儿科护士对《儿童动脉血气分析临床操作实践标准》的实践现况调查  

Investigation on clinical practice of the Clinical Practice Standards of Arterial Blood Gas Analysis for Children

作　　者：王雪静[1] 王亚楠 张琳琪[3] 曲斌[3] WANG Xuejing;WANG Yanan;ZHANG Linqi;QU Bin(Cardiac Surgery Department,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing,100045,China)

机构地区：[1]国家儿童医学中心首都医科大学附属北京儿童医院心脏外科,北京市100045 [2]国家儿童医学中心首都医科大学附属北京儿童医院耳鼻咽喉头颈外科 [3]国家儿童医学中心首都医科大学附属北京儿童医院护理部

出　　处：《中国护理管理》2023年第10期1481-1485,共5页Chinese Nursing Management

基　　金：首都医科大学附属北京儿童医院护理专项项目(YHL202011)。

摘　　要：目的:调查儿科护士对2020年发布的《儿童动脉血气分析临床操作实践标准》的临床实践现状,为提升儿童动脉血气标本采集护理质量提供依据。方法:于2022年8月—9月,采用便利抽样法,抽取全国范围内32所医疗机构的838名儿科护士为研究对象,采用自行编制的调查问卷进行儿童动脉血气分析临床操作实践现况调查。结果:调查中仅有28.64%的护士知晓患儿体温对于血气分析结果的影响;67.78%的护士知晓应在动脉血气操作前安抚患儿情绪,68.97%的护士知晓在桡动脉采血前应进行Allen试验/改良版Allen试验结果判定方法,80.31%的护士选择专业动脉采血器,90.69%的护士首选桡动脉进行动脉采血,6.44%的护士因动脉采血操作而发生至少1次针刺伤,80.67%的护士表示科室针对动脉采血操作进行培训或考核。结论:儿科护士对《儿童动脉血气分析临床操作实践标准》的整体掌握较好,大多数儿科护士对动脉血气分析相关知识掌握和临床实践水平有待提升,需要进一步培训与临床实践督导。Objective:To investigate the clinical practice status of pediatric nurses in Clinical Practice Standards of Arterial Blood Gas Analysis for Children issued in 2020.Methods:Totally 838 pediatric nurses from 32 medical institutions across the country were selected using convenience sampling method.A self-designed questionnaire based on the Clinical Practice Standards of Arterial Blood Gas Analysis for Children issued in 2020 was performed to investigate the current situation of clinical practice of arterial blood gas analysis for children.Results:Only 28.64%of nurses were aware of the impact of body temperature on blood analysis results,67.78%of nurses knew that they should appease the children's emotions before operation,68.97%of nurses knew the method for determining the results of Allen experiment/modified Allen experiment,80.31%of nurses chose professional arterial blood samplers,90.69%of nurses preferred radial artery for arterial blood collection,6.44%of nurses had at least one needle puncture incident due to arterial blood collection operations and 80.67%of nurses stated that they accepted training on arterial blood sampling operations.Conclusion:Pediatric nurses have a good overall practice in arterial blood gas analysis for children.The majority of pediatric nurses need to improve their knowledge and clinical practice of arterial blood gas analysis.Continued training and clinical practice improvement are still needed.

关 键 词：儿童 动脉血气分析 临床实践 横断面研究 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]