Li Zhiru, Lu Fangyan, Dai Yanhong, Sheng Meijun, Su Lidan, Yao Ping, Wang Huafen
Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Int J Nurs Sci. 2024 May 31;11(3):381-386. doi: 10.1016/j.ijnss.2024.05.002. eCollection 2024 Jul.
This study aimed to assess the knowledge, attitudes, and practices (KAP) and the training requirements of pediatric intensive care nurses regarding intra-abdominal pressure (IAP) monitoring, in order to provide a reference for the development of relevant training programs and operational procedures in clinical practice.
This descriptive cross-sectional survey was conducted from April 2023 to June 2023. A convenience sample was created by recruiting 212 pediatric intensive care nurses in eight hospitals in Zhejiang Province. A self-developed IAP monitoring KAP assessment tool was used for evaluation, which included knowledge (14 items), attitude (6 items), and practice (8 items), three dimensions, 28 items.
The overall KAP score was 60.73 ± 8.35; the knowledge score was 7.84 ± 2.35, with a scoring rate of 56.0%; the attitude score was 25.16 ± 3.23, with a scoring rate of 83.9%; and the practice score was 28.44 ± 6.46, with a scoring rate of 69.3%. Nurses wh-o have received IAP monitoring training have higher KAP score, knowledge score and practice score than those who have not received it ( < 0.05). Nurses aged ≤ 30 showed better knowledge of IAP monitoring than those aged > 30 ( < 0.05). Among the participants, 55.7% of the nurses believed the current knowledge was insufficient to perform IAP measurement effectively. Difficulty in identifying the high-risk population of intra-abdominal hypertension (IAH) (64.6%), unfamiliarity with the operation process of IAP measurement (55.6%), and unreasonable nurse-patient ratio allocation (52.8%) were the main obstacles for nurses to monitor IAP.
Pediatric intensive care nurses have a positive attitude towards IAP monitoring, but the knowledge level and practical behavior still need to be strengthened. In particular, the knowledge of published consensus definitions, measurement techniques, and frequency for IAP monitoring is inadequate. It is necessary to implement tailored IAP monitoring training based on their training needs and potential obstacles to promote the standardization and scientificity of IAP monitoring.
本研究旨在评估儿科重症监护护士关于腹内压（IAP）监测的知识、态度和实践（KAP）以及培训需求，以便为临床实践中相关培训项目和操作流程的制定提供参考。
本描述性横断面调查于2023年4月至2023年6月进行。通过招募浙江省8家医院的212名儿科重症监护护士创建了一个便利样本。使用自行开发的IAP监测KAP评估工具进行评估，该工具包括知识（14项）、态度（6项）和实践（8项）三个维度，共28项。
KAP总体得分为60.73±8.35；知识得分为7.84±2.35，得分率为56.0%；态度得分为25.16±3.23，得分率为83.9%；实践得分为28.44±6.46，得分率为69.3%。接受过IAP监测培训的护士的KAP得分、知识得分和实践得分高于未接受过培训的护士（P<0.05）。年龄≤30岁的护士对IAP监测的知识掌握情况优于年龄>30岁的护士（P<0.05）。在参与者中，55.7%的护士认为当前的知识不足以有效进行IAP测量。难以识别腹内高压（IAH）高危人群（64.6%）、不熟悉IAP测量操作流程（55.6%）以及护士与患者比例分配不合理（52.8%）是护士进行IAP监测的主要障碍。
儿科重症监护护士对IAP监测态度积极，但知识水平和实践行为仍需加强。特别是关于已发表的IAP监测共识定义、测量技术和频率的知识不足。有必要根据他们的培训需求和潜在障碍实施针对性的IAP监测培训，以促进IAP监测的标准化和科学性。
