中国福建省ICU护士对心电图解读的知识和态度:一个横截面研究
Salome E Buluba1, Jinyi He2,3, Hong Li1
1School of Nursing, Fujian Medical University, Fuzhou, Fujian, China.
Frontiers in medicine
|October 16, 2023
概括
中国的重症监护病房 (ICU) 护士表现出对心电图 (ECG) 解释的知识较低,尽管态度积极. 预先培训和频繁的解释与更好的心电图知识相关,突出强调需要加强心脏监测护理教育.
科学领域:
- 心脏病学 心脏病学
- 护理教育 护理教育
- 关键护理医学 关键护理医学
背景情况:
- 电心电图 (ECG) 对于监测心脏状况和为临床决策提供信息至关重要.
- 在重症监护机构的护士需要强大的心电图解释技能,以有效地管理患者.
- 评估护士的ECG知识和态度对于改善患者护理结果至关重要.
研究的目的:
- 调查中国福建省重症监护室 (ICU) 护士对心电图解释的知识和态度.
- 分析人口特征与ICU护士ECG解释知识水平之间的关系.
主要方法:
- 在福建省21家医院的357名ICU护士中进行了一项定量,横截面的在线调查.
- 数据是在2021年10月至12月期间采集的,采用有目的和方便的抽样.
- 采用二进制逻辑回归分析来确定心电图解释知识的预测因素,统计学意义设置为p < 0.05.
主要成果:
- 绝大多数 (70.9%) 的ICU护士表现出低水平的心电图知识,平均得分为5.95 (SD=2.14).
- 只有0.8%的护士正确回答了所有ECG解释问题.
- 虽然大多数护士对心电图解释有积极的态度,但超过一半 (61.6%) 推迟了医生的意见. 诸如先前的心电图训练,解释频率和特定的ICU单位等因素显著预测了知识水平.
结论:
- 福建省的ICU护士在ECG解释知识方面存在很大的差距.
- 护士应该将心电图解释视为其护理职责的组成部分,而不是仅仅依赖医生的意见.
- 建议有针对性的教育干预和持续培训,以提高护士的ECG解释技能和信心.
更多相关视频
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.3K
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
967
相关概念视频
01:28Electrocardiogram Fundamentals
614
Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
614
01:29Electrocardiogram
2.4K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.4K
01:25ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
22
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
22
01:26Cardiac Catheterization IV: Nursing Management
31
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
31
01:30Dysrhythmias V: Evaluating Dysrhythmias
41
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
41
01:30Pulse rhythm
815
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
815