[1]石玉沄,夏姗姗,顾莺,等.儿科重症监护室护士中心静脉导管管理知识水平的多中心调查分析[J].军事护理,2023,40(02):24-27.[doi:10.3969/j.issn.2097-1826.2023.02.006]
 SHI Yuyun,XIA Shanshan,GU Ying,et al.Multicenter Investigation and Analysis of the Knowledge Level of Central Venous Catheter Management Among Nurses in Pediatric Intensive Care Unit[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(02):24-27.[doi:10.3969/j.issn.2097-1826.2023.02.006]
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儿科重症监护室护士中心静脉导管管理知识水平的多中心调查分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年02期
页码:
24-27
栏目:
论著
出版日期:
2023-02-15

文章信息/Info

Title:
Multicenter Investigation and Analysis of the Knowledge Level of Central Venous Catheter Management Among Nurses in Pediatric Intensive Care Unit
文章编号:
2097-1826(2023)02-0024-04
作者:
石玉沄1夏姗姗1顾莺2王文超3周红琴4徐红贞4王林娟5春晓6张淑萍7赵雅珣8丁亚平1
(1.国家儿童健康与疾病临床医学研究中心暨浙江大学医学院附属儿童医院儿童重症监护病房,浙江杭州310052; 2.复旦大学附属儿科医院护理部,上海201102; 3.复旦大学附属儿科医院急诊科; 4.国家儿童健康与疾病临床医学研究中心暨浙江大学医学院附属儿童医院护理部; 5.深圳市儿童医院儿童重症监护病房,广东深圳518000; 6.广州市妇女儿童医院儿童重症监护病房,广东广州510623; 7.厦门市儿童医院儿童重症监护病房,福建厦门361006; 8.安徽省儿童医院儿童重症监护病房,安徽合肥230022)
Author(s):
SHI Yuyun1XIA Shanshan1GU Ying2WANG Wenchao3ZHOU Hongqin4XU Hongzhen4WANG Linjuan5CHUN Xiao6Zhang Shuping7Zhao Yaxun8Ding Yaping1
(1.Pediatric Intensive Care Unit,National Clinical Research Center for Child Health and The Children's Hospital Zhejiang University School of Medicine,Hangzhou 310052,Zhejiang Province,China; 2.Department of Nursing,Pediatric Hospital Affiliated to Fudan University,Shanghai 201102,China; 3.Department of Emergency,Pediatric Hospital Affiliated to Fudan University; 4.Nursing Department,National Clinical Research Center for Child Health and The Children's Hospital Zhejiang University......)
关键词:
护士 儿科 中心静脉导管管理知识 儿科重症监护室
Keywords:
nurses pediatrics central venous catheter management knowledge pediatric intensive care unit(PICU)
分类号:
R473.72
DOI:
10.3969/j.issn.2097-1826.2023.02.006
文献标志码:
A
摘要:
目的 探讨儿科重症监护室(pediatric intensive care unit,PICU)护士中心静脉导管(central venous catheter,CVC)管理知识水平的现状及影响因素,为相关循证实践提供资料。方法 2019年11月,采用方便抽样法选择国内6省的6所三级甲等儿童医院的481名PICU护士为研究对象,对其进行CVC管理相关知识的调查。结果 481名PICU护士CVC管理知识正确率达60%及以上者295人,占61.4%。不同学历、职称、年龄、ICU工作年限的儿科ICU护士的CVC管理知识水平差异均有统计学意义(均P<0.05),多因素分析显示在同时考虑学历、职称、ICU工作年限及年龄的影响下,学历依然是儿科ICU护士CVC管理知识的影响因素(OR>1,P<0.05)。结论 建议加强CVC管理知识的相关教育培训,提高操作者对CVC管理知识的理论水平,从而提高CVC的护理质量。
Abstract:
Objective To understand the status quo of the knowledge level of central venous catheter(CVC)maintenance in pediatric intensive care unit(PICU)nurses,and to analyze its influencing factors,so as to provide baseline data for evidence-based practice in the future.Methods In November 2019,481 PICU nurses from 6 tertiary A children's hospitals in 6 provinces in China were selected as research objects by the convenient sampling method,and their knowledge of CVC management was investigated.Results The correct rate of CVC management knowledge of 481 PICU nurses was 60% or above,accounting for 61.4%.There were statistically significant differences in CVC management knowledge level among PICU nurses with different educational background,professional titles,ages and years of work in ICU(all P<0.05).Multivariate analysis showed that educational background was still the influencing factor of PICU nurses' CVC management knowledge when considering the influence of educational background,professional titles,years of work in ICU and ages(OR>1,P<0.05).Conclusions It is suggested to strengthen the education and training of CVC management knowledge,improve the theoretical level of operators' CVC management knowledge,so as to improve the nursing quality of CVC.

参考文献/References:

[1] 吕倩,赖晓全,魏诗晴,等.应用精细化防控措施降低中心静脉导管相关血流感染发病率[J].中国感染控制杂志,2022,21(4):363-367.
[2] 胡海平,张贝尔,单君.CVC穿刺置管表单在预防ICU导管相关性血流感染中的应用[J].护理研究,2018,32(23):95-98.
[3] 程凤,章新琼,胡少华,等.安徽省9所三甲医院ICU护士中心静脉导管维护知信行现状及影响因素分析[J].中华现代护理杂志,2022,28(15):2018-2023.
[4] RAHMAN M A.Central venous catheterization(primary and community care):infection control[EB/OL].[2021-01-22].http://ovidsp.tx.ovid.com/sp3.19.0a/ovidweb.cgi?&S=FIKLFPAJJBDDHPOFNCIKMFOBAPCBAA00&Complete+Referen ce=S.sh.75%7c1%7c1.
[5] KYLIE PORRITT B N.Central venous access device(CVAD):removal[EB/OL].[2021-01-22].http://ovidsp.tx.ovid.com/sp-3.19.0a/ovidweb.cgi.
[6] LONG KHANH-DAO L.Central venous catheter(CVC):Dressing and Flushing[EB/OL].The Joanna Briggs institute EPB Database.JBI 275.[2021-01-22].http://ovidsp.tx.ovid.com/sp-3.19.0a/ovidweb.cgi?&S=FIKLFPAJJBDDHPOFNCIKMFOB APCBAA00&Link+Set=S.sh.68%7c1%7csl_190.
[7] STEPHENSON M.Central Venous Catheter(CVC):maintaining patency[EB/OL].[2021-01-22].http://ovidsp.tx.ovid.com/sp-3.19.0a/ovidweb.cgi?&S=FIKLFPAJJBDDHPOFNCIKMFOBAPCBAA00&Complete+Reference=S.sh.55%7c1%7c1.
[8] STEPHENSON M.Central venous catheter(CVC):skin antisepsis[EB/OL].[2021-01-22].http://ovidsp.tx.ovid.com/sp-3.19.0a./ovidweb.cgi?&S=FIKLFPAJJBDDHPOFNCIKMFOBA PCBAA00&Complete+Reference=S.sh.68%7c4%7c1.
[9] 孙巧枝,徐海莉,李红,等.肿瘤科护士对 PICC血栓防治知识掌握情况的调查研究[J].中华护理教育,2019,16(8):617-620.
[10]傅唯佳,金芸,顾莺.儿科中心静脉导管移除的最佳证据应用[J].护理学研究,2017,31(27):3388-3392.
[11]KIM D K,GOTTESMAN M H,FORERO A,et al.The CVC removal distress syndrome:an unappreciated complication of central venous catheter removel[J].Am Surg,1998,64(4):344-347.
[12]XU B,ZHANG J,HOU J,et al.Nurses' attitudes and knowledge of peripherally inserted central catheter maintenance in primary hospitals in China:a cross-sectional survey[J].Risk Manag Healthc Policy,2020(13):903-913.
[13]吴伟勤,陈利芬,周雪梅,等.广东省护理人员中心静脉导管相关性血流感染的知识、态度、行为调查[J].中国护理管理,2017,17(5):678-681.
[14]邓美洁,顾颖,李伟人.ICU护士对医疗器械相关性压力性损伤知信行现状及影响因素分析[J].护士进修杂志,2020,35(12):1073-1079.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-09-27 【 修回日期 】 2022-12-04
【 基金项目 】 上海市地方高水平大学建设-循证护理创新研究院多中心循证创新实践项目(FNDGJ201904)
【 作者简介 】 石玉沄,本科,主管护师,电话:0571-86670684
【 通信作者 】 顾莺,电话:021-64931223
更新日期/Last Update: 2023-02-15