护理人员预防外周中心静脉导管相关皮肤损伤知信行现状及影响因素分析  

Analysis of current situation and influencing factors of knowledge,attitude,and practice on preventing peripherally inserted central venous catheter-related skin injuries among nursing staff

作　　者：陈静 方水英 黄静 胡燕 陈小燕 张漾优 戴丽霞 CHEN Jing;FANG Shuiying;HUANG Jing;HU Yan;CHEN Xiaoyan;ZHANG Yangyou;DAI Lixia(Department of Internal Medicine,Shangrao Municipal Hospital,Jiangxi Province,Shangrao 334000,China)

机构地区：[1]江西省上饶市立医院内科,江西上饶334000

出　　处：《中国当代医药》2024年第32期123-126,131,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202410984)。

摘　　要：目的分析护理人员预防外周中心静脉导管(PICC)相关皮肤损伤知信行现状及其相关影响因素。方法采用便利抽样法选取2023年7月至10月上饶市立医院200名在职护理人员作为研究对象,采用PICC相关皮肤损伤知行问卷进行调查,比较不同特征护理人员知信行水平和其相关影响因素。结果200名护理人员PICC相关皮肤损伤知信行评分总分为(151.48±13.18)分。单因素分析结果显示,学历、是否为PICC专科护士、是否接受过PICC知识培训与知识维度评分有关,差异有统计学意义(P<0.05);学历、是否为PICC专科护士、是否接受过PICC知识考核与信念维度评分有关,差异有统计学意义(P<0.05);学历与行为维度评分有关,差异有统计学意义(P<0.05)。多元线性回归分析结果显示,学历(B=1.269,β=4.905,95%CI:1.157~10.936)、PICC专科护士(B=1.536,β=5.028,95%CI:1.213~17.789)、接受过PICC知识培训(B=1.364,β=4.984,95%CI:1.181~12.956)为护理人员预防PICC相关皮肤损伤知识维度评分的独立影响因素;学历(B=1.096,β=4.392,95%CI:1.073~8.340)、PICC专科护士(B=1.119,β=4.703,95%CI:1.114~8.418)、接受过PICC知识考核(B=1.551,β=5.038,95%CI:1.217~18.272)为护理人员预防PICC相关皮肤损伤信念维度评分的独立影响因素;学历(B=1.124,β=3.916,95%CI:1.011~9.368)为护理人员预防PICC相关皮肤损伤行为维度评分的独立影响因素。结论护理人员PICC相关皮肤损伤信念以及行为维度处于较高水平,但知识维度欠佳,临床应加强护理人员知识培训与考核,以降低PICC皮肤损伤发生率。Objective To analyze the current situation and its related influencing factors of knowledge,attitude,and practice on preventing peripherally inserted central venous catheter(PICC)-related skin injuries among nursing staff.Methods A total of 200 on-the-job nursing staff in Shangrao Municipal Hospital from July to October 2023 were selected as the research objects by convenient sampling method,and the knowledge,attitude,and practice of PICC-related skin injury questionnaire was used to investigate the knowledge,attitude,and practice level of nursing staff with different characteristics and the related influencing factors.Results The total score of PICC-related skin injury of the 200 nursing staff was(151.48±13.18)points.The results of univariate analysis showed that educational background,whether the nurse was a PICC specialist nurse and whether the nurse received PICC knowledge training were related to knowledge dimension score,and the differences were statistically significant(P<0.05).Educational background,whether the nurse was a PICC specialist nurse,and whether the nurse received PICC knowledge assessment were related to the score of attitude dimension score,and the differences were statistically significant(P<0.05).Educational background was related with practice dimension score,and the difference was statistically significant(P<0.05).The results of multiple linear regression analysis showed that educational background(B=1.269,β=4.905,95%CI:1.157-10.936),PICC nurses(B=1.536,β=5.028,95%CI:1.213-17.789),received PICC knowledge training(B=1.364,β=4.984,95%CI:1.181-12.956)were independent factors for nursing staff's knowledge dimension score on prevention of PICC-related skin injury.Educational background(B=1.096,β=4.392,95%CI:1.073-8.340),PICC nurses(B=1.119,β=4.703,95%CI:1.114-8.418),accepted PICC knowledge assessment(B=1.551,β=5.038,95%CI:1.217-18.272)were independent factors for nursing staff's belief dimension score in preventing PICC-related skin injury.Education(B=1.124,β=3.916,95%CI:1.011-9.368)wa

关 键 词：外周中心静脉导管 皮肤损伤 知信行 影响因素 

分 类 号：R473[医药卫生—护理学]