Research Institute,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,China;Nursing Key Laboratory of Sichuan Province,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院骨科/四川大学华西医院骨科研究所/四川大学华西护理学院,成都610041 [2]四川大学护理学四川省重点实验室,成都610041

出　　处：《骨科》2022年第4期361-366,共6页ORTHOPAEDICS

基　　金：四川省科技厅重点研发项目(2021YFS0068);四川大学华西医院学科卓越发展1·3·5工程护理学科发展专项基金(HXHL20003)

摘　　要：目的调查四川省骨科护士对围手术期病人口渴的认知情况及临床管理现状,为制订相关培训与管理方案提供参考依据。方法采用便利抽样法,于2021年10月至2021年11月采用自制的问卷对四川省69家医院的骨科护士进行问卷调查,调查内容包括研究对象的一般资料、对围手术期病人口渴的认知情况及临床口渴管理现状。结果共回收问卷1294份,有效问卷1267份,有效回收率为97.91%。四川省骨科护士对围手术期的口渴管理的知识掌握相对薄弱,有955名(75.37%)骨科护士未能正确回答口渴的临床表现,分别有624名(49.25%)、807名(63.69%)、892名(70.40%)、959名(75.69%)骨科护士不知晓围手术期口渴的评估时机、评估工具、干预口渴的媒介温度及干预口渴的频次;仅36名(2.84%)、32名(2.53%)骨科护士能列举5项以上干预口渴的护理措施及干预口渴的媒介。临床缺乏对围手术期口渴的规范管理,分别有1104名(87.13%)、1035名(81.69%)骨科护士所在科室缺乏评估口渴的工具及管理口渴的规范化流程。有388名(30.62%)骨科护士对干预口渴的效果自我评价“不满意”。“缺乏专有的干预流程”“口渴不会危及生命”“不知晓正确的干预方法”为阻碍围手术期病人口渴干预的前三因素。结论护理人员对围手术期病人口渴管理的认知及重视程度有待提高,临床对口渴管理的规范亟待加强,应积极开展护理人员围手术期口渴管理系统培训并制定规范化的口渴管理流程,进一步规范口渴管理的临床实践,提高围手术期病人的舒适度。Objective To investigate the cognition of orthopedic nurses in Sichuan Province on thirst of perioperative patients and the current situation of clinical management,so as to provide reference for formulating relevant training and management programs.Methods The convenience sampling method was used to conduct a questionnaire survey on orthopedic nurses in 69 hospitals in Sichuan Province from October2021 to November 2021 with a self-made questionnaire.The survey included the general information of the subjects,the cognition of perioperative patients’thirst and the current situation of clinical thirst management.Results A total of 1294 questionnaires were collected and 1267 were valid,with an effective recovery rate of97.91%.Orthopaedic nurses’knowledge of thirst management in the perioperative period was relatively weak,955(75.37%)nurses failed to answer the clinical manifestations of thirst completely and correctly.A total of624(49.25%),807(63.69%),892(70.40%)and 959(75.69%)orthopedic nurses were unaware of the timing,tools,medium temperature and frequency of intervention of perioperative thirst,respectively.Only 36(2.84%)and 32(2.53%)orthopedic nurses could list more than 5 nursing measures and mediators to intervene thirst.Due to clinical lack of standardized management of perioperative thirst,1104(87.13%)and 1035(81.69%)orthopedic nurses in the department lacked tools to assess thirst and standardized management of thirst.Therewere 388 orthopedic nurses(30.62%)who self-reported dissatisfaction with the effect of the thirst intervention.“Lack of a proprietary intervention process”,“thirst is not life-threatening”and“too busy for time”were thetop three obstacles.Conclusion The cognition and attention of perioperative nursing staff to thirstmanagement of perioperative patients need to be improved,and the clinical standardization of thirstmanagement urgently needs to be strengthened.Perioperative thirst management system training should beactively carried out and standardized thirst management proc

关 键 词：口腔干燥 围手术期护理 护理人员 认知 临床管理 调查和问卷 

分 类 号：R473.6[医药卫生—护理学]