□ 郑菊萍 ZHENG Ju-ping 翁绩燕 WENG Ji-yan

Objective To investigate the status and influencing factors of clinical first-aid ability of non-emergency nurses in a hospital, and to improve the first-aid ability. Methods A total of 475 nurses in the non-emergency inpatient departments were selected and investigated for the clinical first-aid ability using non-emergency department first-aid ability scale. Statistical methods were used to analyze the difference in first-aid ability of nurses in non-emergency departments and the factors affecting first-aid ability. Results The overall score of clinical first-aid ability of non-emergency nurses in this hospital was 121.81±13.26 points, which was at a relatively high level. Univariate analysis showed that nurses with different nursing years, educational background and titles had different performance in first-aid ability; the nurses of the internal medicine departments had better first-aid ability than those of surgery departments; the number of first-aid experiences affected the first-aid ability. The results of multi-variate linear regression analysis showed that the first-aid ability was stronger in those nurses with more nursing years, higher background, higher title, and more first-aid experiences, among which the first-aid experiences had the strongest influence. Conclusion The nurses with more nursing years, higher educational background, higher title, more first-aid experiences and more first aid training have higher first-aid ability. Nurses in internal medicine department have higher first-aid ability than those in surgical departments.

急危重患者的抢救质量是衡量医院整体水平及救治能力的重要指标，直接关系到患者生命安全[1]。护士从事临床一线工作，急救能力是其必备且应该熟练掌握的技能[2-4]。临床工作中，医院管理者更注重急诊科护士的急救能力培养，非急诊科室护士的急救能力容易被忽视。有研究结果显示，非急诊科室护士临床急救能力水平不一，需要引起护理管理者的重视，并进行系统培训，以提高其急救能力[5-7]。本研究通过调查医院住院部非急诊科室护士的急救能力，对影响其急救能力的因素进行分析，针对存在的问题制定针对性改进措施，以提高非急诊科室护士的急救能力，保障患者安全。

对象和方法

1.研究对象。选取医院住院部非急诊科室护士作为研究对象。纳入标准：在医院住院部工作≥2年的在岗注册护士。排除标准：(1)门诊及相关科室、急诊、重症监护室、供应室工作的护士；(2)曾经在急诊或重症监护室工作1年以上的护士；(3)实习生或进修护士；(4)科室护士长。

2.方法

2.1 调查方法。采用问卷调查，问卷由两部分组成：一是护士一般情况，包括科室、年龄、学历、职称、工作年限、参加急救的次数；二是采用赵浚竹[8]制定的非急诊科临床急救能力测评问卷，内容分5个维度28个条目，分别是急救管理能力、危急病情观察能力、急救反应能力、急救处置能力和理论知识储备。问卷采用Likert5级计分法(1表示完全不相符，2表示基本不相符，3表示不清楚，4表示基本相符，5表示完全相符)分值越高，表示急救水平越高。……