强化护理护士对侵入性机械通风的知识,态度和实践,以及对强化护理护士的断奶协议及其影响因素:一个横截面研究
Li Wang1, Yating Yu2, Yan Zhu3
1Department of NICU, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
PloS one
|March 6, 2026
概括
中国的ICU护士在侵入性机械通风 (IMV) 的协议断奶方面表现出适度的知识和实践,但具有积极的态度和对培训的高度意愿. 实施断奶计划和培训可以提高护士的参与和理解.
科学领域:
- 关键护理医学 关键护理医学
- 护理教育 护理教育
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 由护士或呼吸治疗师领导的协议断奶在国际上很常见,以减少机械通风的持续时间.
- 在中国,医生主导的断奶是主要的方法.
研究的目的:
- 评估中国三级医院重症监护室 (ICU) 护士关于侵入性机械通风 (IMV) 协议断奶的当前知识,态度和做法.
- 确定影响这些知识,态度和实践的因素.
主要方法:
- 在四川,重庆和南京30家三级医院的700名ICU护士中进行了横截面调查.
- 使用39项问卷收集数据,评估与协议断奶相关的知识,态度和做法.
- 统计分析包括t测试,ANOVA和使用IBM SPSS统计版本25的多重线性回归.
主要成果:
- 在643个有效答案中,86%的断奶过程是由医生领导的,而43%的护士缺乏工作后断奶培训.
- 护士报告了知识 (78.50 ± 16.67) 和实践 (76.53 ± 15.51) 的中等得分,但态度 (87.96 ± 10.76) 的得分更高.
- 在知识,态度和实践之间发现了显著的正相关性 (P < 0.01). 就业形式,断奶计划的存在,愿意接受培训,ICU类型和位置影响了知识,态度和实践成绩.
结论:
- 中国的ICU护士表现出适度的知识和实践水平,但对IMV协议化的断奶持积极态度.
- 显著的多数人表示愿意参加协议化的断奶培训.
- 制定协议化的断奶计划和提供有针对性的培训对于改善护士参与和了解断奶过程至关重要.
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