主管:国家卫生健康委员会
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ICU护士气道管理现状及循证实践态度调查

魏征 吴佳铭 叶文成 郭一峰 郭爱敏   

  1. 北京协和医学院护理学院
  • 出版日期:2015-05-25 发布日期:2015-05-25
  • 基金资助:
    2013 年度大学生创新训练计划项目(2013zlgc0636)

Investigation and analysis on evidence-based practice of airway management among ICU nurses

  • Online:2015-05-25 Published:2015-05-25

摘要: 目的:描述ICU 护士气道管理现状及循证实践态度。方法:应用自行设计的气道管理现状及循证实践态度问卷,对347 名ICU 护士进行调查。结果:在吸痰管理、气囊管理、湿化管理、呼吸机管路管理4 个方面,操作完全符合指南要求的人数是0。其中,32.9% 的ICU 护士在气道湿化操作方面符合指南要求,在吸痰操作和气囊管理方面仅有9.2% 和9.8% 的护士符合指南要求。不同科室的ICU 护士对气囊管理的掌握情况存在统计学差异(P <0.05),是否获得专科护士证书的护士对湿化管理的掌握情况存在统计学差异(P <0.05)。结论:虽然ICU 护士对气道管理临床指南持积极态度,但气道管理现状欠佳。

Abstract: Objective: To investigate status of evidence-based practice in airway management among ICU nurses. Methods:A total of 347 ICU nurses from 3 hospitals and a training class for ICU nurses held by Chinese Nursing Association were recruited and investigated with self-designed questionnaire. Results: No one met all the requirements of airway management guidelines. Only 32.9% ICU nurses met the acquirements of airway humidification. Only 9.2% and 9.8% meet the acquirements of endotracheal suctioning and gasbag pressure monitoring. There was significant difference on correction rate for gasbag management among nurses from different departments. There was significant difference on correction rate for airway humidification among nurses got or did not get an ICU certificate (P﹤0.05). Conclusion: ICU nurses hold positive attitudes toward airway management guidelines wheras they are not frequently involved in evidence-based practice. Hospitals should provide evidence-based nursing education for ICU nurses and improve relevant resources so as to raise their awareness of EBN and improve their knowledge and skills.