川东北地区临床医护人员ICU后综合征知信行关系研究  

Study on the relaticnship of knowledge,belief,and practice of clinical medical staff in post ICU syndrome in northeast Sichuan area equation model

作　　者：张红英[1] 罗艳芳[1] 周会兰[1] 李琼华[1] 陈颖 秦雪燕 ZHANG Hongying;LUO Yanfang;ZHOU Huilan;LI Qionghua;CHEN Ying;QIN Xueyan(Department of Critical Medicine,the Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院附属医院重症医学科,四川南充637000

出　　处：《护士进修杂志》2023年第20期1831-1834,共4页Journal of Nurses Training

基　　金：南充市社会科学研究"十四五"规划项目(编号:NC22B050)。

摘　　要：目的 探究川东北地区临床医护人员ICU后综合征的认知、态度与行为之间的关系和作用机制。方法 采用随机便利抽样法,于2021年11月-2022年1月对川东北地区公立医院572名临床医护人员,通过自行编制临床医护人员ICU后综合征认知、态度、行为表对其进行调查研究。结果 临床医护ICU后综合征知信行结构方程模型的χ2值为210.55,χ^(2)/df为3.57<5(P<0.001),拟合优度指数(GFI)为0.954,调整的拟合优度指数(AGFI)为0.912,近似误差均方根(RMSEA)为0.065,均方根残差(RMR)为0.047,结构模型各拟合指标均在理想标准值以内,拟合度良好。认知因素对行为的总效应系数为0.159,直接效应为-0.196,且通过态度的中介作用产生的间接效应为0.355,而态度对行为的直接效应为0.482。结论 川东北地区临床医护人员ICU后综合征的认知、态度对行为产生了积极的作用,临床医护人员的ICU后综合征认知对态度存在一定的正向作用,但认知对行为的直接作用是负向的,临床医护人员在ICU后综合征知行上存在一定程度上的差异性。Objective To explore the relationship and mechanism of knowledge,attitude,and behavior of post ICU syndrome among clinical doctors and nurses in northeast Sichuan area.Methods Using the random convenience sampling method,a total of 572 clinical doctors and nurses in public hospitals in northeast Sichuan area from November 2021 to January 2022 were investigated by the knowledge,attitude,and behavior table of clinical doctors and nurses on post ICU syndrome,which was compiled by themselves.Results Theχ2 value of structure equation model for knowledge,attitude,and behavior of post ICU syndrome among clinical doctors and nurses was 210.55,χ2/df was 3.57<5(P<0.001),the goodness of fit index(GFI)was 0.954,the adjusted goodness of fit index(AGFI)was 0.912,the root mean square error(RMSEA)was 0.065,and the root mean square residual error(RMR)was 0.047,each fitting index of the structural model was within the ideal standard value,and the fitting degree was good.The total effect coefficient of cognitive factors on behavior was 0.159,the direct effect was-0.196,and the indirect effect through the intermediary effect of attitude was 0.355,while the direct effect of attitude on behavior was 0.482.Conclusion The knowledge and attitude of post ICU syndrome of clinical doctors and nurses in northeast Sichuan have a positive effect on their behavior.The knowledge of post ICU syndrome of clinical doctors and nurses has a positive effect on their attitude,but the direct effect of knowledge on their behavior is negative.There is a certain degree of difference between clinical doctors and nurses in their knowledge and behavior of post ICU syndrome.

关 键 词：临床医护人员 ICU后综合征 知信行 结构方程模型 护理 

分 类 号：R471[医药卫生—护理学]