ICU护士成人人工气道管理能力现状及影响因素分析OA

Objective To investigate the current status of adult artificial airway management competence of intensive care unit(ICU)nurses in tertiary grade-A hospitals in China,and to analyse its influencing factors,so as to provide a reference for future training.Methods A total of 366 ICU nurses from 2 tertiary grade-A hospitals in Shanghai and Harbin were surveyed via convenience sampling from April to June 2024,and 309 valid questionnaires were returned.A general information questionnaire and the ICU nurses'adult artificial airway management competence questionnaire were used for the survey.Multiple linear regression was used to analyse the factors influencing ICU nurses'adult artificial airway management competence.Results The total score of adult artificial airway management competence of ICU nurses was(275.89±33.26)points with an average item score of(4.38±0.53)points.Among the dimensions,the score for artificial airway sputum suction ability was(87.60±9.85)points with an average item score of(4.38±0.49)points;artificial airway humidification competence was(48.40±6.37)points with an average item score of(4.40±0.58)points;artificial airway cuff management competence was(64.54±9.43)points with an average item score of(4.30±0.63)points;artificial airway extubation nursing competence was(30.60±4.61)points with an average item score of(4.37±0.66)points;and artificial airway complication prevention competence was(44.72±5.78)points with an average item score of(4.70±0.58)points.Linear regression analysis revealed that department,number of years working in nursing,and number of years working in the ICU were influencing factors for ICU nurses'artificial airway management competence(P<0.05).Conclusions The adult artificial airway management competence of ICU nurses in tertiary grade-A hospitals is at an upper-intermediate level.In the future,targeted training should be carried out for nurses in different departments and with different years of working experience,with special emphasis on enhancing artificial airway cuff management competence,so as to further improve the comprehensive ability of artificial airway management of ICU nurses.