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临床一线护士新型冠状病毒肺炎知识、态度现状和对防护行为习惯影响的研究
Influence of COVID-19 knowledge, attitude on protective behavior among clinical nurses

王蕾 聂圣肖 孙超 王霞 王贞慧 胡慧秀 杨雪

Wang Lei, Nie Shengxiao, Sun Chao, Wang Xia, Wang Zhenhui, Hu Huixiu, Yang Xue

【摘要】目的 了解临床一线护士新型冠状病毒肺炎(COVID-19)相关知识、态度现状,及对防护 行为习惯的影响,为制定有效的干预策略提供参考。方法 本研究为横断面调查,采取便利抽样法, 2020 年 2 月通过北京医院亚博客服电话多少部工作微信群向全院护士发送微信问卷星的链接,并将链接发至朋友 圈,邀请符合纳入排除标准的临床一线护士进行填写。采用自行设计的 COVID-19 相关知识、态度和行 为调查问卷进行调查。结果 750名临床一线护士 COVID-19 相关知识自我评价≥ 7 分的百分率平均 为 70.04%,91.6% 的护士有战胜疫情的决心。发生 COVID-19 疫情后,94.1% 的护士更加严格地执行手 卫生,在“可能接触患者血液、体液、分泌物和排泄物的操作中戴手套”“进行有可能引起血液、体液、 分泌物和排泄物喷溅的操作时戴护目镜、穿防护服”的操作中行为有改变的占 89.2%、81.5% 和 71.6%。Pearson 相关分析显示,750 名护士 COVID-19 相关知识掌握情况与态度的 3 个维度“对感染 COVID-19 的 担心”“标准预防的有效性”“影响采取标准预防措施的因素”无相关性(P> 0.05)。结果显示,临床一 线护士 COVID-19 相关知识掌握情况除对执行手卫生无影响外,对其态度(“对处理 COVID-19 疫情工作 的看法”维度)及防护行为习惯均有影响(P< 0.05);且其态度除对执行手卫生无影响外,对其他防护行 为习惯均有影响(P< 0.05)。结论 临床一线护士对COVID-19 相关知识的掌握程度有待提高,防护行 为仍需要进一步转变。
【摘要】Objective To explore the COVID-19 knowledge and attitude, and its influences on protective behavior among clinical nurses so as to provide a reference for developing effective intervention strategy. Methods Cross-sectional investigation was used to hospital-wide nurses selected by convenience sampling in February 2020 through sending a link of Wenjuanxing to work WeChat group of Nursing Department of Beijing Hospital and to circle of friends. Clinical nurses met the inclusion and exclusion criteria were invited to fill in the questionnaire. The self-designed COVID-19 related knowledge, attitude and behavior questionnaire was used to the investigation. Results Among 750 clinical nurses, the self-assessment of COVID-19 related knowledge was ≥ 7, with 70.04% for the average percentage. There were 91.6% of nurses with the confidence to fight with epidemic situation. After COVID-19 broke out, 94.1% of nurses strictly carried out the hand hygiene. Behavior changes in "wearing gloves when potentially contacting bloods, body fluids, secretions and excreta", "wearing goggles and protective clothing when bloods, body fluids, secretions and excreta potentially splashing" accounted for 89.2%, 81.5% and 71.6% respectively. Pearson correlation analysis showed that COVID-19 related knowledge of 750 nurses had no correlations with three dimensions "worrying about infecting COVID-19", "effectiveness of standard precaution" and "influencing factors of taking standard precaution" of attitude with no statistical differences (P > 0.05). The results showed that the clinical knowledge of the first-line nurses of COVID-19 had no impact on the implementation of hand hygiene, but also had impacts on their attitudes ("views on dealing with the epidemic of COVID-19" dimension) and protective behavior habits (P < 0.05); their attitudes had no effect on the implementation of hand hygiene,and had impacts on other protective behavior habits (P< 0.05). Conclusions COVID-19 related knowledge of clinical nurses need to be improved and protective behavior should be changed further.

【关键词】护士; 新型冠状病毒肺炎; 知识; 态度; 行为
【关键词】Nurses; COVID-19; Knowledge; Attitude; Behavior