中国护理管理2024，Vol.24Issue(8) ：1125-1129.DOI:10.3969/j.issn.1672-1756.2024.08.002

北京市三级甲等医院儿科护士PICC拔管现状及影响因素分析

Status quo of pediatric nurses'behavior in managing PICC extubation and its influencing factors in tertiary grade A hospitals in Beijing

杜雪燕 袁艳丽 高誉恒 黄晓芳 茹喜芳 张倩男 蒙景雯
中国护理管理2024，Vol.24Issue(8) ：1125-1129.DOI:10.3969/j.issn.1672-1756.2024.08.002
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  • 维普
  • 万方数据

北京市三级甲等医院儿科护士PICC拔管现状及影响因素分析

Status quo of pediatric nurses'behavior in managing PICC extubation and its influencing factors in tertiary grade A hospitals in Beijing

杜雪燕 1袁艳丽 1高誉恒 1黄晓芳 1茹喜芳 1张倩男 1蒙景雯2
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作者信息

  • 1. 北京大学第一医院儿科,100034 北京市
  • 2. 北京大学第一医院护理部,100034 北京市
  • 折叠

摘要

目的:调查儿科护士经外周置入中心静脉导管(PICC)拔管的现状并分析其影响因素,为保障患儿静脉治疗安全提供借鉴.方法:采用方便抽样的方法,2024 年5月对北京市 16 家三级甲等医院 230 例儿科护士进行问卷调查.调查工具为自行设计的一般资料问卷、儿科护士PICC拔管知信行问卷.结果:儿科护士对PICC拔除的知识、态度和行为各维度得分分别为(14.83±2.76)分、(126.33±16.97)分、(129.14±10.76)分,得分率分别为 67.4%、93.6%、86.1%;多元线性回归分析结果显示,医院性质、近 3 年内是否接受过PICC拔管操作培训、PICC拔管态度是儿科护士PICC拔管行为的影响因素(P<0.05).结论:儿科护士对PICC拔管知识掌握情况欠佳,但态度积极,行为表现尚可.护理管理者应高度重视PICC拔管护理知识和技能的培训,积极构建专业培训平台,为儿科护士提供全面且深入的PICC拔管管理培训,从而进一步提升静脉治疗护理质量,保障患儿生命安全.

Abstract

Objective:To examine pediatric nurses'behavior in managing Peripherally Inserted Central Catheters(PICC)extubation and identify influencing factors.Methods:A survey was conducted among 230 pediatric nurses from 16 tertiary grade A hospitals in Beijing using convenience sampling.The survey included questions on nurses'knowledge,attitude,and behaviors related to removing PICC.Results:Pediatric nurses achieved mean scores of 14.83±2.76,126.33±16.97,and 129.14±10.76 for knowledge,attitude,and behavior related to PICC removal,respectively,with the corresponding score rates being 67.4%,93.6%,and 86.1%,separately.The results of multiple linear regression analysis showed that the nature of hospital,whether receiving PICC extubation training within 3 years,and the attitude dimension scores were the influencing factors of PICC extubation behavior of those pediatric nurses.Conclusion:Although the pediatric nurses lack knowledge and skills in PICC extubation,they have relatively good behaviors with active attitudes.Therefore,nursing administrators should prioritize training and create a professional platform for comprehensive training for nurses to enhance safe care for children.

关键词

经外周静脉置入中心静脉导管/拔管/行为/儿科护士/影响因素/循证护理

Key words

Peripherally Inserted Central Catheter/extubation/behavior/pediatric nurse/influencing factor/evidence-based nursing

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出版年

2024
中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子：2.545
ISSN：1672-1756
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