Study on the assessment and prevention practice status of ICU acquired weakness among ICU nurses in tertiary hospitals
吕露露 1张雪静 1李文雄1
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作者信息
1. 100024 北京市 首都医科大学附属北京朝阳医院重症医学科
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摘要
目的 调查三级医院ICU护士对ICU获得性衰弱(intensive care unit acquired weakness,ICU-AW)评估及预防策略实践现状,并分析影响因素.方法 采用便利抽样法,于2022年11月—12月选取北京市、辽宁省、河北省28所三级医院的397名护士为调查对象,采用自行设计的问卷进行调查.结果 ICU-AW评估主要由医生完成(55.42％),肌力评估是首选方法(65.49％).84.13％护士反映临床未有ICU-AW相关的标准化策略或流程,主要预防措施是镇痛镇静(65.24％)、早期活动(62.47％),活动形式主要是呼吸功能指导(33.00％)、床上被动训练(33.25％).护士 ICU-AW评估与预防策略认知得分为(20.74±8.03)分,态度得分(26.68±4.19)分,实践得分(29.79±5.40)分.年龄、工作年限、学历、医院地区分布是护士对ICU-AW评估与预防措施实践的影响因素(P＜0.05).结论 目前护士对ICU-AW认知水平不足,ICU-AW评估方式受限,缺乏标准化干预流程,人力资源不足.建议加强ICU-AW教育培训,完善资源配置,构建标准化的评估和实践流程,促进ICU-AW评估与预防实践的临床开展.
Abstract
Objective To describe the status of the assessment and implementation of prevention strategies for intensive care unit acquired weakness(ICU-AW)among nurses in the tertiary hospitals,analyze the barriers that affected the practice.Methods A self-designed questionnaire was used to investigate 397 ICU nurses of 28 tertiary hospitals in Beijing,Liaoning Province and Hebei Province from November to December 2022 by convenient sampling.Results The clinical ICU-AW assessment was mainly completed by doctors(55.42％).Muscle strength was the first choice for the evaluation of ICU-AW(65.49％).84.13％of nurses reported that there was no standardized strategy or process related to ICU-AW,and the main preventions were analgesia and sedation(65.24％),early mobilization(62.47％).The main forms of activity were respiratory function exercise(33.00％)and passive training in bed(33.25％).The cognitive score of nurses in ICU-AW assessment and prevention strategy was(20.74±8.03),attitude score was(26.68±4.19)and practice score was(29.79±5.40).Age,working years,educational background and regional distribution of hospital were the influencing factors of nurses on ICU-AW assessment and prevention practice(P＜0.05).Conclusion Nursing staff's cognition level of ICU-AW is insufficient,assessment methods of ICU-AW are limited,standardized intervention procedures are lacking,and human resources are insufficient.Education and training of ICU-AW should be strengthened,resources allocation should be improved,and standardized assessment and practice procedures should be constructed to promote the clinical implementation of assessment and prevention practices of ICU-AW.
关键词
ICU获得性衰弱/护士/评估/预防措施/现状调查/影响因素分析
Key words
Intensive Care Unit Acquired Weakness/Nurses/Assessment/Prevention/Investigation/Route Cause Analysis
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