儿童专科医院护士中心静脉导管相关血流感染预防知信行调查  

Investigation on Nurses' Knowledge, Attitude and Practice of Preventing Central Line-Associated Bloodstream Infection in Children's Hospital

作　　者：管萍 陈珺[1] 孙月 沈玲娣 孙霁雯 罗雯懿[1] GUAN Ping;CHEN Jun;SUN Yue(Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,Shanghai,200127,China;不详)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心,上海200127

出　　处：《中国卫生质量管理》2024年第6期50-56,共7页Chinese Health Quality Management

基　　金：市级医院诊疗技术推广及优化管理项目资助(编号:SHDC12023617)。

摘　　要：目的调查儿童专科医院护士中心静脉导管相关血流感染(CLABSI)知信行现状,分析影响因素,为降低CLABSI发生率提供参考。方法便利选取3家三甲儿童专科医院1112名护士进行问卷调查。采用Kruskal-Wallis H检验进行单因素分析,使用多元线性回归进行多因素分析。结果儿童专科医院护士CLABSI预防知信行总得分率为88.27%,知识、态度和行为维度得分率分别为82.71%、95.20%、90.05%。最高学历、医院是否有预防CLABSI的标准操作规程、是否接受过中心静脉导管留置和维护操作的规范化培训是知识维度的影响因素(均P<0.05);医院类别、医院对CLABSI预防的重视程度、是否接受过CLABSI预防相关知识培训是态度和行为维度的影响因素(均P<0.05)。结论儿童专科医院护士对CLABSI预防的态度和行为积极,但知识水平较低。医院应结合实际制订CLABSI防控策略,建立标准操作规程,加大对低学历护士培训力度。Objective To investigate the current status of nurses'knowledge,attitude and practice about central line-associated bloodstream infection(CLABSI)in children's hospitals,and to analyze influencing factors to provide reference for reducing the incidence of CLABSI.Methods The convenience sampling method was used to select 1112 nurses from 3 Grade-III-A children's specialist hospitals for questionnaire survey.The Kruskal-Wallis H test was used for single factor analysis and multiple linear regression was used for multiple factor analysis.Results The total score rate of nurses on CLABSI prevention was 88.27%,and the score rate of knowledge,attitude and practice dimensions were 82.71%,95.20%and 90.05%,respectively.The highest educational level,having standard operation procedure for the prevention of CLABSI,and receiving education and training on central venous catheter placement and maintenance practices were the influencing factors of the knowledge dimension(all P<0.05);hospital category,how much importance you think your hospital attaches to CLABSI prevention,and whether or not you have received education and training on CLABSI prevention were the influencing factors of the attitudinal and practice dimensions(all P<0.05).Conclusion Nurses in children's hospitals had more positive attitudes and good practice toward CLABSI prevention,but their knowledge was poor.Hospitals should formulate CLABSI prevention and control strategies based on the actual situation,establish standard operating procedures,strengthen the training of nurses with low education.

关 键 词：中心静脉导管 导管相关血流感染 儿童专科医院 护士 知识 信念 行为 

分 类 号：R47[医药卫生—护理学]