儿科重症监护室护士中心静脉导管管理知识水平的多中心调查分析  

Multicenter Investigation and Analysis of the Knowledge Level of Central Venous Catheter Management Among Nurses in Pediatric Intensive Care Unit

作　　者：石玉沄 夏姗姗[1] 顾莺 王文超 周红琴[4] 徐红贞[4] 王林娟 春晓 张淑萍 赵雅珣 丁亚平 SHI Yuyun;XIA Shanshan;GU Ying;WANG Wenchao;ZHOU Hongqin;XU Hongzhen;WANG Linjuan;CHUN Xiao;Zhang Shuping;Zhao Yaxun;Ding Yaping(Pediatric Intensive Care Unit,National Clinical Research Center for Child Health and The Children’s Hospital Zhejiang University School of Medicine,Hangzhou 310052,Zhejiang Province,China;Department of Nursing,Pediatric Hospital Affiliated to Fudan University,Shanghai 201102,China;Department of Emergency,Pediatric Hospital Affiliated to Fudan University;Nursing Department,National Clinical Research Center for Child Health and The Children’s Hospital Zhejiang University School of Medicine;Pediatric Intensive Care Unit,Shenzhen Children’s Hospital,Shenzhen 518000,Guangdong Province,China;Pediatric Intensive Care Unit,Guangzhou Women and Children’s Hospital,Guangzhou 510623,Guangdong Province,China;Pediatric Intensive Care Unit,Xiamen Children’s Hospital,Xiamen 361006,Fujian Province,China;Pediatric Intensive Care Unit,Anhui Children’s Hospital,Hefei 230022,Anhui Province,China)

机构地区：[1]国家儿童健康与疾病临床医学研究中心暨浙江大学医学院附属儿童医院儿童重症监护病房,浙江杭州310052 [2]复旦大学附属儿科医院护理部,上海201102 [3]复旦大学附属儿科医院急诊科 [4]国家儿童健康与疾病临床医学研究中心暨浙江大学医学院附属儿童医院护理部 [5]深圳市儿童医院儿童重症监护病房,广东深圳518000 [6]广州市妇女儿童医院儿童重症监护病房,广东广州510623 [7]厦门市儿童医院儿童重症监护病房,福建厦门361006 [8]安徽省儿童医院儿童重症监护病房,安徽合肥230022

出　　处：《军事护理》2023年第2期24-27,共4页MILITARY NURSING

基　　金：上海市地方高水平大学建设-循证护理创新研究院多中心循证创新实践项目(FNDGJ201904)。

摘　　要：目的 探讨儿科重症监护室(pediatric intensive care unit, PICU)护士中心静脉导管(central venous catheter, CVC)管理知识水平的现状及影响因素,为相关循证实践提供资料。方法 2019年11月,采用方便抽样法选择国内6省的6所三级甲等儿童医院的481名PICU护士为研究对象,对其进行CVC管理相关知识的调查。结果 481名PICU护士CVC管理知识正确率达60%及以上者295人,占61.4%。不同学历、职称、年龄、ICU工作年限的儿科ICU护士的CVC管理知识水平差异均有统计学意义(均P<0.05),多因素分析显示在同时考虑学历、职称、ICU工作年限及年龄的影响下,学历依然是儿科ICU护士CVC管理知识的影响因素(OR>1,P<0.05)。结论 建议加强CVC管理知识的相关教育培训,提高操作者对CVC管理知识的理论水平,从而提高CVC的护理质量。Objective To understand the status quo of the knowledge level of central venous catheter(CVC) maintenance in pediatric intensive care unit(PICU)nurses, and to analyze its influencing factors, so as to provide baseline data for evidence-based practice in the future.Methods In November 2019,481 PICU nurses from 6 tertiary A children’s hospitals in 6 provinces in China were selected as research objects by the convenient sampling method, and their knowledge of CVC management was investigated.Results The correct rate of CVC management knowledge of 481 PICU nurses was 60% or above, accounting for 61.4%.There were statistically significant differences in CVC management knowledge level among PICU nurses with different educational background, professional titles, ages and years of work in ICU(all P<0.05).Multivariate analysis showed that educational background was still the influencing factor of PICU nurses’ CVC management knowledge when considering the influence of educational background, professional titles, years of work in ICU and ages(OR>1,P<0.05).Conclusions It is suggested to strengthen the education and training of CVC management knowledge, improve the theoretical level of operators’ CVC management knowledge, so as to improve the nursing quality of CVC.

关 键 词：护士 儿科 中心静脉导管管理知识 儿科重症监护室 

分 类 号：R473.72[医药卫生—护理学]