李鹏威　刘婉　刘鹏飞　张雪辉　王润泽　吴冬梅

【摘要】  目的  了解ICU护士对ICU后综合征（PICS）的干预措施知信行的现状，并分析其影响因素，为预防ICU后综合征的发生提供参考依据。方法  于2022年4-5月选取山东省6家三级医院646名ICU护士为研究对象，应用一般资料调查问卷和PICS干预措施知信行问卷进行调查。结果  ICU护士的PICS干预措施知信行得分为54.15±33.87分，处于偏低水平。医院经营性质、ICU专科护士证书、参加过PICS培训是影响ICU护士PICS干预措施知信行的主要因素。结论  目前山东省三级医院ICU护士对ICU后综合征干预措施知信行水平偏低；医院经营性质为民营医院、接受过PICS培训、未获得ICU专科护士证书的ICU护士PICS的干预措施知信行得分更高。

【关键词】  三级医院；ICU护士；ICU后综合征；PICS干预

中图分类号  R471    文献标识码  A    文章编号  1671-0223（2023）13--05

Analysis of knowledge-belief-practice status quo and influencing factors of ICU nurses in Shandong tertiary hospital on post-ICU syndrome interventions  Li Pengwei， Liu Wan， Liu Pengfei， Zhang Xuehui， Wang Runze， Wu Dongmei.  School of Clinical Medicine， Jining Medical University， Jining 272067， China

【Abstract】  Objective To investigate the current status of ICU nurses' knowledge-belief-practice of post-ICU syndrome （PICS） interventions， and to analyze its influencing factors， so as to provide a reference for the prevention of post-ICU syndrome. Methods  From April to May 2022， 646 ICU nurses from 6 tertiary hospitals in Shandong Province were selected as the study subjects， The survey was conducted using the General Data Questionnaire and the PICS Intervention knowledge-belief-practice Questionnaire. Results  The score of PICS's intervention in ICU nurses was 54.15±33.87 points， which was at a low level. The nature of hospital operation， ICU specialist nurse certificate， and participation in PICS training are the main factors influencing ICU nurses' knowledge-belief-practice in PICS interventions. Conclusion At present， ICU nurses in tertiary hospitals in Shandong Province have a low level of knowledge-belief-practice of post-ICU syndrome interventions. The nature of hospital operation， ICU specialist nurse certificate， and participation in PICS training were the influencing factors affecting the knowledge-belief-practice level of ICU nurses' PICS interventions.

【Key words】   Tertiary hospital; ICU nurse; Post-intensive care syndrome; Intervention status

隨着医学技术的进步，重症监护病房（intensive care unit， ICU）幸存者人数逐渐增加，医护人员将面临新的护理问题。研究发现，近20%～40%的重症患者转出ICU后，其心理、认知和生理方面会出现一系列功能障碍，严重影响患者生活质量[1-2]。2010年美国重症监护医学协会首次将上述症状定义为“ICU后综合征”（post-intensive care syndrome，PICS ）[3]。当前，国外对PICS的研究较为深入，并探索出一系列的干预措施，如针对性镇静集束化治疗、针对性运动康复计划、进行早期心理状态评估和认知干预等[4-6]。但国内PICS相关研究起步较晚，各项干预措施的使用情况不容乐观[7]。本研究旨在了解山东省三级医院ICU护士PICS的干预措施知信行水平现状及其影响因素，为预防ICU后综合征的发生提供参考依据。……