广东省48家医院耳鼻咽喉科护士外耳道冲洗技术管理现况研究  

Status survey on management of external auditory canal irrigation of otolaryngology nurse in 48 hospitals in Guangdong Province

作　　者：袁汝亚 邓彩苗 樊维佳 高淑芬 吴洁丽[1] 胡丽茎[2] Yuan Ruya;Deng Caimiao;Fan Weijia;Gao Shufen;Wu Jieli;Hu Lijing(Otolaryngology Department,the First Affiliated Hospital,Sun Yat-sen Hospital,Guangzhou,510080,China;Department of Nursing Administration,the First Affiliated Hospital,Sun Yat-sen Hospital,Guangzhou,510080,China;Otolaryngology Department,Guangzhou First People’s Hospital,Guangzhou,510180,China;Shenzhen Longgang Otolaryngology Hospital,Shenzhen,518172,China;Otolaryngology Department,the Affiliated Panyu Central Hospital of Guangzhou Medical University,Guangzhou,511400,China)

机构地区：[1]中山大学附属第一医院耳鼻咽喉科,广东广州510080 [2]中山大学附属第一医院护理部,广东广州510080 [3]广州市第一人民医院耳鼻咽喉科,广东广州510180 [4]深圳市龙岗区耳鼻咽喉医院,广东深圳518172 [5]广州医科大学附属番禺中心医院耳鼻咽喉科,广东广州511400

出　　处：《现代临床护理》2024年第6期1-7,共7页Modern Clinical Nursing

摘　　要：目的 探讨广东省耳鼻咽喉科护士外耳道冲洗技术的管理现状,为拟定和推广标准规范操作流程提供依据。方法 采用便利抽样法,2022年1月—2月,选取广东省21个地级市共48家医院耳鼻咽喉科护士长或护理骨干共48名,运用广东省护理学会耳鼻咽喉科专业委员会自制外耳道冲洗现状调查问卷,对外耳道冲洗知识掌握、外耳道冲洗操作过程管理、培训管理进行调查。结果 共回收有效问卷48份。(1)护士外耳道冲洗知识掌握状况:34名护士(70.8%)掌握外耳道冲洗操作适应证,38名护士(79.2%)掌握外耳道冲洗禁忌症;(2)外耳道冲洗操作过程管理状况:43家医院(89.6%)采用注射器作为冲洗器,24家医院(50.0%)采用一次性冲洗针作为冲洗接头,24家医院(50.0%)采用操作者或患者体表试温,37家医院(77.1%)根据患者反馈调控冲洗压力;(3)外耳道冲洗培训管理状况:35家医院(72.9%)未在冲洗前与患者签署知情同意书,29家医院(60.4%)有外耳道冲洗操作人员准入资质要求,45家医院(93.7%)有外耳道冲洗操作技术培训。结论 广东省耳鼻咽喉科护士外耳道冲洗知识有待提高,外耳道冲洗操作过程管理及培训管理有待规范统一。建议行业拟定外耳道冲洗规范,各医院加强操作人员的管理与培训,促进专科护理规范化发展。Objective To investigate current management of external auditory canal irrigation among the nurses in otolaryngology in Guangdong Province,and to provide a reference for development and promotion of a standardised procedure.Methods From January to February in 2022,a total of 48 head nurses or nursing backbone in otolaryngology department of 48 hospitals from 21 major cities in Guangdong Province were selected by convenience sampling.A questionnaire proposed by Otolaryngology Nursing Committee of Guangdong Nursing Association was used to investigate the knowledge,operation procedure and training management in external auditory canal irrigation.Results A total of 48 head nurses or nursing backbone responded to the survey.The survey revealed that 34(70.8%)of the participants had mastered the knowledge of external auditory canal irrigation and 38(79.2%)of them had mastered the knowledge on the irrigation indications.In terms of operation procedure,syringe was applied as irrigator in 43(89.6%)hospitals,disposable irrigation needle was applied as flushing connector in 24(50.0%)hospitals,body surface temperature test of operator or patient was carried out in 24(50.0%)hospitals and adjusted flushing pressure was applied according to patients’feedback in 37(77.1%)hospitals.Regarding the training of external auditory canal irritation,35(72.9%)hospitals did not ask patients to sign an informed consent before,29(60.4%)hospitals required qualifications for operator and 45(93.7%)hospitals had the training programs.Conclusions The knowledge of external auditory canal irrigation of otolaryngology nurses in Guangdong province needs to be improved.The management of procedure and training of external auditory canal irrigation shall be standardised.It is suggested that the profession should draw up the external auditory canal irrigation standard,and all hospitals strengthen the management and training in order to promote the standardisation of specialised nursing together.

关 键 词：外耳道冲洗技术 耳鼻咽喉科 广东省 现况研究 

分 类 号：R473.76[医药卫生—护理学]