儿科重症监护护士腹内压监测知信行的现状调查  

Knowledge,attitudes,and practices(KAP)regarding intra-abdominal pressure monitoring among pediatric intensive care nurses:A crosssectional study

作　　者：李志茹 卢芳燕 戴燕红 盛美君 苏丽丹 姚萍 王华芬 Zhiru Li;Fangyan Lu;Yanhong Dai;Meijun Sheng;Lidan Su;Ping Yao;Huafen Wang(Department of Nursing,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,China;Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,China;Surgical Intensive Care Unit,Children’s Hospital,Zhejiang University School of Medicine,Hangzhou,China;Pediatric Intensive Care Unit,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China;Pediatric Intensive Care Unit,Huzhou Central Hospital,Huzhou,China)

机构地区：[1]Department of Nursing,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,China [2]Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,China [3]Surgical Intensive Care Unit,Children’s Hospital,Zhejiang University School of Medicine,Hangzhou,China [4]Pediatric Intensive Care Unit,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China [5]Pediatric Intensive Care Unit,Huzhou Central Hospital,Huzhou,China

出　　处：《International Journal of Nursing Sciences》2024年第3期381-386,I0005,共7页国际护理科学（英文）

基　　金：supported by Zhejiang Provincial Basic Public Welfare Research Program(Grant Number:LTGY23H030004)。

摘　　要：目的旨在评估儿科重症监护护士对腹内压监测的知识、态度和实践现状及培训需求,为临床制订相关培训方案和操作流程提供参考依据。方法采用横断面调查法。2023年4月-6月选取浙江省8所三级甲等医院212名儿科重症监护护士为研究对象。采用自行编制的腹内压监测知信行评估问卷进行调查,包括知识(14个条目)、态度(6个条目)和实践(8个条目)3个维度,共28个条目。结果护士问卷总分为(60.73±8.35)分;知识维度得分为(7.84±2.35)分,得分率为56.0%;态度维度得分为(25.16±3.23)分,得分率为83.9%;实践维度得分为(28.44±6.46)分,得分率为69.3%。接受过腹内压监测培训的护士问卷总分、知识和行为维度得分均高于未接受培训的护士;年龄≤30岁的护士知识维度得分高于年龄>30岁的护士(P<0.05)。55.7%的护士认为目前的知识不足以有效地进行腹内压监测。难以识别腹内高压高危人群(64.6%)、不熟悉腹内压测量的操作流程(55.6%)和护患比分配不合理(52.8%)是护士实施腹内压监测的主要障碍因素。结论儿科重症监护护士对腹内压监测持积极的态度,但其知识水平和实践行为仍有待加强,特别是对已发表的共识定义、腹内压测量方法和监测频率方面的知识是不充分的。护理管理人员要根据护士的培训需求和实施腹内压监测的潜在障碍因素,实施针对性的腹内压监测培训方案,以促进腹内压监测的标准化和科学性。Objectives:This study aimed to assess the knowledge,attitudes,and practices(KAP)and the training requirements of pediatric intensive care nurses regarding intra-abdominal pressure(IAP)monitoring,in order to provide a reference for the development of relevant training programs and operational procedures in clinical practice.Methods:This descriptive cross-sectional survey was conducted from April 2023 to June 2023.A convenience sample was created by recruiting 212 pediatric intensive care nurses in eight hospitals in Zhejiang Province.A self-developed IAP monitoring KAP assessment tool was used for evaluation,which included knowledge(14 items),attitude(6 items),and practice(8 items),three dimensions,28 items.Results:The overall KAP score was 60.73±8.35;the knowledge score was 7.84±2.35,with a scoring rate of 56.0%;the attitude score was 25.16±3.23,with a scoring rate of 83.9%;and the practice score was 28.44±6.46,with a scoring rate of 69.3%.Nurses wh-o have received IAP monitoring training have higher KAP score,knowledge score and practice score than those who have not received it(P<0.05).Nurses aged30 showed better knowledge of IAP monitoring than those aged>30(P<0.05).Among the participants,55.7%of the nurses believed the current knowledge was insufficient to perform IAP measurement effectively.Difficulty in identifying the high-risk population of intra-abdominal hypertension(IAH)(64.6%),unfamiliarity with the operation process of IAP measurement(55.6%),and unreasonable nurse-patient ratio allocation(52.8%)were the main obstacles for nurses to monitor IAP.Conclusions:Pediatric intensive care nurses have a positive attitude towards IAP monitoring,but the knowledge level and practical behavior still need to be strengthened.In particular,the knowledge of published consensus definitions,measurement techniques,and frequency for IAP monitoring is inadequate.It is necessary to implement tailored IAP monitoring training based on their training needs and potential obstacles to promote the standardization and scientif

关 键 词：态度 重症监护室 腹内压 知识 监测 护理人员 儿科 行为 

分 类 号：R473.72[医药卫生—护理学]