麻醉复苏室护士对麻醉苏醒期风险认知和患者安全胜任力现状的影响因素分析  

Analysis of influencing factors on risk cognition and patient safety competence of nurses in post-anesthesia care unit

作　　者：陈丽丽 王丽丽[2] 徐维昉[2] 李丽[3] CHEN Lili;WANG Lili;XU Weifang;LI Li(College of Nursing,Xinjiang Medical University,Urumqi 830017,China;Department of Anesthesiology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Operating Room,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学护理学院,乌鲁木齐830017 [2]新疆医科大学第一附属医院麻醉科 [3]新疆医科大学第一附属医院中心手术室,乌鲁木齐830054

出　　处：《新疆医科大学学报》2024年第1期146-152,共7页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区卫生与健康适宜技术推广项目(SYTG-(国)202143);新疆围术期器官保护重点实验室(XJDX1411)。

摘　　要：目的研究麻醉复苏室(Post-anesthesia care unit,PACU)护士对麻醉苏醒期风险认知和患者安全胜任力现状,并分析麻醉苏醒期风险认知和患者安全胜任力相关性的影响因素。方法采用分层多阶段聚类抽样法于2022年6月-8月抽取新疆16所综合性医院的228名PACU护士为研究对象,采用电子问卷形式,问卷由一般资料、麻醉苏醒期风险认知调查问卷和患者安全胜任力护士评价量表组成,收集PACU护士对麻醉苏醒期风险认知和患者安全胜任力情况,分析患者安全胜任力和麻醉苏醒期风险认知的相关性及影响因素。结果PACU护士麻醉苏醒期风险认知总得分为(97.34±8.06)分,患者安全胜任力护士评价量表总得分为(148.72±11.80)分。在不同医院级别、学历、职称、麻醉护理工作年限、麻醉风险应急预案和麻醉风险培训频率PACU护士的患者安全胜任力和麻醉苏醒期风险认知差异均有统计学意义(P<0.05)。Pearson相关性分析显示,PACU护士麻醉苏醒期风险认知与患者安全胜任力各维度呈正相关(P<0.05)。多元线性回归分析显示,麻醉护理工作年限、职称、麻醉风险培训频率、苏醒期风险认知总分是PACU护士患者安全胜任力的影响因素(P均<0.05)。结论PACU护士的麻醉苏醒期风险认知和患者安全胜任力处于中等偏上水平,麻醉苏醒期风险认知水平的改善有助于PACU护士提高患者安全胜任力。Objective To analyze the current situation of nurses'risk perception and patient safety competency in anesthesia recovery unit(PACU),and to analyze the influencing factors of the correlation between risk perception and patient safety competency.Methods From June to August 2022,a total of 228 PACU nurses from 16 general hospitals in Xinjiang were selected as the research objects by using stratified multi-stage cluster sampling method.The electronic questionnaire consisted of general information,anesthesia recovery period risk perception questionnaire and patient safety competency Evaluation scale for nurses.The situation of PACU nurses'risk perception and patient safety competency during anesthesia recovery period was collected,and the correlation between patient safety competency and risk perception during anesthesia recovery period and the influencing factors were analyzed.Results The total score of PACU nurses'risk perception during anesthesia recovery period was(97.34±8.06),and the total score of nurse evaluation scale for patient safety competency was(148.72±11.80).There were statistically significant differences in patient safety competency and risk perception during anesthesia recovery period among PACU nurses with different hospital levels,educational backgrounds,professional titles,years of anesthesia nursing work,anesthesia risk emergency plans and anesthesia risk training frequencies(P<0.05).Pearson correlation analysis showed that PACU nurses'risk perception during anesthesia recovery period was positively correlated with each dimension of the patient safety competency(P<0.05).Multiple linear regression analysis showed that the influencing factors of patient safety competency of PACU nurses included the years of anesthesia nursing work,professional title,frequency of anesthesia risk training and total score of risk perception during the recovery period(all P<0.05).Conclusions The PACU nurses'risk perception and patient safety competency during anesthesia recovery period are at an upper middle level.T

关 键 词：麻醉复苏室 麻醉苏醒期 风险认知 患者安全胜任力 影响因素 

分 类 号：R473[医药卫生—护理学]