注册护士对心电图节律的知识和解释:一个横截面研究
Jessie Ng1, Martin Christensen1
1School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR.
Nursing in critical care
|December 29, 2023
概括
注册护士在识别心电图 (ECG) 节律方面的知识很差,只有55%的问题被正确回答. 加强心电图解释教育和培训对于重症监护护士至关重要.
科学领域:
- 心脏病学 心脏病学
- 护理教育 护理教育
- 临床诊断 临床诊断 临床诊断
背景情况:
- 电心电图 (ECG) 监测是诊断心脏病的关键非侵入性工具.
- 与普通病房护士相比,重症监护护士预计将拥有先进的ECG解释技能.
- 然而,心电图解释能力因护理经验和重症监护环境而有所不同.
研究的目的:
- 评估注册护士识别和解释精选心电图节奏的知识.
- 评估重症监护和普通病房的护士们的ECG解释技能.
- 确定影响心电图解释准确性的因素,包括经验和专业化.
主要方法:
- 一项涉及105名注册护士在重症监护专业士课程的横截面研究.
- 使用20项多选项问卷评估心电图节奏和电解质异常识别.
- 为了招募参与者,采用了便利抽样.
主要成果:
- 总的来说,护士只回答了55%的ECG解释问题正确,这表明他们的知识很差.
- 冠状动脉护理护士获得了最高的分数 (12/20),明显优于其他护士 (p < .001).
- 护士们很难识别与低血和低磁血有关的心电图变化 (p = .748).
- 一个重症监护背景与心电图知识正相关 (r = .614,p < .001).
- 增加的护理经验与心电图解释精度的负相关性较弱 (r = -304,p = .002).
结论:
- 护士表现出对ECG节律识别和解释的知识不足.
- 需要对ECG识别和形态学的教育策略和培训进行翻新.
- 提高重症监护护士在检测微妙的心电图异常方面的能力对于患者护理至关重要.
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