中国儿科医务人员对脉搏血氧饱和度监测的知信行现状调查及相关影响因素分析  

Study on knowledge,attitudes and practices of pulse oximetry among pediatric healthcare providers in China and their influencing factors

作　　者：薛凤霞 郑跃杰[2] 申阿东 刘瀚旻[4] 陈星 钟礼立[6] 农光民[7] 孙新 卢根 丁圣刚[10] 方元勋 潘家华[12] 韩志英[13] 孙云 陈强[15] 姜毅[16] 朱晓萍 唐素萍 王秀芳[19] 刘长山[20] 任少敏[21] 陈志敏[22] 赵德育[23] 殷勇[24] 张蓉芳[25] 李明[26] 尚云晓[27] 穆亚平[28] 安淑华[29] 益西央宗[30] 徐佩茹 邢燕[32] 徐保平[1] 赵京[33] 陈实[34] 向伟 李丽红[36] 刘恩梅[37] 宋瑜欣 杨永弘[2,3] 申昆玲 Xue Fengxia;Zheng Yuejie;Shen Adong;Liu Hanmin;Chen Xing;Zhong Lili;Nong Guangmin;Sun Xin;Lu Gen;Ding Shenggang;Fang Yuanxun;Pan Jiahua;Han Zhiying;Sun Yun;Chen Qiang;Jiang Yi;Zhu Xiaoping;Tang Suping;Wang Xiufang;Liu Changshan;Ren Shaomin;Chen Zhimin;Zhao Deyu;Yin Yong;Zhang Rongfang;Li Ming;Shang Yunxiao;Mu Yaping;An Shuhua;Yeshe Yangzom;Xu Peiru;Xing Yan;Xu Baoping;Zhao Jing;Chen Shi;Xiang Wei;Li Lihong;Liu Enmei;Song Yuxin;Yang Yonghong;Shen Kunling(Department of Respiratory Disease 1,Beijing Children′s Hospital,Capital Medical University,China National Clinical Research Center for Respiratory Disease,National Center for Children′s Health,Beijing 100045,China;Department of Respiratory,Shenzhen Children′s Hospital,Shenzhen 518038,China;Beijing Pediatric Research Institute,Beijing Children′s Hospital,Capital Medical University,China National Clinical Research Center for Respiratory Diseases,National Center for Children′s Health,Beijing 100045,China;Department of Pediatric Pulmonology and Immunology,West China Second University Hospital,Sichuan University,Chengdu 610041,China;Department of Pediatric Respiratory Disease,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Hunan Provincial Key Laboratory of Pediatric Respirology,Pediatric Medical Center,Hunan Provincial People′s Hospital,Changsha 410005,China;Department of Pediatric,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Pediatrics,Xijing Hospital,Air Force Military Medical University,Xi′an 710032,China;Department of Respiratory,Guangzhou Women and Children′s Medical Center,Guangzhou 510623,China;Department of Pe-diatrics,the First Affiliated Hospital of Anhui Medical University,Hefei 230032,China;Department of Pediatrics,Huangshan Shoukang Hospital,Huangshan 245061,China;Department of Pediatrics,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China;Department of Respiratory,Children′s Hospital of Shanxi P

机构地区：[1]国家儿童医学中心,国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院呼吸一科,北京100045 [2]深圳市儿童医院呼吸科,深圳518038 [3]国家儿童医学中心,国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院,北京市儿科研究所,北京100045 [4]四川大学华西第二医院小儿呼吸免疫科,成都610041 [5]山东第一医科大学附属省立医院小儿呼吸科,济南250021 [6]湖南省人民医院儿童医学中心,儿童呼吸病学湖南省重点实验室,长沙410005 [7]广西医科大学第一附属医院儿科,南宁530021 [8]空军军医大学西京医院儿科,西安710032 [9]广州市妇女儿童医疗中心呼吸科,广州510623 [10]安徽医科大学第一附属医院儿科,合肥230022 [11]安徽黄山首康医院儿科,黄山245061 [12]中国科学技术大学附属第一医院儿科,合肥230001 [13]山西省儿童医院呼吸科,太原030013 [14]银川市妇女儿童保健院普儿科,银川750001 [15]江西省儿童医院呼吸内科,南昌330006 [16]武汉大学人民医院儿科,武汉430060 [17]贵州医科大学附属医院儿科,贵阳550004 [18]福建省福州儿童医院变态反应科,福州350005 [19]郑州大学第三附属医院小儿呼吸内科,郑州450052 [20]天津医科大学第二医院儿科,天津300211 [21]内蒙古医科大学附属医院儿科,呼和浩特010050 [22]浙江大学医学院附属儿童医院呼吸科,杭州310052 [23]南京医科大学附属儿童医院呼吸科,南京210008 [24]上海交通大学医学院附属上海儿童医学中心呼吸科,上海200127 [25]甘肃省妇幼保健院过敏反应科,兰州730050 [26]昆明市儿童医院呼吸内科,昆明650034 [27]中国医科大学附属盛京医院小儿呼吸内科,沈阳110004 [28]沈阳市儿童医院内科,沈阳110032 [29]河北省儿童医院呼吸一科,石家庄050031 [30]西藏自治区人民医院儿科,拉萨850000 [31]新疆医科大学儿科学院,乌鲁木齐830000 [32]北京大�

出　　处：《中华实用儿科临床杂志》2022年第23期1807-1812,共6页Chinese Journal of Applied Clinical Pediatrics

摘　　要：目的调查中国儿科医务人员对脉搏血氧饱和度监测的知识、态度和行为(简称知信行),并分析其影响因素。方法采用自行设计的问卷,在2022年3月11日至14日对来自中国31个省、自治区、直辖市的11849例儿科医务人员进行线上调查。采用Logistic回归分析儿科医务人员脉搏血氧饱和度监测知信行的主要影响因素。结果儿科医务人员脉搏血氧饱和度监测知识、态度、行为总得分分别为(5.57±0.96)分、(11.24±1.25)分和(11.19±4.54)分,得分率分别为69.61%、74.95%和55.99%。Logistic回归分析显示,儿科医务人员的年龄、从业年限、所在地区和所在单位是否配置脉搏血氧仪是知识水平的主要影响因素(均P<0.05);知识水平、性别、学历、从业年限、所在地区、所在医院级别和所在单位是否配置脉搏血氧仪是态度水平的主要影响因素(均P<0.05);知识水平、性别、年龄和所在单位是否配置脉搏血氧仪是行为水平的主要影响因素(均P<0.05)。结论中国儿科医务人员对脉搏血氧饱和度监测的知识和态度水平有待进一步提高,脉搏血氧仪的使用存在明显不足。亟须制定相关政策/指南,加强教育培训,提高知信度,增加脉搏血氧仪的配置,普及推广脉搏血氧饱和度监测在临床实践中的应用。Objective To investigate the knowledge,attitudes,and practices(KAP)of pulse oximetry among pediatric healthcare providers in China and analyze the factor influencing the KAP.Methods A self-developed questionnaire was used for an online research on the KAP of 11849 pediatric healthcare providers from 31 provinces,autonomous regions,and municipalities of China from March 11 to 14,2022.The factors influencing the KAP of pulse oximetry among pediatric healthcare providers were examined by Logistic regression.Results The scores of KAP,of pulse oximetry were 5.57±0.96,11.24±1.25 and 11.19±4.54,respectively.The corresponding scoring rates were 69.61%,74.95%,and 55.99%,respectively.Logistic regression results showed that the gender and working years of pediatric healthcare providers,the region they were located,and whether their medical institution was equipped with pulse oximeters were the main factors affecting the knowledge score(all P<0.05).Main factors influencing the attitude score of pediatric healthcare providers included their knowledge score,gender,educational background,working years,region,medical institution level,and whether the medical institution was equipped with pulse oximeters(all P<0.05).For the practice score,the main influencing factors were the knowledge score,gender,age,and whether the medi-cal institution was equipped with pulse oximeters(all P<0.05).Conclusions Chinese pediatric healthcare providers need to further improve their knowledge about and attitudes towards pulse oximetry.Pulse oximeters are evidently under-used.It is urgent to formulate policies or guidelines,strengthen education and training,improve knowledge and attitudes,equip more institutions with pulse oximeters,and popularize their application in medical institutions.

关 键 词：儿科医务人员 脉搏血氧饱和度监测 脉搏血氧仪 知信行 

分 类 号：R192[医药卫生—卫生事业管理]