护士对卧床患者泌尿系统感染护理知识和态度的调查研究
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摘要
目的调查护士对卧床患者泌尿系统感染的护理知识和态度,为临床开展护士规范化培训、降低卧床患者泌尿系统感染发生率、提升临床护理质量提供依据。方法采用自行编制的《护士对卧床患者泌尿系统感染的护理知识、态度问卷》对广东省8所医院795名护士进行调查,得出护士对卧床患者泌尿系统感染护理知识、态度的现状,并比较不同特征护士泌尿系统感染护理知识、态度得分的差异。结果护士对卧床患者泌尿系统感染护理知识、态度总分分别为(9.49±1.06)分和(27.53±2.67)分,平均得分率分别为84.90%和86.03%。不同级别医院、是否为手术科室、最高学历、职称、职务护士的泌尿系统感染护理知识总分的比较,差异有统计学意义(P<0.05);不同级别医院护士的泌尿系统感染护理态度总分的比较,差异有统计学意义(P<0.05)。结论护士对卧床患者泌尿系统感染护理的知识、态度尚可。各级医院,尤其是一、二级医院应加强对护士的分级培训,同时,注重提高低职称、低学历、无职务护士的知识水平和预防意识。
Objective To explore clinical nurses' knowledge and attitude status on urinary tract infection prevention and intervention among bedridden patients,and to provide evidence for the standardized training in clinical practice. Methods A self-designed questionnaire for knowledge and attitude on urinary tract infection prevention and intervention was used to investigate 795 nurses selected by convenience sampling from eight hospitals in Guangdong Province. Results The overall average scores of knowledge and attitude were(9.49 ± 1.06) and(27.53 ±2.67),respectively,and the corresponding scoring rate were 84.90% and 86.03%. There was significant difference in knowledge score of nurses from different levels of hospitals,with different length of employment,educational background,professional title and post(P<0.05). There was significant difference in attitude score of nurses working in different levels of hospitals(P <0.05). Conclusion The overall level of nurses' knowledge and attitude on urinary tract infection prevention and nursing intervention among bedridden patients was relatively high. Training according to needs for different levels of nurses should be strengthened especially in primary and secondary hospitals. Knowledge and attitude towards prevention should be improved for nurses who have low professional title,low educational level,and no professional post.
Objective To explore clinical nurses' knowledge and attitude status on urinary tract infection prevention and intervention among bedridden patients,and to provide evidence for the standardized training in clinical practice. Methods A self-designed questionnaire for knowledge and attitude on urinary tract infection prevention and intervention was used to investigate 795 nurses selected by convenience sampling from eight hospitals in Guangdong Province. Results The overall average scores of knowledge and attitude were(9.49 ± 1.06) and(27.53 ±2.67),respectively,and the corresponding scoring rate were 84.90% and 86.03%. There was significant difference in knowledge score of nurses from different levels of hospitals,with different length of employment,educational background,professional title and post(P<0.05). There was significant difference in attitude score of nurses working in different levels of hospitals(P <0.05). Conclusion The overall level of nurses' knowledge and attitude on urinary tract infection prevention and nursing intervention among bedridden patients was relatively high. Training according to needs for different levels of nurses should be strengthened especially in primary and secondary hospitals. Knowledge and attitude towards prevention should be improved for nurses who have low professional title,low educational level,and no professional post.
引文
[1]American Association of Critical-Care Nurses.Prevention of catheter-associated urinary tract infections[J].Critical Care Nurse,2016,36(4):9-11.
[2]倪兴梅.留置导尿的临床护理研究现状[J].黑龙江医药,2012,25(4):655-658.
[3]Geerlings SE.Clinical presentations and epidemiology of urinary tract infections[J].Microbiol Spectr,2016,4(5):234-237.
[4]骆安德,苏美如,梁琼.导尿管相关尿路感染标准操作规程的临床应用效果[J].中华医院感染学杂志,2011,21(2):311-313.
[5]刘丁,陈萍,成瑶,等.留置导尿管患者泌尿道感染前瞻性研究[J].中国感染与化疗杂志,2007,7(6):432-434.
[6]Parker V,Giles M,Graham L,et al.Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection(CAUTI):a pre-post control intervention study[J].BMC Health Serv Res,2017,17(1):314.
[7]Fran觭ois M,Hanslik T,Dervaux B,et al.The economic burden of urinary tract infections in women visiting general practices in France:a cross-sectional survey[J].BMC Health Services Research,2016,16(1):36.
[8]倪桂珍,吴雄妹.长期卧床老年患者医院获得性尿路感染的临床分析[J].中华医院感染学杂志,2014,24(11):2711-2713.
[9]Gesmundo M.Enhancing nurses'knowledge on catheter-associated urinary tract infection(CAUTI)prevention[J].Kai Tiaki Nursing Research,2016,7(1):32-40.
[10]Jones K,Sibai J,Battjes R,et al.How and when nurses collect urine cultures on catheterized patients:a survey of 5hospitals[J].Am J Infect Control,2016,44(2):173-176.
[11]Hooton TM,Bradley SF,Cardenas DD,et al.Diagnosis,prevention,and treatment of catheter-associated urinary tract infection in adults:2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America[J].Clin Infect Dis,2010,50(5):625-663.
[12]邹鹤娟,李光辉.成人导管相关尿路感染的诊断、预防和治疗——2009年美国感染病学会国际临床实践指南[J].中国感染与化疗杂志,2010,10(5):321-324.
[13]胡力云.导尿管相关尿路感染预防指南的循证实践研究[D].北京:北京中医药大学,2016.
[14]李佳倩,曹晶,焦静,等.护士对卧床患者常见并发症护理知识和态度的多中心调查[J].中华护理杂志,2017,52(3):327-331.
[15]周文娟.骨科护士对卧床患者并发症知识态度的调查[J].护理学杂志,2017,32(2):47-48.
[16]李小寒,尚少梅.基础护理学[M].北京:人民卫生出版社,2012:419.
[17]Jain M,Dogra V,Mishra B,et al.Knowledge and attitude of doctors and nurses regarding indication for catheterization and prevention of catheter-associated urinary tract infection in a tertiary care hospital[J].Indian J Crit Care Med,2015,19(2):76-81.
[18]朱晨迪,胡必杰,高晓东,等.岗位培训对提升医院感染预防控制知识效果评价[J].中华医院感染学杂志,2015,25(11):2604-2606.
[19]蔡虻,刘聚源,郭红,等.医疗机构实施留置导尿管护理的临床实践调查[J].中国护理管理,2016,16(4):452-455.
[20]崔扬文,胡必杰,高晓东,等.ICU医护人员对科学预防控制医院感染认知度的调查[J].中华医院感染学杂志,2014,24(10):2554-2556.
[21]李佳倩.北京市综合医院护士对卧床患者常见并发症预防与护理知识、态度的现状研究[D].北京:北京协和医学院,2016.
[22]安艳芳.我国优质医疗资源分布特点与改善策略[J].中国卫生质量管理,2011,11(5):110-113.
[23]龚韩湘,吴泽墉,伍宝玲,等.广东省医疗卫生资源空间集聚特征评价分析[J].中国卫生经济,2017,17(5):52-55.
[24]柳青,刘颜,凌莉,等.广东省医疗资源配置的研究[J].中华医院管理杂志,2000,20(5):52-54.
[25]霍巧枣,张雯霞.不同学历护理人员医院感染知识掌握程度调查[J].中国护理管理,2008,8(4):60-62.
[26]苏日娜,张凯,海云婷,等.医护人员医院感染防控知识、态度、行为调查[J].中国感染控制杂志,2016,16(12):964-967.
[2]倪兴梅.留置导尿的临床护理研究现状[J].黑龙江医药,2012,25(4):655-658.
[3]Geerlings SE.Clinical presentations and epidemiology of urinary tract infections[J].Microbiol Spectr,2016,4(5):234-237.
[4]骆安德,苏美如,梁琼.导尿管相关尿路感染标准操作规程的临床应用效果[J].中华医院感染学杂志,2011,21(2):311-313.
[5]刘丁,陈萍,成瑶,等.留置导尿管患者泌尿道感染前瞻性研究[J].中国感染与化疗杂志,2007,7(6):432-434.
[6]Parker V,Giles M,Graham L,et al.Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection(CAUTI):a pre-post control intervention study[J].BMC Health Serv Res,2017,17(1):314.
[7]Fran觭ois M,Hanslik T,Dervaux B,et al.The economic burden of urinary tract infections in women visiting general practices in France:a cross-sectional survey[J].BMC Health Services Research,2016,16(1):36.
[8]倪桂珍,吴雄妹.长期卧床老年患者医院获得性尿路感染的临床分析[J].中华医院感染学杂志,2014,24(11):2711-2713.
[9]Gesmundo M.Enhancing nurses'knowledge on catheter-associated urinary tract infection(CAUTI)prevention[J].Kai Tiaki Nursing Research,2016,7(1):32-40.
[10]Jones K,Sibai J,Battjes R,et al.How and when nurses collect urine cultures on catheterized patients:a survey of 5hospitals[J].Am J Infect Control,2016,44(2):173-176.
[11]Hooton TM,Bradley SF,Cardenas DD,et al.Diagnosis,prevention,and treatment of catheter-associated urinary tract infection in adults:2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America[J].Clin Infect Dis,2010,50(5):625-663.
[12]邹鹤娟,李光辉.成人导管相关尿路感染的诊断、预防和治疗——2009年美国感染病学会国际临床实践指南[J].中国感染与化疗杂志,2010,10(5):321-324.
[13]胡力云.导尿管相关尿路感染预防指南的循证实践研究[D].北京:北京中医药大学,2016.
[14]李佳倩,曹晶,焦静,等.护士对卧床患者常见并发症护理知识和态度的多中心调查[J].中华护理杂志,2017,52(3):327-331.
[15]周文娟.骨科护士对卧床患者并发症知识态度的调查[J].护理学杂志,2017,32(2):47-48.
[16]李小寒,尚少梅.基础护理学[M].北京:人民卫生出版社,2012:419.
[17]Jain M,Dogra V,Mishra B,et al.Knowledge and attitude of doctors and nurses regarding indication for catheterization and prevention of catheter-associated urinary tract infection in a tertiary care hospital[J].Indian J Crit Care Med,2015,19(2):76-81.
[18]朱晨迪,胡必杰,高晓东,等.岗位培训对提升医院感染预防控制知识效果评价[J].中华医院感染学杂志,2015,25(11):2604-2606.
[19]蔡虻,刘聚源,郭红,等.医疗机构实施留置导尿管护理的临床实践调查[J].中国护理管理,2016,16(4):452-455.
[20]崔扬文,胡必杰,高晓东,等.ICU医护人员对科学预防控制医院感染认知度的调查[J].中华医院感染学杂志,2014,24(10):2554-2556.
[21]李佳倩.北京市综合医院护士对卧床患者常见并发症预防与护理知识、态度的现状研究[D].北京:北京协和医学院,2016.
[22]安艳芳.我国优质医疗资源分布特点与改善策略[J].中国卫生质量管理,2011,11(5):110-113.
[23]龚韩湘,吴泽墉,伍宝玲,等.广东省医疗卫生资源空间集聚特征评价分析[J].中国卫生经济,2017,17(5):52-55.
[24]柳青,刘颜,凌莉,等.广东省医疗资源配置的研究[J].中华医院管理杂志,2000,20(5):52-54.
[25]霍巧枣,张雯霞.不同学历护理人员医院感染知识掌握程度调查[J].中国护理管理,2008,8(4):60-62.
[26]苏日娜,张凯,海云婷,等.医护人员医院感染防控知识、态度、行为调查[J].中国感染控制杂志,2016,16(12):964-967.