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中国贵州省ICU护士对体外膜肺氧合(ECMO)患者护理质量敏感指标的认知:一项横断面研究

ICU Nurses' Perception of Sensitive Indicators of Quality of Care for ECMO Patients in Guizhou Province, China: A Cross-Sectional Study.

作者信息

Cui An-Ni, Wang Yun, Li Ya-Ling, Li Zhang-Shuang-Zi, Xu Ao-Ran, Li Xin, Han Ya-Xian

机构信息

School of Nursing, Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.

Nursing Department, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2024 May 30;17:1417-1426. doi: 10.2147/RMHP.S453800. eCollection 2024.

Abstract

PURPOSE

This study aimed to investigate the cognitive evaluation level of ICU nurses in Guizhou Province, China, on the sensitivity indicators of nursing quality for ECMO patients.

PATIENTS AND METHODS

This was a cross-sectional observational study conducted in Guizhou Province, China, from May to July 2023, 259 ICU nurses were surveyed. Objective sampling method was used to select the participants from 10 hospitals in Guizhou Province that carried out ECMO. Data were collected through questionnaire survey. Two researchers checked and recorded Epidata 3.1. SPSS 25.0 was used for statistical analysis of the data, and frequency, mean and component ratio were used for descriptive statistical analysis. The importance rating was used to reflect the degree of nurses' agreement with the indicators.

RESULTS

The results of this study showed that 79.1% of the 253 ICU nurses in Guizhou Province, China, had not participated in training and courses related to indicators of quality of care evaluation for ECMO patients. The main way for ICU nurses to acquire knowledge related to indicators of quality of care sensitivity for ECMO patients was departmental training, which accounted for 87.4%. And the other ways, in descending order, were public, the matic lectures or academic conferences, journals and magazines; their evaluation scores of the importance of most of the quality of care sensitivity indicators for ECMO patients was moderate, with the scores ranging from 73 to 150. Among them, the range of importance evaluation scores for each indicator was 4.01 ~ 4.48.

CONCLUSION

The overall cognitive evaluation of ICU nurses in Guizhou Province, China, on most sensitivity indicators of quality of care for ECMO patients was moderate, and there is a general lack of systematic courses and training on the knowledge related to ECMO care quality sensitive indicators.

摘要

目的

本研究旨在调查中国贵州省重症监护病房(ICU)护士对体外膜肺氧合(ECMO)患者护理质量敏感性指标的认知评价水平。

患者与方法

这是一项于2023年5月至7月在中国贵州省进行的横断面观察性研究,共调查了259名ICU护士。采用目的抽样法从贵州省开展ECMO的10家医院中选取研究对象。通过问卷调查收集数据。两名研究人员检查并录入Epidata 3.1。使用SPSS 25.0对数据进行统计分析,采用频数、均值和构成比进行描述性统计分析。重要性评分用于反映护士对指标的认同程度。

结果

本研究结果显示,中国贵州省253名ICU护士中,79.1%未参加过与ECMO患者护理质量评价指标相关的培训和课程。ICU护士获取ECMO患者护理质量敏感性指标相关知识的主要途径是科室培训,占87.4%。其他途径按重要性从高到低依次为专题讲座或学术会议、公开发行的期刊杂志;他们对ECMO患者护理质量敏感性指标重要性的评价得分大多为中等,得分范围在73至150分之间。其中,各指标重要性评价得分范围为4.01~4.48。

结论

中国贵州省ICU护士对ECMO患者护理质量大多数敏感性指标的总体认知评价为中等,普遍缺乏关于ECMO护理质量敏感指标相关知识的系统课程和培训。

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本文引用的文献

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Extracorporeal Membrane Oxygenation.体外膜肺氧合。
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Extracorporeal Membrane Oxygenation Grows Up.体外膜肺氧合技术走向成熟。
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Nosocomial infections during extracorporeal membrane oxygenation.体外膜肺氧合期间的医院感染。
Curr Opin Crit Care. 2022 Oct 1;28(5):480-485. doi: 10.1097/MCC.0000000000000976. Epub 2022 Aug 10.
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Respiratory indications for ECMO: focus on COVID-19.体外膜肺氧合(ECMO)的呼吸适应证:重点关注 COVID-19。
Intensive Care Med. 2022 Oct;48(10):1326-1337. doi: 10.1007/s00134-022-06815-w. Epub 2022 Aug 9.

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