摘要
目的 :调查重症监护病房护士对临床警报的认知和疲劳现状,并识别警报管理中的障碍及目前的管理现状。方法 :采用问卷调查法对吉林省某三级甲等综合医院622名护士警报疲劳的认知现状、疲劳程度、警报管理障碍及警报管理现状进行调查。结果 :护士对临床警报认知程度得分最高的条目是"工作人员对报警敏感,反应迅速";护士警报疲劳程度总得分为(19.50±6.40)分,其中焦虑和精神压力疲劳程度得分最高;不同工作年限、不同职称护士疲劳程度得分的差异具有统计学意义(P<0.05);护士在改善警报现状中所面临困难的前三位依次是"频繁的错误报警使护士对警报的关注和应对降低""对于报警优先级的理解的困难""当警报发生时能够及时听到警报的困难"。结论 :护士对临床警报的认知呈正向积极态度,护士在精神心理方面的疲劳程度较躯体疲劳程度更为严重,不同工作年限、不同职称护士警报疲劳程度存在差异。临床错误报警是干扰护士对警报应对的主要障碍,临床对警报管理的应对不足,未来应采取有针对性的干预及管理措施,有效降低警报危害,保障重症监护病房的护理质量与安全。
Objective：To investigate the recognition and extent to clinical alarms fatigue among ICU nurses and to identify the barriers and current status of alarms management.Methods：Totally 622 nurses in a tertiary Grade A comprehensive hospital in Jilin province were recruited and investigated using questionnaires about cognitive status,fatigue extend,clinical alarm management obstacles and alarm management status and we analyzed the influencing factors.Results：The highest score of nurses＇ recognition of alarm fatigue was ＂staff sensitive to alarm,quick response＂.The average score of nurses＇ alarm fatigue was 19.50±6.40.Among them,anxiety and mental stress fatigue score were the highest.The difference of fatigue extend scores among nurses with different working years and professional titles was statistically significant（P〈0.05）.Nurses were facing difficulties in improving alarm status,the top three were ＂frequent false alarm reduces the attention and response to alarms＂,＂difficulties to understand the alarm priorities＂,＂ difficulties to hear the alarm in time＂.Conclusion：The nurses＇ attitude to alarm fatigue are positive.The psychological fatigue is more serious than physical fatigue.There are fatigue differences among nurses with different working years and professional titles.The false alarm is a major obstacle to the clinical response of nurses.The management response to alarms is insufficient.We need to take targeted intervention and management measures in future to effectively reduce the alarm harm and guarantee quality and safety of nursing care in ICU.
出处
《中国护理管理》
CSCD
北大核心
2018年第2期260-264,共5页
Chinese Nursing Management
基金
<中国护理管理>杂志社护理管理科研基金项目(CNM-2017-04)
关键词
重症监护
护士
临床警报
疲劳
认知
intensive care
nurses
clinical alarm
fatigue
recognition
