Sun Shanshan, Tao Lei, Yang Lin, Zhang Zhigang
Department of Critical Care Medicine, The First Hospital of Lanzhou University, School of Nursing, Lanzhou University, Lanzhou, Gansu 730000, China.
Sias University, Zhengzhou, Henan 450000, China.
J Nurs Manag. 2024 May 31;2024:9981458. doi: 10.1155/2024/9981458. eCollection 2024.
The aim of this study was to understand the current status of knowledge-attitude-practice of ICU nurses in tertiary care hospitals regarding swallowing disorders after extubation of tracheally intubated patients and to analyse the influencing factors.
A cross-sectional study.
Most patients admitted to the ICU have an endotracheal tube, which may be the cause of acute and/or chronic problems after extubation. Therefore, training of ICU nurses and early extubation are essential to prevent these problems.
A convenience sample of clinical nurses ( = 627) was selected from Grade A Hospitals in Northwest, North, and Central China as the study population. Survey instruments included the Questionnaire on ICU Nurses' Knowledge, Attitude, and Practice of Postextubation Swallowing Disorders in Patients with Tracheal Intubation. . Data were sourced from structured questionnaire responses.
A total of 647 ICU nurses participated in this survey, with 627 valid questionnaires. The three dimensions of knowledge, attitude, practice, and the total score of the questionnaire on ICU nurses' knowledge, attitude, and practice of postextubation swallowing disorders in patients with tracheal intubation were (6.46±3.09), (7.53±1.69), (4.89±2.00), and (18.88±5.18), respectively. Multiple linear regression analysis showed that the factors affecting the total score of PED among ICU nurses were age, nationality, professional title, job satisfaction, and mode of employment. Gender, age, nationality, and job satisfaction were the factors that influenced the score of knowledge. The influencing factors of attitude score include gender, age, nationality, section, professional title, job satisfaction, and mode of employment. The influencing factors of the score of knowledge include professional title and job satisfaction.
The current status of ICU nurses' knowledge-attitude-practice regarding postextubation dysphagia in tracheally intubated patients is generally at a moderate to low level, and the level of knowledge-attitude-practice needs to be further improved. . The results of the study showed that the knowledge, attitude, and practice of ICU nurses towards tracheal intubation patients' postextubation dysphagia were in the lower middle level. Therefore, it is necessary to improve the knowledge, attitude, and practice of ICU nurses towards tracheal intubation patients' postextubation dysphagia. This may include, but is not limited to, the development of tools for assessing PED, systematic and professional training, and the development of multidisciplinary collaborative models.
本研究旨在了解三级甲等医院重症监护病房（ICU）护士对气管插管患者拔管后吞咽障碍的知识-态度-行为现状，并分析影响因素。
横断面研究。
大多数入住ICU的患者都有气管插管，这可能是拔管后急性和/或慢性问题的原因。因此，对ICU护士进行培训和早期拔管对于预防这些问题至关重要。
从中国西北、华北和中部地区的甲级医院选取临床护士（n = 627）作为便利样本作为研究对象。调查工具包括《气管插管患者拔管后吞咽障碍ICU护士知识、态度和行为问卷》。数据来源于结构化问卷的回答。
共有647名ICU护士参与本次调查，获得有效问卷627份。气管插管患者拔管后吞咽障碍ICU护士知识、态度、行为问卷的知识、态度、行为三个维度及总分分别为（6.46±3.09）、（7.53±1.69）、（4.89±2.00）和（18.88±5.18）。多元线性回归分析显示，影响ICU护士PED总分的因素为年龄、民族、职称、工作满意度和就业方式。性别、年龄、民族和工作满意度是影响知识得分的因素。态度得分的影响因素包括性别、年龄、民族、科室、职称、工作满意度和就业方式。知识得分的影响因素包括职称和工作满意度。
ICU护士对气管插管患者拔管后吞咽困难的知识-态度-行为现状总体处于中低水平，知识-态度-行为水平有待进一步提高。研究结果表明，ICU护士对气管插管患者拔管后吞咽困难的知识、态度和行为处于中下水平。因此，有必要提高ICU护士对气管插管患者拔管后吞咽困难的知识、态度和行为。这可能包括但不限于开发评估PED的工具、系统的专业培训以及多学科协作模式的开发。
