中国西南部地区重症监护病房护士对重症超声的知识、态度和实践：一项横断面研究

Knowledge, Attitudes and Practices of Intensive Care Unit Nurses Regarding Critical Care Ultrasound: A Cross-Sectional Study in Southwestern China.

作者信息

Yang Lin, Lei Lei, Zhang Shuai, Zhang Xia, Xu Min

机构信息

Department of Pediatric Intensive Care Unit Nursing West China Second University Hospital, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

出版信息

Nurs Crit Care. 2025 Sep;30(5):e70170. doi: 10.1111/nicc.70170.

DOI:10.1111/nicc.70170

PMID:40931909

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12424015/

Abstract

BACKGROUND

Critical care ultrasound is a promising technology for assessment and operational assistance in critical care. However, research on its application in critical nursing remains limited in China.

AIM

Our aim was to evaluate the knowledge, attitudes and practices of intensive care unit (ICU) nurses regarding critical care ultrasound.

STUDY DESIGN

A cross-sectional, questionnaire-based study. Data were collected via an online survey from April 1 to April 30, 2023, across six hospitals in Southwestern China. A structured questionnaire on critical care ultrasound was administered to 404 ICU nurses. Scores were converted to a percentage scale, with ≤ 60% considered negative, < 80% intermediate and ≥ 80% excellent.

RESULTS

Overall, 64.4% (260/404) of nurses scored at an intermediate level. In the knowledge dimension, 70.8% (286/404) of nurses had negative scores; in the attitude dimension, 49.0% (198/404) of nurses had an intermediate attitude; in the practice dimension, 22.8% (92/404) of nurses struggled to effectively implement clinical practice. Univariate analysis revealed that nursing object (F = 11.520, p < 0.01), ICU classification (F = 3.613, p = 0.029) and education level (F = 4.765, p = 0.010) significantly influenced the scores of nurses' knowledge, attitudes and practices regarding critical care ultrasound. Multivariate analysis revealed surgical ICU classification significantly predicted lower scores versus general ICU in total scores (β = -0.189, 95% CI [-29.499, -4.850], p < 0.01). Paediatric cases showed reduced scores versus adults in total scores (β = -0.233, 95% CI [-12.638, -1.989], p < 0.01). Conversely, mixed adult-paediatric care demonstrated superior total scores (β = 0.182, 95% CI [0.710, 15.448], p < 0.01) versus adult-only care.

CONCLUSIONS

ICU nurses hold a positive attitude toward critical care ultrasound technology, generally believing that it can assist their work and improve patient outcomes. However, the current practical application of critical care ultrasound by ICU nurses is insufficient, particularly due to a lack of theoretical knowledge related to the technology.

RELEVANCE TO CLINICAL PRACTICE

These findings can assist nursing management in effectively developing future training programmes for critical care ultrasound, promoting its application and development in ICU nursing practice.

摘要

背景

重症超声是一种在重症监护中用于评估和操作辅助的有前景的技术。然而，其在中国重症护理中的应用研究仍然有限。

目的

我们的目的是评估重症监护病房（ICU）护士对重症超声的知识、态度和实践情况。

研究设计

一项基于问卷调查的横断面研究。于2023年4月1日至4月30日通过在线调查收集中国西南部六家医院的数据。对404名ICU护士进行了关于重症超声的结构化问卷调查。分数转换为百分比量表，≤60%为负面，<80%为中等，≥80%为优秀。

结果

总体而言，64.4%（260/404）的护士得分处于中等水平。在知识维度，70.8%（286/404）的护士得分呈负面；在态度维度，49.0%（198/404）的护士态度中等；在实践维度，22.8%（92/404）的护士难以有效实施临床实践。单因素分析显示，护理对象（F = 11.520，p < 0.01）、ICU分类（F = 3.613，p = 0.029）和教育水平（F = 4.765，p = 0.010）显著影响护士对重症超声的知识、态度和实践得分。多因素分析显示，与综合ICU相比，外科ICU分类在总分上显著预测较低得分（β = -0.189，95%CI [-29.499，-4.850]，p < 0.01）。儿科病例在总分上相对于成人得分降低（β = -0.233，95%CI [-12.638，-1.989]，p < 0.01）。相反，成人与儿科混合护理在总分上相对于仅成人护理表现出更高得分（β = 0.182，95%CI [0.710，15.448]，p < 0.01）。