江苏省三级医院ICU护士对成人气道内吸引团体标准执行情况的调查研究

doi:10.3761/j.issn.2096-7446.2025.05.002

摘要/Abstract

摘要：

目的探讨江苏省三级医院ICU护士对中华护理学会标准委员会2021年发布的《成人有创机械通气气道内吸引技术操作（T/CNAS 10─2020）》标准的执行情况。方法采用方便抽样法，于2023年6月采用自制问卷，通过问卷星小程序开展横断面调查，调查护士在气道内吸引操作中的评估、计划、实施、评价4个方面的表现。结果共有614名来自三级医院ICU的护士参与调查。通过多元线性回归分析发现，在气道内吸引评估维度中，护士的能级与其能力呈负相关（B=-0.396，P=0.001）；在气道内吸引计划维度中，女性优于男性（P=0.023）；在实施维度和总得分中，最高学历与其能力呈负相关（B=-1.016，P=0.005；B=-1.746，P=0.038）；而专科年限在气道内吸引评价维度中呈正相关（B=0.149，P=0.003）。结论江苏省ICU护士团体标准的执行情况存在差异，建议加强高能级护士的技能巩固培训，提升男护士的计划能力，并为高学历护士提供更多临床实践机会，以促进理论与实践相结合。

关键词: 重症监护病房, 护理, 护理标准, 气道, 吸引, 临床实践

Abstract:

Objective This study evaluated ICU nurses in tertiary hospitals in Jiangsu Province on their implementation of the 2021 “Adult Invasive Mechanical Ventilation Endotracheal Suctioning Technique Standard （T/CNAS 10-2020）” issued by the Chinese Nursing Association. Methods A cross-sectional survey was conducted using a self-developed questionnaire distributed through the “Questionnaire Star” applet，employing a convenience sampling method. The survey explored four aspects of the endotracheal suctioning（ETS） process，including assessment，planning，implementation，and evaluation. Results A total of 614 ICU nurses from tertiary hospitals participated in the survey. Multiple stepwise linear regression analysis revealed several significant findings：nurses’ competency level was negatively correlated with ETS assessment（B=-0.396，P=0.001）；in the airway suctioning planning dimension，females performed better than males（P=0.023）；and the highest educational level was negatively correlated with both ETS implementation and total score（B=-1.016，P=0.005；B=-1.746，P=0.038）. Conversely，years of specialized experience was positively correlated with ETS evaluation ability（B=0.149，P=0.003）. Conclusion Gaps remain in the implementation of ICU nurses in Jiangsu Province regarding the ETS standard. It is recommended to strengthen skill reinforcement training for high-competency nurses，improve planning abilities among male nurses，and provide nurses with advanced degrees more opportunities for clinical practice to better integrate theoretical knowledge with practical application.

Key words: Intensive Care Units, Nursing Care, Standard of Care, Airway, Suction, Clinical Practice

张坤, 廖勃, 王雪梅, 刘希利, 陈超, 龚玲, 陈洁, 沈礼泉, 路玉宇, 朱艳萍. 江苏省三级医院ICU护士对成人气道内吸引团体标准执行情况的调查研究[J]. 中华急危重症护理杂志, 2025, 6(5): 524-529.

ZHANG Kun, LIAO Bo, WANG Xuemei, LIU Xili, CHEN Chao, GONG Ling, CHEN Jie, SHEN Liquan, LU Yuyu, ZHU Yanping. Survey on the implementation of group standard for adult airway suctioning by ICU nurses in tertiary hospitals in Jiangsu Province[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 524-529.

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