护士无针输液接头间歇性给药后消毒知信行现状及影响因素
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女,本科,主管护师

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2023常州市第一人民医院科技计划项目(yy2023003)


Status and influencing factors of knowledge attitudes and practice among nurses regarding disinfection after intermittent medication administration through needle-free connectors
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    目的 了解护士无针输液接头间歇性给药后消毒知信行现状及影响因素,为改善无针输液接头无菌管理提供依据。方法 采用便利抽样法,选取江苏省苏南、苏中、苏北10所医院共978名护士,采用自制护士无针输液接头间歇性给药后消毒知信行问卷进行调查。结果 护士无针输液接头间歇性给药后消毒知识、态度、行为得分分别为10.00(5.00,20.00)、12.00(12.00,16.00)分、6.00(2.00,14.00)分。广义线性回归分析结果显示,临床工作年限、职称、科室、静疗组成员、静疗专科护士及接受过相关培训为护士无针输液接头间歇性给药后消毒知信行主要影响因素(均P<0.05)。结论 护士无针输液接头间歇性给药后消毒的知识储备水平不高,态度尚可但行动力不够,应基于护士的不同特征,针对性进行无针输液接头间歇性给药后消毒相关知识与临床实践培训,以预防导管相关性血流感染的发生。

    Abstract:

    Objective To understand the current situation and influencing factors of knowledge, attitudes, and practice (KAP) among nurses regarding disinfection after intermittent medication administration through needle-free connectors (NFC), so as to provide a basis for improving the aseptic management of NFC.Methods Convenience sampling was used to select 978 nurses from 10 hospitals in southern, central, and northern Jiangsu Province.A self-designed questionnaire was used to investigate KAP among nurses regarding disinfection of NFC after intermittent administration via NFC.Results The scores for knowledge, attitude, and practice regarding disinfection after intermittent medication administration through NFC in nurses were 10.00(5.00,20.00), 12.00(12.00,16.00), and 6.00(2.00,14.00) points, respectively.The results of generalized linear regression analysis showed that the main influencing factors for knowledge, attitude, and practice regarding disinfection after intermittent medication administration through NFC were length of clinical service, professional title, department, membership in the venous therapy group, whether being a specialized venous therapy nurse, and relevant training received (all P<0.05).Conclusion The knowledge level in nurses on disinfection after intermittent administration through NFC is not high, and their attitude is acceptable but their practice is insufficient.It is necessary to pay attention to the different characteristics of nurses and provide targeted training on disinfection related knowledge and clinical practice after intermittent administration through NFC, striving to prevent the occurrence of catheter-related bloodstream infection.

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黄萍,李黎,林源,叶赟,江淑芳.护士无针输液接头间歇性给药后消毒知信行现状及影响因素[J].护理学杂志,2025,(9):59-64

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  • 收稿日期:2024-11-29
  • 最后修改日期:2025-02-10
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  • 在线发布日期: 2025-06-05