[1]杨子晴,谢红珍,邓小玲,等.广东省护士非计划性拔管预防认知与个体和组织行为差异的研究[J].军事护理,2021,38(02):18-21.[doi:10.3969/j.issn.1008-9993.2021.02.005]
　YANG Ziqing,XIE Hongzhen,DENG Xiaoling,et al.Unplanned Extubation of Nurses in Guangdong Province: A Study on the Cognition Difference and Individual and Organizational Behavior[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(02):18-21.[doi:10.3969/j.issn.1008-9993.2021.02.005]
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广东省护士非计划性拔管预防认知与个体和组织行为差异的研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年02期
页码:
18-21
栏目:
论著
出版日期:
2021-02-15

文章信息/Info

Title:
Unplanned Extubation of Nurses in Guangdong Province: A Study on the Cognition Difference and Individual and Organizational Behavior
文章编号:
1008-9993(2021)02-0018-04
作者:
杨子晴1; 2; 谢红珍2; 邓小玲2; 陈煌2; 李敏1; 朱文静1; 李凤1; 陈垦1
(1.广东药科大学 护理学院,广东 广州 510310; 2.解放军南部战区总医院 护理部,广东 广州 510010)
Author(s):
YANG Ziqing1; 2; XIE Hongzhen2; DENG Xiaoling2; CHEN Huang2; LI Min1; ZHU Wenjing1; LI Feng1; CHEN Ken1
(1.School of Nursing,Guangdong Pharmaceutical University,Guangzhou 510310,Guangdong Province,China; 2.Department of Nursing,General Hospital of Southern Theatre Command,Guangzhou 510010,Guangdong Province,China)
关键词:
非计划性拔管;  认知;  行为;  护理管理
Keywords:
unplanned extubation;  cognition;  behavior;  nursing management
分类号:
R472.9
DOI:
10.3969/j.issn.1008-9993.2021.02.005
文献标志码:
A
摘要:
目的 探讨广东省护士对非计划性拔管(unplanned extubation,UEX)认知态度与个人和组织行为之间的差异。方法 2018年5-8月,便利抽样法选取广东106所不同等级医院的护士为研究对象,采用自行设计的问卷对其进行调查,了解其所在科室UEX发生情况、时机和原因; 护士对UEX预防措施的认知态度与临床行为的差异; 护士对医院UEX预防管理制度的认知态度与医院落实的差异。结果 过去1年中,67.9%被调查者表示所在科室发生过UEX,106所医院共发生UEX 2846例。UEX发生的时机中,家属陪护时占比最高,达到35.4%。患者烦躁、缺乏认知能力、管道不耐受是患者方面发生UEX的常见原因。护士对参加培训、滑脱风险评估、减轻插管不适、疼痛管理、健康宣教、管道固定、有效约束和UEX主动呈报的认知与行为差异有统计学意义(均P<0.05)。护士对建立呈报制度、制定应急预案、成立防范监测小组和定期分析通报的认知与医院管理制度落实的差异有统计学意义(均P<0.05)。结论 护士对UEX预防措施和医院预防管理制度的认知优于执行,采取综合措施确保个体和组织知行合一,才能真正降低UEX率。
Abstract:
Objective To explore the differences between nurses' cognitive attitudes towards unplanned extubation(UEX)and individual and hospital organizational behaviors,and to provide targeted reference suggestions for fundamentally reducing the incidence.Methods From May to August 2018,nurses from 106 hospitals of different levels in Guangdong Province were selected as research subjects by convenience sampling method.Self-designed questionnaires were used to investigate the situations and causes of UEX in their departments,nurses' cognitive attitude and clinical behavior on preventive measures of UEX,differences between nurses' cognition and attitude towards hospital UEX prevention management system and hospital implementation.Results In the past one year,67.9% of respondents said that there were UEX in their departments,with a total of 2846 cases.Among the occurrence times of UEX,the time of accompanying family members accounted for the highest proportion,up to 35.4%.Patients with irritability,lack of cognitive ability,and pipeline intolerance were the common causes of UEX. At the individual level,nurses' cognition and behavior of participating in training,risk assessment of spondylolisthesis,alleviation of intubation discomfort,pain management,health education,catheter fixation,effective restraint,and active UEX reporting were significantly different(all P<0.05).At the organizational level,there were significant differences between the cognition of nurses on the establishment of notification system,the formulation of emergency plan,the establishment of preventive monitoring team and the regular analysis and notification and the implementation of hospital management system(all P<0.05).Conclusions Nurses' cognition of UEX preventive measures and hospital preventive management system is much better than their implementation.Only by taking comprehensive measures to ensure the integration of knowledge and action of individuals and organizations can the rate of UEX be truly reduced.

参考文献/References:

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(本文编辑:郁晓路)

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-10-20 【 修回日期 】 2021-01-08
【 基金项目 】 2015年广东省护理学会指令性课题(YH20150105); 2019年广东省护理学会指令性课题(gdhlxueh2019z1040)
【 作者简介 】 杨子晴,硕士在读,护士,从事慢性病护理工作
【 通讯作者 】 陈垦,电话:13710633696
更新日期/Last Update: 2021-02-15