危重症患者喂养中的医护协作：一项多中心调查。
The physician-nurse collaboration in feeding critically ill patients: A multicenter survey.
作者信息
Mei Binbin, Wang Wenting, Shen Meifen, Cui Feifei, Wen Zunjia, Ding Jianping
机构信息
Department of Neurosurgery, the First Affiliated Hospital of Soochow University, School of Nursing Soochow University, 188 Shizi Street, Suzhou 215006, China.
Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou 215006, China.
出版信息
Appl Nurs Res. 2017 Aug;36:63-67. doi: 10.1016/j.apnr.2017.05.007. Epub 2017 May 28.
AIMS
Describe physician-nurse collaboration in feeding critically ill patients and explore the influence factors related to this collaboration, which can provide information for clinical practice and future studies.
BACKGROUND
Appropriate nutrition support is essential and significant for critically ill patients, and the importance of physician-nurse collaboration in other fields has been confirmed, yet there are limited studies put insights into the status of physician-nurse collaboration in feeding critically ill patients.
METHODS
A cross-sectional survey with a covering of 15 hospitals was conducted. A 21-item questionnaire was administered to physicians and nurses in critical care units. Descriptive statistics, univariate and multiple stepwise regression analysis were performed to evaluate the physician-nurse collaboration in feeding critically ill patients.
RESULTS
A total of 331 respondents completed the questionnaire. Nurses and physicians were found to have differing perceptions of the physician-nurse collaboration in feeding critically ill patients, with nurses reporting lower levels of collaboration. Nurses consistently gave more negative responses on every survey question compared with physicians. Age, education and clinical experience significantly influenced the nurses' perceptions of cooperation, and age, education, ICU type, and seniority affected the physicians' perceptions of collaboration.
CONCLUSIONS
Physicians, nurses and hospital administrators should highlight the physician-nurse collaboration in feeding critically ill patients and reinforce the cooperation based on potential influencing factors. Further research is required to establish feasible cooperative protocol and evaluate the effectiveness of the approach.
目的
描述医生与护士在为重症患者喂食方面的协作情况，并探讨与此协作相关的影响因素，为临床实践和未来研究提供信息。
背景
适当的营养支持对重症患者至关重要且意义重大，医生与护士在其他领域协作的重要性已得到证实，但针对医生与护士在为重症患者喂食方面的协作状况进行深入研究的较少。
方法
开展了一项涵盖15家医院的横断面调查。向重症监护病房的医生和护士发放了一份包含21个条目的问卷。进行描述性统计、单因素和多因素逐步回归分析，以评估医生与护士在为重症患者喂食方面的协作情况。
结果
共有331名受访者完成了问卷。发现护士和医生对医生与护士在为重症患者喂食方面的协作看法不同，护士报告的协作水平较低。与医生相比，护士在每个调查问题上的负面回答始终更多。年龄、教育程度和临床经验显著影响护士对协作的看法，年龄、教育程度、重症监护病房类型和资历则影响医生对协作的看法。
结论
医生、护士和医院管理人员应重视医生与护士在为重症患者喂食方面的协作，并根据潜在影响因素加强合作。需要进一步研究以制定可行的合作方案并评估该方法的有效性。
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