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新生儿重症监护室护士早产儿体位管理知信行现状及培训需求的调查

Knowledge, attitude and practice and training needs of posture management of premature infants among nurses in Neonatal Intensive Care Unit

摘要目的:探讨新生儿重症监护室(NICU)护士早产儿体位管理知信行现状及早产儿体位管理培训需求。方法:本研究为横断面研究。采用便利抽样法,于2022年3—4月选取山东省6所三级甲等医院的207名NICU护士为研究对象,采用自行编制的一般资料调查表、NICU护士早产儿体位管理知信行问卷和NICU护士早产儿体位管理培训需求问卷对护士进行线上调查。采用多重线性回归分析NICU护士早产儿体位管理知信行的影响因素。本研究共发放问卷207份,回收有效问卷201份,有效回收率为97.10%(201/207)。结果:201名NICU护士早产儿体位管理知识、态度、行为得分及知信行总分别为(59.12±7.82)、(33.10±3.09)、(54.92±7.36)、(147.14±15.15)分。多重线性回归分析结果显示,NICU护士工作医院性质、是否接受过相关培训、认为参加相关培训的重要性是NICU护士早产儿体位管理知信行总分的影响因素( P<0.05)。78.11%(157/201)的NICU护士的接受过早产儿体位管理培训,98.01%(197/201)的NICU护士表示愿意接受早产儿体位管理培训,91.04%(183/201)的NICU护士认为参加早产儿体位管理培训非常重要。NICU护士认为影响早产儿体位管理质量的最主要阻碍因素是缺少相关知识;最希望接受的培训内容是不同体位对早产儿的影响。 结论:NICU护士早产儿体位管理知信行整体水平较高,管理者应加强NICU护士早产儿体位管理相关培训,提高NICU护士早产儿体位管理能力,促进早产儿护理水平的提高。

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abstractsObjective:To explore the status quo of knowledge, attitude and practice in the posture management of premature infants among nurses in Neonatal Intensive Care Unit (NICU) and related training needs.Methods:This study is a cross-sectional study. From March to April 2022, 207 NICU nurses from 6 ClassⅢ Grade A hospitals in Shandong Province were selected by convenient sampling. The nurses were investigated online by using the self-developed General Information Questionnaire, Premature Infant Posture Management Knowledge, Attitude and Practice Questionnaire for NICU Nurses and Premature Infant Posture Management Training Needs Questionnaire for NICU Nurses. Multiple linear regression was used to analyze the influencing factors of NICU nurses' knowledge, attitude and practice in the posture management of premature infants. A total of 207 questionnaires were distributed, and 201 valid questionnaires were recovered, with an effective recovery rate of 97.10% (201/207) .Results:Among 201 NICU nurses, the scores of premature infant posture management knowledge, attitude, practice and total score were (59.12±7.82) , (33.10±3.09) , (54.92±7.36) and (147.14±15.15) respectively. Multiple linear regression analysis results show that the nature of the working hospital, whether they received relevant training, and the importance of participating in relevant training were the influencing factors of NICU nurses' total score of knowledge, attitude and practice in the posture management of premature infants ( P<0.05) . 78.11% (157/201) of NICU nurses accepted the training of premature infant posture management, 98.01% (197/201) of NICU nurses were willing to accept the training of premature infant posture management, and 91.04% (183/201) of NICU nurses thought it was very important to participate in the training of premature infant posture management. NICU nurses believed that the main obstacle affecting the quality of posture management of premature infants was the lack of relevant knowledge. The most desired training content was the effect of different postures on premature infants. Conclusions:NICU nurses have a high level of knowledge, attitude and practice in posture management of premature infants. Managers should strengthen the training of NICU nurses in the posture management of premature infants, improve the ability of NICU nurses in the posture management of premature infants, and promote the improvement of the nursing quality of premature infants.

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