衢州三级医院不同岗位外科护士临床危急值知识差异分析与对策  

Analysis and countermeasures of knowledge difference of clinical "critical value" of surgical nurses from different disciplines in Quzhou tertiary hospitals

作　　者：陈月卿[1] 王霞 饶和平[3] CHEN Yueqing;WANG Xia;RAO Heping(Quality Control Department,Quzhou People's Hospital in Zhejiang Province,Quzhou 324000,China;Colorectal Surgery,Quzhou People's Hospital in Zhejiang Province,Quzhou 324000,China;Nursing Teaching and Research Department of Medical College,Quzhou Vocational and Technical College,Quzhou 324000,China)

机构地区：[1]浙江省衢州市人民医院质控处,衢州324000 [2]浙江省衢州市人民医院结直肠外科,衢州324000 [3]衢州职业技术学院医学院护理教研室,衢州324000

出　　处：《浙江医学教育》2022年第6期369-374,共6页Zhejiang Medical Education

基　　金：浙江省高校“十三五”优势专业建设项目(浙教高教[2016]164号):“护理”(99)。

摘　　要：目的 了解衢州三级医院外科护士临床危急值知识状况,并根据其知识差异的现状提出解决对策。方法 2022年2~3月采用整群抽样方法,选择浙江省衢州市3家三级医院162名外科护士为研究对象,采用问卷星对其临床危急值知识状况进行调查,分析比较不同岗位外科护士临床危急值知识差异。结果 3家三级医院不同岗位外科护士临床危急值知识总体正确率为66.4%,不同岗位外科护士正确率差异具有统计学意义(P<0.05);其中,胃肠、胰腺、肝胆、泌尿、心胸、血管、神经、乳腺和甲状腺等外科护士临床危急值知识正确率明显高于妇产科、骨科及其他岗位护士,其差异均具有统计学意义(均P<0.05)。3家三级医院不同岗位外科护士临床危急值时间管理模块知识总体正确率为71.6%,不同岗位外科护士正确率差异无统计学意义(P>0.05)。3家三级医院不同岗位外科护士临床危急值心电图指标模块总体正确率为52.3%,不同岗位护士正确率差异具有统计学意义(P<0.05);其中,妇产科、骨科护士正确率较低。3家三级医院不同岗位外科护士临床危急值血液生化指标模块总体正确率为73.5%,不同岗位外科护士正确率差异具有统计学意义(P<0.05);其中,妇产科、骨科、口腔科、眼科、耳鼻咽喉科等外科护士正确率较低。3家三级医院不同岗位外科护士临床危急值知识总体院内培训、院外培训和学校教育率分别是88.9%、54.3%和64.1%;其中,无职称护士院内危急值培训率明显低于主管护师,其差异具有统计学意义(P<0.01)。结论 衢州地区3家三级医院不同岗位外科护士临床危急值知识水平偏低,其在心电图危急值指标上表现更为明显,不同岗位外科护士临床危急值知识水平之间有明显差异,需要采用学校·行业·企业协同策略强化其临床危急值教育与培训。Objective To understand the clinical “critical value” knowledge of surgical nurses in tertiary hospitals in Quzhou, and to study the countermeasures according to the knowledge differences. Methods From February to March in 2022, 162 surgical nurses from 3 tertiary hospitals in Quzhou were selected as subjects by cluster sampling method. The clinical knowledge of “critical value” was investigated with questionnaire, and the results were analyzed and compared. Results The total correct rate of clinical critical value knowledge of surgical nurses was 66.4%, and there was statistical difference among different post types(P<0.05). Among them, the accuracy rate of gastrointestinal, pancreatic, hepatobiliary, urological, cardiothoracic, vascular, neurological, breast and thyroid surgical nurses was significantly higher than that of obstetrics and gynecology, orthopedics and other surgical nurses(all P<0.05). The accuracy rate of “critical value” time management module was 71.6%, and there was no statistical difference between different post types(P>0.05). The accuracy rate of “critical value” ECG indicator module was 52.3%, and there was statistical difference among different post types(P<0.05), the accuracy rate of obstetrics and gynecology and orthopedic nurses was low. The correct rate of "critical value" blood biochemical index module was 73.5%, and there was statistical difference among different post types(P<0.05), the accuracy rate of obstetrics and gynecology, orthopedics, oral cavity, ophthalmology, otorhinolaryngology nurses was low. The rate of clinical “critical value” knowledge in hospital, out-hospital training and school education were 88.9%, 54.3% and 64.1%, respectively. The critical value training rate of hospital nurses was significantly lower than that of supervisors(P<0.01). Conclusions Surgical nurses’ knowledge level of clinical critical value is low, and the index of electrocardiogram critical value is more obvious. There are significant differences among nurses in different

关 键 词：三级医院 外科护士 临床危急值 认知 差异 对策 

分 类 号：R-05[医药卫生] R471