目的 分析ICU护士对意识障碍患者行家庭参与式感觉刺激实践知信行水平的现状及影响因素。方法 采用自行设计的“家庭参与式感觉刺激知信行问卷”,于2022年5月对4个省市8所综合医院的293名ICU护士进行调查,分析知信行影响因素。结果 最终纳入分析的267名ICU护士对家庭参与式感觉刺激护理知识均分（3.71±0.71）分,认可度均分（4.44±0.29）分,实践行为均分（3.58±0.40）分;单因素分析结果显示,职称、工作角色、是否接受相关培训具有统计学意义（P<0.05）;多元线性回归分析结果显示,是否为带教组长等管理角色、高职称、是否接受相关培训是护士对家庭参与式感觉刺激知信行水平的影响因素。结论 ICU护士对意识障碍患者行家庭参与式感觉刺激的信念较为积极,知识掌握度、实践行为有待提高;职称、接受相关护理培训情况、护理工作中的角色可能是护士引导家属参与感觉刺激行为的影响因素;护理管理者应充分重视ICU护士的培训需求,提高其家庭参与式感觉刺激的实践水平。
Objective To analyze the status quo and influencing factors of ICU nurses′ knowledge,attitude and practice（KAP） of family-involved sensory stimulation behaviors for patients with disturbance of consciousness. Methods A self-designed KAP questionnaire of family-involved sensory stimulation was used to investigate 293 ICU nurses from 8 general hospitals in 4 provinces and cities in May 2022. Independent sample t test,variance analysis and linear regression analysis were performed on the influencing factors of KAP. Results The average score of knowledge among 267 ICU nurses included in the analysis was（3.71±0.71）,the average score of recognition was （4.44±0.29）,and the average score of practical behavior was（3.58±0.40）. Univariate analysis showed that nurses with different professional titles,roles of nursing work,and relevant training had statistically significant differences（P<0.05）. The results of multiple linear regression analysis showed that factors affecting the KAP level of nurses towards family participatory sensory stimulation were whether they were in management roles such as teaching group leaders,held high professional titles,and received relevant training. Conclusion ICU nurses have a more positive attitude in family participatory sensory stimulation for patients with consciousness disorders,but the knowledge and practice level need to be improved. Professional titles,receiving relevant nursing training,and the role of nursing work may be the influencing factors of nurses involving in family participatory sensory stimulation. Nursing managers should pay full attention to the training needs of ICU nurses and improve the practice level of nurses in family participation sensory stimulation.
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