儿科患者外周静脉导管固定的当前做法以及影响儿科护士关于外周静脉导管固定的知识、态度和实践的因素：一项横断面研究。
Current practices of peripheral intravenous catheter fixation in pediatric patients and factors influencing pediatric nurses' knowledge, attitude and practice concerning peripheral intravenous catheter fixation: a cross-sectional study.
作者信息
Huang Li-Sha, Huang Yan, Hu Juan
机构信息
Department of Emergency Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University; Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Department of Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University; Key Laboratory of Birth Defects and Related Deceases of Woman and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
出版信息
BMC Nurs. 2021 Nov 23;20(1):236. doi: 10.1186/s12912-021-00758-1.
BACKGROUND
Peripheral intravenous catheters (PIVCs) are the most widely used intravenous treatment tools for hospitalized patients. Compared to adult patients, PIVC fixation issues are more likely to occur in pediatric patients and can be more complex. However, research on PIVC fixation in pediatric patients is rare. This study aimed to investigate the pass rate for PIVC fixation in pediatric patients and the factors that influence pediatric nurses' knowledge, attitude, and practice (KAP) concerning PIVC fixation.
METHODS
An on-site investigation using a self-designed PIVC fixation standard inspection checklist for first insertion and routine maintenance in pediatric patients and a follow-up questionnaire survey investigating pediatric nurses' KAP concerning PIVC fixation was conducted in a hospital in China between November 1 and December 31, 2019. Data were analyzed using SPSS 21.0.
RESULTS
The pass rate for PIVC fixation in pediatric patients was 52.02%. The pediatric nurses' knowledge, attitude and practice scores on PIVC fixation were 7.2 ± 1.36, 28.03 ± 2.42, and 31.73 ± 2.94, respectively. The multivariate linear regression analysis results show that department (where nurses are working in) and job position are the factors that influence knowledge score (B > 0, P < 0.05); department is also a factor that influences attitude score (B > 0, P < 0.05); and department and nursing hierarchy are the factors that influence practice score (B > 0, P < 0.05).
CONCLUSION
PIVC fixation in pediatric patients is affected by multiple factors. The level of pediatric nurses' KAP on PIVC fixation needs to be improved. It is suggested that guidelines for PIVC fixation in pediatric patients be formulated and that training on PIVC fixation in pediatric patients be provided for pediatric nurses in an effort to raise the pass rate in terms of PIVC fixation in pediatric patients.
背景
外周静脉导管（PIVC）是住院患者最广泛使用的静脉治疗工具。与成年患者相比，PIVC固定问题在儿科患者中更易发生且可能更复杂。然而，关于儿科患者PIVC固定的研究很少。本研究旨在调查儿科患者PIVC固定的合格率以及影响儿科护士关于PIVC固定的知识、态度和实践（KAP）的因素。
方法
2019年11月1日至12月31日期间，在中国一家医院进行了一项现场调查，使用自行设计的儿科患者首次插入和常规维护的PIVC固定标准检查清单，并进行了一项后续问卷调查，调查儿科护士关于PIVC固定的KAP。数据使用SPSS 21.0进行分析。
结果
儿科患者PIVC固定的合格率为52.02%。儿科护士关于PIVC固定的知识、态度和实践得分分别为7.2±1.36、28.03±2.42和31.73±2.94。多因素线性回归分析结果显示，科室（护士工作的科室）和职位是影响知识得分的因素（B>0，P<0.05）；科室也是影响态度得分的因素（B>0，P<0.05）；科室和护理层级是影响实践得分的因素（B>0，P<0.05）。
结论
儿科患者的PIVC固定受多种因素影响。儿科护士关于PIVC固定的KAP水平有待提高。建议制定儿科患者PIVC固定指南，并为儿科护士提供儿科患者PIVC固定培训，以提高儿科患者PIVC固定的合格率。
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