Monitoring of intra-abdominal pressure:a survey of ICU nurses'practice and cognition in 31 hospitals in Shandong Province
10.3761/j.issn.0254-1769.2023.21.007
- VernacularTitle:山东省31所三级综合医院ICU护士腹内压监测行为及认知的调查研究
- Author:
Beibei LIU
1
;
Yuanyuan LI
;
Jicheng ZHANG
;
Hongna YANG
;
Fengzhi CHEN
;
Xue BAI
Author Information
1. 250021 济南市 山东第一医科大学附属省立医院重症医学科
- Keywords:
Intensive Care Unit;
Nurse;
Intra-Abdominal Pressure Monitoring;
Cognition;
Tertiary Hospitals
- From:
Chinese Journal of Nursing
2023;58(21):2610-2616
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the current situation of practice and cognition of ICU nurses on intra-abdominal pressure monitoring in tertiary general hospitals in Shandong Province,and to analyze the factors affecting their cognition,so as to provide references for formulating intra-abdominal pressure monitoring standards and procedures,and carrying out targeted training in the future.Methods A convenience sampling method was used,and a self-designed questionnaire on practice and cognition of intra-abdominal pressure monitoring was used to survey ICU nurses from tertiary general hospitals in 16 prefecture-level cities in Shandong Province from September to November 2022.Results A total of 627 valid questionnaires were collected,involving 31 tertiary general hospitals(24 tertiary A hospitals,77.42%;7 tertiary B hospitals,22.58%).The operation rate of intra-abdominal pressure monitoring was low(73.37%),and the main reasons were that they had not received intra-abdominal pressure monitoring related training(61.08%),with only 111(24.94%)nurses choosing the intersection of the mid-axillary line and the iliac crest as the reference zero point measurement,274(61.57%)nurses not taking an reading at the end of expiration.The intra-abdominal pressure monitoring cognition score was 0~16(7.88±2.79)points,and only 5 questions had a correct answer rate of≥50%.Conclusion The standardization of intra-abdominal pressure monitoring practice by ICU nurses in tertiary general hospitals in Shandong Province needs to be strengthened,and their cognition needs further training.It is suggested to unify and implement the standards and procedures of intra-abdominal pressure monitoring,further accelerate the training of intra-abdominal pressure monitoring technology,and improve the standard execution rate and cognitive level of ICU nurses on intra-abdominal pressure monitoring.