儿科护士预防和处理静脉外渗/渗出知信行问卷调查  

Questionnaire survey on knowledge,attitude and behavior of pediatric nurses on prevention and treatment of intravenous infusion extravasation

作　　者：王雨晴 叶茹明 方继红 白鸽 杨丽[5] 余艮珍 朱伟萍 杨立利 谢鑑辉[9] 王颖雯[1] 王慧美[1] 顾莺[1] WANG Yuqing;YE Ruming;FANG Jihong;BAI Ge;YANG Li;YU Genzhen;ZHU Weiping;YANG Lili;XIE Jianhui;WANG Yingwen;WANG Huimei;GU Ying(Children's Hospital of Fudan University,Shanghai 201102,China;XiamenChildren's Hospital,Xiamen 361006,China;Anhui Provincial Children'sHospital,Hefei 230022,China;Dalian Women and Children Medical Group,Dalian 116399,China;The First Affiliated Hospital of Guangxi MedicalUniversity,Nanjing 530021,China;Tongji Hospital Tongji Medical College ofHuazhong University of Science and Technology,Wuhan 430030,China;QidongMaternal and Child Health Hospital,Qidong 226299,China;Chengdu Women andChildren's Central Hospital,Chengdu 610073,China;Hunan Children'sHospital,Changsha 410007,China)

机构地区：[1]复旦大学附属儿科医院,上海201102 [2]福建省厦门市儿童医院(复旦大学附属儿科医院厦门分院),厦门361006 [3]安徽省儿童医院(复旦大学附属儿科医院安徽分院),合肥230022 [4]辽宁省大连市妇女儿童医疗集团,大连116399 [5]广西医科大学第一附属医院,南宁530021 [6]华中科技大学同济医学院附属同济医院儿科,武汉430030 [7]江苏省启东市妇幼保健院,启东226299 [8]四川省成都市妇女儿童中心医院,成都610073 [9]湖南省儿童医院,长沙410007

出　　处：《中国循证儿科杂志》2022年第6期463-468,共6页Chinese Journal of Evidence Based Pediatrics

基　　金：国家自然科学基金项目:81300432;国家科技重大专项儿童示范性新药临床评价技术平台建设:2017ZX09304029;北京市科技计划资助项目:D0905001040431;爱佑慈善基金会爱佑天使科研项目:201501。

摘　　要：背景本文为“医院整体植入基于《儿童静脉输液治疗临床循证指南》的儿科静脉输液管理方案对静脉输液治疗结局影响的多中心自身前后对照试验”的背景调查。目的调查儿科护士静脉输液外渗/渗出相关知识、态度和行为的现状。设计问卷调查。方法以知信行理论为基础拟定了初始问卷(3个维度23个条目),通过条目分析,知识、态度与行为维度分别保留6、4和6个条目。态度和行为维度条目的内容效度为0.82~1.00,问卷水平的内容效度为0.92。态度和行为维度结构效度KMO检验系数为0.807,Bartlett检验P<0.01,所有条目均只在一个主因子上的载荷>0.5,态度和行为维度的Cronbach'sα系数分别为0.752和0.818。选择与复旦大学附属儿科医院护理部有密切学术交流的9家医院的儿科病房工作近1年、临床工作时间>40周、且独立或在指导下执行静脉输液的护士,采用问卷星发放和收集问卷。主要结局指标知识、态度和行为问卷得分。结果发放3395问卷,回收2568份,有效问卷2210份。大学附属儿童医院、大学附属综合医院儿科、省级儿童医院、市级儿童医院和市级妇幼保健院分别占21.8%、15.9%、34.9%、11.1%和29.8%;工作≤5年、~10年、~15年和>15年分别占35.3%、25.6%、25.6%和13.5%;职称初级、中级和高级分别占66.1%、31.6%和2.4%;责任护士、专科及带教护士和护士长分别占81.0%、14.7%和4.3%;未参加培训、仅参加科室培训、同时参加科室和医院培训、同时参加科室、医院及更高级别培训分别占2.8%、41.0%、46.7%和9.4%;仅接触外周静脉留置针、同时接触外周静脉留置针及中长导管、同时接触外周静脉和中心静脉导管装置分别占22.6%、14.9%和62.4%;仅置入外周静脉留置针、同时置入外周静脉留置针及中长导管、同时置入外周静脉和中心静脉导管装置分别为82.9%、11.1%和5.9%。知识维度总得分(12.98±6.95)分,好�Background This is a preliminary multi-center survey for the study on the impact of a pediatric infusion management program on the outcome of infusion therapy under a self-controlled pre-and post-experiment design.The management program is based on Clinical Practice Guideline on Infusion Therapy in Children.Objective To investigate the current situation of pediatric nurses′knowledge,attitude and behavior related to infusion extravasation.Design Questionnaire survey.Methods Based on the theory of knowledge,attitude and behavior,an initial questionnaire with 23 items in 3 sections of knowledge,attitude and behavior was drawn up.After the item analysis,there were 6,4 and 6 items kept for knowledge,attitude and behavior respectively.The content validity of the items in the attitude and behavior sections was 0.82 to 1.00,and the content validity of the questionnaire level was 0.92.KMO test coefficient of structural validity was 0.807 in attitude and behavior.The result of Bartlett test was P<0.01 and all items are loaded on with only one main factor>0.5.The Cronbach'sαcoefficients of attitude and behavior sections are 0.752 and 0.818 respectively.The nurses participating in clinical work for over 40 weeks in the past year and performing infusion independently or under guidance were recruited from the pediatric wards of 9 hospitals with close academic exchanges with the Nursing Department of Children's Hospital of Fudan University to complete an electronic questionnaire through the platform of Wenjuanxing.Main outcome measures Scores of knowledge,attitude,and behavior.Results Among 3,395 sent questionnaires,2,568 were returned,and 2,210 were valid.Among 2,210 respondents,21.8%,15.9%,34.9%,11.1%and 29.8%was respectively from the children's hospital affiliated to the university,the pediatric ward of university-affiliated general hospital,the provincial children's hospital,the municipal children's hospital and the municipal maternal and child health hospital.In terms of working experience,those who have worked for≤5

关 键 词：静脉外渗 儿科护士 知识 态度 行为 

分 类 号：R472[医药卫生—护理学]