中华现代护理杂志2024,Vol.30Issue(17) :2257-2262.DOI:10.3760/cma.j.cn115682-20230808-00416

湖南省二、三级医院护士中心静脉导管维护依从性的现状调查研究

Current status of central venous catheter maintenance compliance among nurses in Class Ⅱ and Ⅲ hospitals in Hunan Province

王莉杰 刘佳惠 魏涛 林琴 王童语 方运霞 李旭英
中华现代护理杂志2024,Vol.30Issue(17) :2257-2262.DOI:10.3760/cma.j.cn115682-20230808-00416

湖南省二、三级医院护士中心静脉导管维护依从性的现状调查研究

Current status of central venous catheter maintenance compliance among nurses in Class Ⅱ and Ⅲ hospitals in Hunan Province

王莉杰 1刘佳惠 2魏涛 3林琴 4王童语 1方运霞 1李旭英1
扫码查看

作者信息

  • 1. 湖南省肿瘤医院护理部,长沙 410013
  • 2. 湖南省肿瘤医院乳腺内科,长沙 410013
  • 3. 湖南省肿瘤医院麻醉科,长沙 410013
  • 4. 湖南省肿瘤医院血管通道中心,长沙 410013
  • 折叠

摘要

目的 了解湖南省二、三级医院护士中心静脉导管维护依从性现状.方法 采用便利抽样法,于2022年1-3月选取湖南省22所二、三级医院的297名护士作为研究对象,采用自制的中心静脉导管维护依从性调查问卷对其进行调查.采用多重线性回归分析护士中心静脉导管维护依从性的影响因素;并对护士中心静脉导管维护依从性调查问卷的具体条目进行分析.结果 共发放297份问卷,回收有效问卷268份,问卷有效回收率为90.24%.医院等级、是否接受静疗专科培训及年龄是护士中心静脉导管维护依从性的影响因素.对具体条目进行分析,"宜选酒精棉片"条目中,仅有34.3%(92/268)的护士正确执行;"无菌纱布敷料至少每2天更换1次"条目中,仅66.4%(178/268)的护士正确执行.结论 各级医院护士中心静脉导管维护依从性存在一定差距,在输液接头消毒以及无菌纱布敷料更换等方面依从性有待提高.未来应加强专科护士培训,尤其是加强对二级医院护士有关静疗专科相关技能的培训.

Abstract

Objective To explore the central venous catheter maintenance compliance among nurses in Class Ⅱ and Ⅲ hospitals in Hunan Province.Methods From January to March 2022,297 nurses from 22 Class Ⅱ and Ⅲ hospitals in Hunan Province were selected as the research subject by convenience sampling.Nurses were surveyed using the self-made Central Venous Catheter Maintenance Compliance Questionnaire.Multiple linear regression was used to analyze the influencing factors of nurse compliance with central venous catheter maintenance,the items of the Central Venous Catheter Maintenance Compliance Questionnaire were analyzed.Results A total of 297 questionnaires were distributed,and 268 valid questionnaires were collected,with an effective response rate of 90.24%.The hospital level,specialized training in intravenous therapy,and age were the influencing factors on the compliance of nurses with central venous catheter maintenance.Analyzing specific items,only 34.3%(92/268)of nurses correctly executed the item"alcohol cotton pads were recommended",and only 66.4%(178/268)of nurses correctly performed the item"sterile gauze dressings should be replaced at least every two days".Conclusions There is a certain gap in the central venous catheter maintenance compliance among nurses at all levels of hospitals,and there is a need to improve compliance in disinfection of infusion joints and replacement of sterile gauze dressings.We should strengthen the training of specialist nurses,especially the training of nurses in Class Ⅱ hospitals on specialized skills related to intravenous therapy.

关键词

静脉/护士/中心静脉导管/维护/依从性

Key words

Veins/Nurses/Central venous catheters/Maintenance/Compliance

引用本文复制引用

基金项目

湖南省科技创新计划资助项目(2020SK51106)

湖南省卫生健康委员会科研项目(B202314057777)

中华护理学会科研项目(ZHKY202106)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量17
段落导航相关论文