ICU医护人员氧疗认知现状调查  

A survey of the cognitive status of doctors and nurses in the intensive care unit on oxygen therapy

作　　者：张凤 马辰东 杨大刚[1] 周丽华[1] 王雷 杨铃清 陈颐华 王敏[1] 李增亮 张利鹏[1] Zhang Feng;Ma Chendong;Yang Dagang;Zhou Lihua;Wang Lei;Yang Lingqing;Chen Yihua;Wang Min;Li Zengliang;Zhang Lipeng(Department of Critical Care Medicine,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,Inner Mongolia Autonomous Region,China)

机构地区：[1]内蒙古医科大学附属医院重症医学科,内蒙古自治区呼和浩特010050

出　　处：《中国中西医结合急救杂志》2023年第3期287-291,共5页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：内蒙古自治区科技计划项目(2022YFSH0038)。

摘　　要：目的分析我国北方地区重症监护病房(ICU)医护人员氧疗的认知现状。方法采用横断面调查研究方法,于2022年5月11日通过向我国北方地区医院的ICU医生和护士发放调查问卷,对医护人员的基本信息和氧疗知识的认知及实践情况进行调查,基本信息包括性别、年龄、学历、医院等级、所在科室、职业、工作时间、职称、是否接受5C培训、是否学习过氧疗知识、获取氧疗知识的途径等,通过多元线性回归分析影响氧疗知识评分的因素。结果2022年5月27日共收集到2705份问卷,回收有效问卷1860份,问卷有效率为68.76%。参与调查者中医生1236名,护士624名;所在的科室主要是综合ICU(占80.97%),其次为急诊ICU(占5.16%),参与率最低的科室为神经外科ICU(占0.75%)。单因素分析显示:性别、年龄、学历、所在科室、职业、从事ICU的工作时间、职称、是否接受过5C培训、是否学习过氧疗知识及获取氧疗知识的途径比较差异均有统计学意义(均P<0.05);男性、年龄在46~50岁、博士研究生学历、所在科室为心脏ICU、职业是医生、从事ICU的工作时间在16~20年、职称为正高级、接受过5C培训、学习过氧疗知识及自学氧疗知识的参与者其氧疗知识评分更高,评分(分)分别为17.21±3.17、17.74±3.08、18.38±2.93、16.80±2.48、17.17±3.02、17.61±3.05、17.73±2.96、17.27±3.15、16.51±3.28、16.90±3.35。多元线性回归分析显示,性别、学历、所在科室、职业、从事ICU的工作时间、职称、是否学习过氧疗知识是影响氧疗评分的因素,β值和95%可信区间(95%CI)分别为-0.691(-0.99~-0.393)、0.725(0.495~0.955)、-0.176(-0.294~-0.058)、-1.870(-2.253~-1.488)、0.174(0.024~0.323)、0.406(0.217~0.596)、-1.034(-1.379~-0.688),均P<0.001。结论ICU医护人员氧疗认知水平存在不足,与性别、文化程度、工作时间和是否接受过氧疗知识培训等因素相关。Objective To analyze the cognitive status of oxygen therapy among doctors and nurses in the intensive care unit(ICU)in northern China.Methods A cross-sectional study was conducted to investigate the basic information and cognition and practice of oxygen therapy knowledge of ICU doctors and nurses in hospitals in northern China by sending questionnaires,the contents of information about doctors and nurses included gender,age,education,hospital grade,department occupation,working years,professional title,whether they had received 5C training,whether they had learned oxygen therapy knowledge,and how to acquire oxygen therapy knowledge,etc.Results A total of 2705 questionnaires were collected,and 1860 were valid,May 27,2022,with an effective rate of 68.76%.Among the participants,1236 weredoctors and 624 nurses.The departments of the participants were mainly comprehensive ICU(80.97%),followed by emergency ICU(5.16%),and the department with the lowest participation rate was neurosurgical ICU(0.75%).Univariate analysis showed that there were statistically significant differences in gender,age,education background,department,occupation,years of working in ICU,professional title,whether they had received 5C training,whether they had learned oxygen therapy knowledge,and how to acquire oxygen therapy knowledge(all P<0.05).Male,46-50 years old,doctoral degree,cardiac ICU,occupation is a doctor,engaged in ICU working years of 16-20 years,professional title is senior,received 5C training,studied oxygen therapy knowledge and self-taught oxygen therapy knowledge participants have higher oxygen therapy knowledge scores,the scores were 17.21±3.17,17.74±3.08,18.38±2.93,16.80±2.48,17.17±3.02,17.61±3.05,17.73±2.96,17.27±3.15,16.51±3.28,16.90±3.35,respectively.Multiple linear regression analysis showed that gender,educational background,department,occupation,years of working in ICU,professional title,and whether or not they had learned oxygen therapy knowledge were the factors that affected oxygen therapy score,βvalues and

关 键 词：重症医学科 医生 护士 氧气治疗 调查 

分 类 号：R199[医药卫生—卫生事业管理]