手术室护士压力性损伤管理自我效能感现状及影响因素分析  

Analysis of Status Quo and Influencing Factors of Self⁃efficacy in Pressure Ulcer Management Among Theatre Nurses

作　　者：蒋维连 韦群梅 王秀梅 陈娟[4] 廖芯[5] 彭俊华 JIANG Weilian;WEI Qunmei;WANG Xiumei;CHEN Juan;LIAO Xin;PENG Junhua(The Second Affiliated Hospital of Guilin Medical College,Guilin,Guangxi 541199;Guangxi International Zhuang Medicine Hospital,Nanning,Guangxi 530000;Shanxi Bethune Hospital/Tongji Shanxi Hospital of Shanxi Academy of Medical Sciences,Taiyuan,Shanxi 030032;QinghaiProvincial People's Hospital,Xini-ng,Qinghai 810000;West China Second University Hospital,Sichuan University,Chengdu,Sichuan 6100414;The First People's Hospital of Zunyi/The Third Affiliated Hospital of Zunyi Medical University,Zun-yi,Guizhou 563000)

机构地区：[1]桂林医学院第二附属医院,广西桂林541199 [2]广西国际壮医医院,广西南宁530000 [3]山西白求恩医院/山西医学科学院同济山西医院,山西太原030032 [4]青海省人民医院,青海西宁810000 [5]四川大学华西第二医院,四川成都6100414 [6]遵义市第一人民医院/遵义医科大学第三附属医院,贵州遵义563000

出　　处：《上海护理》2023年第9期20-24,共5页Shanghai Nursing

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2021014);广西壮族自治区卫生健康委员会自筹经费科研课题(ZC20220967,Z20211056);桂林医学院第二附属医院临床基础能力提升项目(2023gyefylc020);山西省卫生健康委科研课题(2022114)。

摘　　要：目的调查手术室护士压力性损伤管理自我效能感现状并分析其影响因素,为提升护士压力性损伤管理自我效能水平、实施针对性干预提供参考。方法2022年6-8月,采用便利抽样法选取广西、四川、贵州、云南、新疆、重庆等地12所三级甲等医院的469名手术室护士作为研究对象。采用关怀行为量表、变革型领导量表、护理临床决策量表和护士压力性损伤管理自我效能感量表对其进行调查。结果469名被调查手术室护士的压力性损伤管理自我效能得分为(28.71±6.32)分。护士的工作年限,其关怀行为、感知的护士长变革型领导行为程度及护理临床决策评分均对其压力性损伤管理自我效能有影响(P<0.05),累计可解释总变异的39.8%。结论手术室护士压力性损伤管理自我效能处于中等偏上水平,护理管理者可通过实施变革型领导、建立良好的护理临床决策氛围等有效措施帮助护士提高压力性损伤管理自我效能。Objective To investigate the status quo of self⁃efficacy in pressure ulcer management and analyze its influencing factors among theatre nurses,so as to provide a reference for improving nurses'self⁃efficacy in pressure ulcer management and implementing targeted interventions.Methods From June to August 2022,a total of 469 theatre nurses were selected from 12 GradeⅢ⁃A hospitals in Guangxi,Sichuan,Guizhou,Yunnan,Xinjiang and Chongqing.The nurses were investigated with the Caring Behaviors Inventory,Transformational Leadership Questionnaire,Clinical Decision⁃Making in Nursing Scale and Pressure Ulcer Management Self⁃Efficacy Scale for Nurses.Results The score of self⁃efficacy in pressure ulcer management was(28.71±6.32)points for the 469 theatre nurses.Years of working,caring behaviors,the perceived degree of head nurses'transformational leadership and the score of clinical decision⁃making in nursing were influencing factors of nurses'self⁃efficacy in pressure ulcer management(P<0.05),which can explain 39.8%of the total variation.Conclusion Theatre nurses'self⁃efficacy in pressure ulcer management is above average.Nursing administrators can help nurses improve their self⁃efficacy in pressure ulcer management by implementing transformational leadership and creating a sound atmosphere for clinical decision⁃making in nursing.

关 键 词：压力性损伤 手术室护士 自我效能 临床决策 关怀行为 

分 类 号：R473[医药卫生—护理学]