急诊重症医学科医护人员高氧血症知信行现状调查及影响因素

doi:10.3969/j.issn.2095-9400.2021.07.012

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (1317 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To investigate and study the current situation of oxygen therapy cognition of medical staff in emergency critical care unit in Jiangsu and Zhejiang regions, so as to find out relevant problems and put forward corresponding measures. Methods: A questionnaire was made to investigate the knowledge, attitude and behavior status regarding oxygen therapy among medical staff in the emergency critical care unit in some tertiary hospitals in Jiangsu and Zhejiang provinces. The method of convenient sampling was adopted to carry out the secret test, and the literature about oxygen therapy was reviewed, and the survey results were counted and analyzed. Results: The average scores of the knowledge, attitude and behavior regarding hyperoxemia was (27.90±3.91), (23.99±2.59) and (38.15±7.21), respectively. The equation of influencing factors of hyperoxia cognition formed by the medical staff in the in the emergency critical care unit was as follows: y=105.121-7.067x1 5.155x2+2.892x3. The results showed that the regression equation could account for 14.6% of the total cognitive variation of hyperoxia in emergency critical care medical staff. Conclusion: The medical staff in the emergency department of tertiary hospitals have a good knowledge and attitude about hyperoxemia, but need to
improve their behavior in Jiangsu and Zhejiang regions. Therefore, it is urgent to establish a standardized clinical system of oxygen treatment.

Key words： emergency critical care medicine hyperoxia knowledge attitude behavior

Received: 05 November 2020

	Service
	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XIANG Junzhi
	BAO Yaping
	SHI Songsong
	JIN Saisai
	LIN Suichai
	HE Chunlei

URL:

https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2021.07.012 OR https://xb.wmu.edu.cn/EN/Y2021/V51/I7/582

[1] 郭海凌, 孙丹丹, 隆云. 重症患者高氧血症研究进展[J]. 中国实用内科杂志, 2017, 37(2): 72-75.
[2] 沈佳鑫. 24 万余例成人急诊患者疾病谱构成及特征分析[D]. 天津: 天津医科大学, 2020.
[3] 方国强, 徐思成, 田雅洁. 经鼻高流量湿化氧疗在呼吸衰竭患者拔管后应用进展[J]. 临床肺科杂志, 2020, 25(8):1270-1272.
[4] EASTWOOD G, BELLOMO R, BAILEY M, et al. Arterial oxygen tension and mortality in mechanically ventilated patients[J]. Intensive Care Med, 2011, 38(1): 91-98.
[5] 周月琴, 冯闪, 刘玲, 等. 医护人员对颅脑损伤患者氧疗的自我报告与氧疗实践[J]. 东南国防医药, 2019, 21(1): 89-91.
[6] 曹洁, 刘丹. 高氧对机体的损害及发生机制[J]. 中华医学杂志, 2017, 97(20): 1537-1539.
[7] CHU D K, KIM L H Y, YOUNG P J, et al. Mortality and morbidity in acutely ill a dults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis[J]. Lancet, 2018, 391(10131): 1693-1705.
[8] 李世川, 张沙沙, 李芝峰. 急性心肌梗死后早期氧疗有效性和安全性的Meta分析[J]. 中国循证医学杂志, 2016,16(3): 304-310.
[9] 竺易君, 秦浩, 胡珍丽, 等. 临床氧疗方式选择及其应用策略[J]. 国际呼吸杂志, 2018, 38(3): 237-240.
[10] 孙建华, 赵明曦, 李若祎, 等. ICU氧疗患者高氧血症状况调查分析[J]. 护理学杂志, 2020, 35(22): 8-10.
[11] ALLARDET-SERVENT J, SICARD G, METZ V, et al.Benefits and risks of oxygen therapy during acute medical illness: Just a matter of dose![J]. Rev Med Interne, 2019,40(10): 670-676.
[12] HELMERHORST H J, SCHULTZ M J, VAN DER VOORT P H, et al. Self-reported attitudes versus actual practice of oxygen therapy by ICU physicians and nurses[J]. Ann Intensive Care, 2014, 4(1): 23.
[13] DE GRAAFF A E, DONGELMANS D A, BINNEKADE J M,et al. Clinicians’ response to hyperoxia in ventilated patients in a Dutch ICU depends on the level of FiO2[J]. Intensive Care Med, 2011, 37(1): 46-51.
[14] 曹洁, 董丽霞, 陈宝. 规避高氧危害规范目标氧疗[J]. 中华结核和呼吸杂志, 2015, 38(8): 629-631.
[15] 迟红丽, 陈思, 杨卓, 等. 急诊科护士工作投入现状及影响因素分析[J]. 中华现代护理杂志, 2019, 25(2): 211-214.
[16] 夏梦雅. 医患矛盾影响因素及解决思路[J]. 芜湖职业技术学院学报, 2020, 22(2): 54-57.