我国口腔颌面外科护士开展面神经功能训练的现状调查研究  

Investigation on the Current Situation of Facial Nerve Function Training Conducted by Oral and Maxillofacial Surgery Nurses in China

作　　者：朱淑连 李云 毕小琴[2] 叶扬 李红玉 黄秋雨[3] 赵芳[4] 王烨华[5] 罗姜 吴红梅[7] 吴玲 黄冬荷[9] 陈芸梅[1] ZHU Shulian;LI Yun;BI Xiaoqin;YE Yang;LI Hongyu;HUANGQiuyu;ZHAO Fang;WANG Yehua;LUO Jiang;WU Hongmei;WU Ling;HUANG Donghe;CHEN Yunmei(Department of Oral and Maxillofacial Surgery,the First Affiliated Hospital of Sun Yat-Sen University,Guangzhou Guangdong 510080,China;Department of Head and Neck Oncology,State Key Laboratory of Oral Diseases/National Center for Stomatology/National Clinical Research Center for Oral Diseases/West China Hospital of Stomatology,Sichuan University,Chengdu Sichuan 610041,China;Department of Oral and Maxillofacial Surgery,Hospital of Stomatology,Sun Yat-Sen University,Guangzhou Guangdong 510055,China;Department of Stomatology,Nanfang Hospital,Southern Medical University,Guangzhou Guangdong 510515,China;Department of Oral and Maxillofacial Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou He'nan 450052,China;Department of Nursing,Hu'nan Xiangya Stomatological Hospital Central South University/Xiangya School of Stomatology,Central South University,Changsha Hu'nan 410000,China;Department of Nursing,Stomatological College of Nanjing Medical University,Nanjing Jiangsu 210029,China;Department of Oral and Maxillofacial Trauma and Temporomandibular Joint Surgery,Hospital of Stomatology Wuhan University,Wuhan Hubei 430079,China;Department of Stomatological Center,the First People's Hospital of Foshan,Foshan Guangdong 528000,China)

机构地区：[1]中山大学附属第一医院口腔颌面外科,广东广州510080 [2]口腔疾病防治全国重点实验室/国家口腔医学中心/国家口腔疾病临床医学研究中心/四川大学华西口腔医院头颈肿瘤外科,四川成都610041 [3]中山大学附属口腔医院口腔颌面外科,广东广州510055 [4]南方医科大学南方医院口腔科,广东广州510515 [5]郑州大学第一附属医院口腔颌面外科,河南郑州450052 [6]湖南中南大学湘雅口腔医院/中南大学湘雅口腔医学院护理部,湖南长沙410000 [7]南京医科大学附属口腔医院护理部,江苏南京210029 [8]武汉大学口腔医院口腔颌面创伤与颞下颌关节外科,湖北武汉430079 [9]佛山市第一人民医院口腔医学中心,广东佛山528000

出　　处：《中国卫生标准管理》2024年第7期189-194,共6页China Health Standard Management

基　　金：四川省科普培训项目(2022JDKP0007);广东省卫生健康适宜技术推广项目(202303191228373053);广东省护理学会2023年度团体标准立项项目(粤护字[2023]3号)。

摘　　要：目的了解我国口腔颌面外科护士对周围性面瘫患者开展面神经功能训练的现状,分析其影响因素,为面神经功能训练规范的制订提供依据。方法2023年5月,采用整群抽样法对全国47家医院的612名口腔颌面外科护士进行调查,并分析其影响因素。结果收到612份有效问卷。知识培训维度:54.74%(335/612)护士接受过相关培训;知识条目回答的正确率为2.29%~29.08%;多元线性回归分析结果显示,科室学习、医院培训、文献自学、继续教育是护士培训效果的正向影响因素。护士态度维度:99.02%(606/612)的护士赞同开展训练,综合性医院护士的态度条目得分均高于专科医院,2组比较差异有统计学意义(P<0.05);多元线性回归分析结果显示,患者的知情同意、医护的临床判断、护士接受的培训、训练的临床疗效是护士开展态度的正向影响因素。临床应用维度:93.62%(44/47)的医院有收治面瘫患者;61.70%(29/47)的医院已开展训练,均为三级医院;在训练方法方面,开展辅助训练、主动训练及抗阻训练的护士占比分别是74.18%(454/612)、75.00%(459/612)及61.44%(376/612);多重响应分析结果显示,护士开展训练主要依据是诊疗指南及专家共识、面神经功能训练相关教材、技术规范、行业标准及团体标准,其累计百分比为67.90%。结论口腔颌面外科护士认可面神经功能训练的疗效,开展训练态度积极,但接受培训的机会较少,缺乏相关培训及临床实践指引,导致训练方法繁多、水平参差不齐、护士相关知识水平薄弱。因此,亟须形成统一的面神经功能训练规范,为临床的培训和实践提供指导依据。Objective To understand the current situation of facial nerve function training for peripheral facial paralysis patients,analyze the influencing factors,and provide a basis for the formulation of facial nerve function training norms.Methods In May 2023,a total of 612 oral and maxillofacial surgery nurses in 47 hospitals nationwide were investigated and the influencing factors were analyzed.Results A total of 612 valid questionnaires were received.The knowledge training dimension showed that 54.74%(335/612)of the nurses had received relevant training.The correct rate of answers to knowledge items ranged from 2.29% to 29.08%.Multiple linear regression analysis revealed that department learning,hospital training,literature self-study,and continuing education were positive factors affecting the effectiveness of nurse training.In terms of nurses'attitude dimension,99.02%(606/612)of the nurses agreed to the training.The attitude scores of general hospital nurses were higher than those of specialized hospitals,and the difference between the two groups was statistically significant(P<0.05).The results of multiple linear regression analysis indicated that patients'informed consent and clinical efficacy were positive influencing factors of nurses'attitude.Regarding the clinical application dimension,93.62%(44/47)of the hospitals admitted patients with facial paralysis,and 61.70%(29/47)of the hospitals provided training.All were tertiary hospitals.In terms of training methods,the proportion of nurses conducting auxiliary training,active training,and resistance training was 74.18%(454/612),75%(459/612),and 61.44%(376/612)respectively.The results of the multiple-response analysis showed that the training of nurses was primarily based on diagnosis and treatment guidelines,expert consensus,textbooks related to facial nerve function training,technical specifications,industry standards,and group standards.Its cumulative percentage was 67.90%.Conclusion Oral and maxillofacial surgery nurses recognize the efficacy of facial nerve f

关 键 词：口腔颌面外科护士 周围性面瘫 面神经功能训练 知识培训 护士态度 临床应用现状 

分 类 号：R473[医药卫生—护理学]