对ICU护士在口腔护理方面的知识,态度和实践进行随机森林分析,以预防呼吸机相关的肺炎
Li SuWen1, Huang YuYang1, Wang Fengzhen2
1Department of Nursing, Gannan Medical University, Ganzhou, Jiangxi, China.
Nursing in critical care
|February 25, 2025
概括
重症监护病房 (ICU) 护士的态度是积极的,但在预防呼吸机相关肺炎 (VAP) 的口腔护理方面,知识和实践存在差距. 有针对性的教育和标准化的协议对于改善患者的治疗结果至关重要.
科学领域:
- 护理研究 护理研究
- 预防感染 预防感染
- 临界护理医学 临界护理医学
背景情况:
- 在重症监护室 (ICU) 患者中,口腔护理对于预防呼吸机相关肺炎 (VAP) 至关重要.
- 密集护理护士是提供口腔护理的关键,但面临着知识差距和不一致的做法等挑战.
研究的目的:
- 评估ICU护士关于通过口腔护理预防VAP的知识,态度和实践 (KAP).
- 通过随机森林分析来确定影响这些KAP变化的人口因素.
主要方法:
- 一项多中心横截面研究调查了291名ICU护士,使用比例分层抽样.
- 利克特尺度问卷评估了KAP,通过统计分析,包括随机森林模型来确定人口预测因素.
主要成果:
- 平均KAP分数:知识 (27.34±4.53),态度 (31.89±4.24) 和实践 (43.13±9.0) 的情况.
- 学术称号,专业地位,性别,ICU任期和部门显著预测了KAP.
- 障碍包括缺乏正式培训,时间限制和有限的资源.
结论:
- 集中治疗室护士表现出积极的态度,但在VAP预防方面的知识和实践中存在重大差距.
- 针对经验较少和资质较低的护士的有针对性的教育,以及标准化的协议,对于改善口腔护理和减少VAP发生率至关重要.
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