Current status and influencing factors of orthopedic nurses' cognition on perioperative nursing risk among elderly patients in Beijing
10.3760/cma.j.cn115682-20200601-03686
- VernacularTitle:北京地区骨科护士对老年患者围手术期护理风险认知现状及影响因素分析
- Author:
Mingming LIU
1
;
Bing HAN
;
Jinqing ZHANG
;
Xiao HAN
;
Qiao CHEN
;
Yuyan LYU
Author Information
1. 北京积水潭医院脊柱外科 100035
- Keywords:
Nurses;
Hospital, orthopedics;
Aged;
Nursing risk;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2020;26(35):4929-4934
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the cognition of orthopedic nurses on perioperative nursing risk of orthopedic elderly patients in Beijing, and to understand its influencing factors.Methods:From August to October 2019, 171 orthopedic nurses from two Class Ⅲ Grade A hospitals and one Class Ⅱ Grade A hospital in Beijing were selected as research subjects. The self-designed questionnaire was used to conduct a questionnaire survey, and the survey content included the general information, nursing risk cognition and nursing risk management of the survey subject. The t-test and one-way ANOVA analysis were used for group comparisons, and multiple linear regression analysis was used for multivariate analysis. Results:Among 171 orthopedic nurses, the total score of nursing risk was (39.56±7.85) . In individual scores, two aspects of awareness of the cause and preventive measures of falls had the highest scores, respectively (3.62±0.76) and (4.04±0.72) , and the lowest postoperative delirium score was (3.00±0.99) and (3.06±1.02) respectively. Univariate analysis showed that there were statistical differences in the scores of nurses' cognition on perioperative nursing risk of orthopedic elderly patients among nurses with different education levels, positions, whether they were specialist orthopedic nurses, the proportion of elderly patients in the ward, the importance of nursing managers and the number of department training in the past two years ( P<0.01) . Multivariate analysis showed that the influencing factors of orthopedic nurses' cognition on perioperative nursing risk of orthopedic elderly patients included whether they were specialist orthopedic nurses, the proportion of elderly patients in the ward, the importance of nursing managers and the number of department training in the past two years with statistical differences ( P<0.05) . Conclusions:Orthopedic nurses have a moderate level of cognition on the nursing risk of orthopedic elderly patients, and their overall cognition needs to be improved. Nursing managers should focus on cultivating the risk awareness and risk assessment capabilities of orthopedic nurses, pay attention to the training and use of orthopedic specialist nurses, and improve the management system of orthopedic specialist nurses.
