天津护理 ›› 2023, Vol. 31 ›› Issue (5): 505-509.DOI: 10.3969/j.issn.1006-9143.2023.05.001

• 论著 •    下一篇

多中心 ICU 护士对重症患者早期康复认知的现状及影响因素研究

黄艳林 1 赵雪芹 1 陈兴 1 汪子寒 2 王晓萍 1   

  1. (1.天津市第三中心医院 天津市重症疾病体外生命支持重点实验室 天津市人工细胞工程技术研究中心 天津市肝胆疾病研究所,天津 300170;2.天津医科大学)
  • 出版日期:2023-10-28 发布日期:2023-10-26
  • 基金资助:
    天津市卫生健康科技项目(KJ20012,TJWJ2022XK028);天津市医学重点学科建设项目(TJYXZDXK-025A)

Multi-center investigation research on the status and influencing factors of cognition on early rehabilitation of critically ill patients among ICU nurses

HUANG Yanlin1 , ZHAO Xueqin1 , CHEN Xing1 , WANG Zihan2 , WANG Xiaoping1   

  1. (1.Tianjin Third Central Hospital,Tianjin 300170;2.Tianjin Medical University)
  • Online:2023-10-28 Published:2023-10-26

摘要: 目的:基于多中心调查 ICU 护士对重症患者早期康复认知的现状并分析其影响因素。 方法:采用便利抽样,在 2022 年 11 月至 12 月对天津市 18 所三级综合医院符合要求的 ICU 护士进行调查, 采用一般资料调查表、ICU 护士对重症患者早期康复认知问卷调查 ICU 护士对重症患者早期康复理论知识的认知程度以及康复技术实践能力, 并探讨 ICU 护士对重症患者早期康复认知的影响因素。 结果:ICU 护士对重症患者早期康复整体认知得分为(3.86±0.63)分,其中康复理论知识、康复技术实践能力得分分别为(3.98± 0.62)分、(3.76±0.72)分。 多元线性回归显示,工作岗位、是否接受过早期康复相关的培训、科室内是否有早期康复方案、科室内是否有康复专职护士是 ICU 护士对重症患者早期康复认知的独立影响因素。 结论:ICU 护士对重症患者早期康复的整体认知处于中等水平,应进一步加强重症康复相关培训,提高康复技术临床实践能力,构建标准化实践方案,推动重症康复持续发展。

关键词: ICU 护士, 重症患者, 早期康复, 多中心研究

Abstract: Objective: To explore the status of cognition on early rehabilitation of critically ill patients and analyze its influencing factors among ICU nurses based on a multi-center survey. Methods: Nurses from 18 tertiary general hospital in Tianjin were included by convenience sampling method from November 2022 to December 2022. The general information questionnaire and ICU nurses’ early critical rehabilitation cognition questionnaire were used to investigate the cognition level of theoretical knowledge of early critical rehabilitation and the practical ability of rehabilitation technology in ICU nurses, and to explore the influencing factors of cognition on early rehabilitation of critically ill patients among ICU nurses. Results: The average score of ICU nurses’ overall cognition on early rehabilitation of critically ill patients was 3.86 ±0.63, and the average score of rehabilitation theoretical knowledge and rehabilitation technical practice ability were 3.98± 0.62 and 3.76±0.72, respectively. Multiple linear regression showed that job position, whether to receive training related to early rehabilitation, whether to have an early rehabilitation program in the department, whether to have a full -time rehabilitation nurse in the department were independent influencing factors of cognition on early rehabilitation of critically ill patients among ICU nurses. Conclusion: The overall cognition on early rehabilitation of critically ill patients is at a medium level in ICU nurses. It is necessary to further strengthen the training related to critical rehabilitation, improve the clinical practice ability of rehabilitation technology, optimize the staffing structure of rehabilitation specialist nurses, so as to build standardized practice protocols to promote the continuing development of critical rehabilitation.

Key words: ICU nurse, Critically ill patients, Early rehabilitation, Multi-center investigation