2006-2007 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Chow, MCM

Jiang, X

Kang, H

2006-2007 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishedVoR allowe

PolyU Institutional Repository

 ?　　? 成都地区三所三级甲等综合医院 ICU 与非 ICU 护士对机械通气病人照护行为意向的研究康华1　蒋晓莲1 　Mey rick Chum-ming CHOW 2(1.??????????? ,?? ?? 610041;2.??????????,????)　　?　?　?? ??????????????? IC U ?? ICU ??????????????????? ,????????????。?? ??《???????????????? 、???????????》???????? ,???????????????? ICU ?? ICU ?????? ,??????????????????? 、???????????????。?? ICU ?? ICU ???????????????(P>0. 05)???????(P>0. 05)???????? , ????(P<0. 05)???????? , ICU ?????????? ICU ??。　　???　??　　????　　????　　????Study on the behavioral intention toward caring mechanically ventilatedpatients among nurses in ICU and non- ICU settings in ChengduKang H ua　Jiang Xiao lian　Mey rick Chum-ming CHOW(Hua xi Nursing college of S ichuan university , Chengdu 610041)Abstract　Objective To compare the differences betw een ICU and non-ICU nurses'behavior al a ttitude , subjec-tive norm and behaviora l intention towards caring mechanically v entila ted patients in Chengdu Method The modifiedversion of attitude , subjective no rm. & behavioral intention o f nur ses tow ard mechanically ventilated patients(ASIMP) was used to inve stigate 282 IC U and non-ICU nurses in thr ee ter tiary-level ho spitals in Chengdu. ResultIndependent T te st revealed tha t there w ere significant difference s betw een behavior al intention sco res of ICU andnon-ICU nurses(P<0. 05). The sco re of ICU nurses’ behavio ral intention w as significantly higher than tha t o fnon-IC U nurses’ . N o significant differ ence was identified between the sco res of ICU and non-ICU nur ses'behavio ralattitude (P>0. 05) and subjectiv e no rm (P>0. 05).Key words　Nurse　　Ca ring behavio r　　Mechanically ventiklated patients　　Behaviora l intention　　?????:R472. 2　　?????:A　　????:1002-6975(2007)01-0007-03　　????:本课题为香港理工大学资助课题　　????:康华(1978 -), 女 , 河北井陉 , 硕士 , 护师 , 从事护理教育工作　　?????????????????????? ,????????????????? ,??????????????? 。?????????????? ,????????????????????。??????????? 、???????????????? ,????? 24 h????????????。?? ,??? ,???????????? ICU ,? ICU????????????。??????????????? ,???????? ,??????????????? 。???????????????????? ,?????????????????????????????????? 、??[ 1] 。?????????????? ,?????????????3. 7%[ 2] ,????????????。??????????? ICU ???????????????????。?? ,????????????????? ICU ?? ICU ??????????????????????? ,??????????? ICU ????????????????????? ,???????? 。1　?????1. 1　????　?????????:????? 7 ?????? 2007 ? 1 ?? 22?? 1??????????? ICU ?? ICU ???? ,?????????????????。????:?????????? ,????????????????? 。1. 2　????　??????? 。??????????? Dr. Mey rick Chum-ming CHOW ???????????《???????????????? 、???????????》????????????????。?????? (theo ry of reasoned action ,TRA)? Fishbein ? Ajzen ??[ 3] 。????? ,??????(behavio ral intent ion)???????(behavior)。??????????????? ,????????(behavio ral att itude)???????(subjevtiv e norm , SN)。????????????? ,?????????????????? ,????? 。?????????????????????????????。?????????(? 1)。? 1　?????????　　?????????? ,??????????????????????? ,???? 、?? 、???? 、?? 、???;????? Likert-7 ????? ,???? 7?????:(1)???? ,??21??? ,?? ,???? 、??????? 10 ???;(2)?????? ,?? 9 ??? ,?? ,????????????????? 4???;(3)???? ,?? 25???;???? 55??? 。???????????? 0. 79 ～ 1. 00 ,??????????? 0. 92;??????????????? 0. 62 ～ 0. 93 ,??????????????0. 86 。1. 3　???????　???????? ,??????????????? 、?? ,??????????? ,?????????????。??????????????????????? ,?????????。?SPSS 11. 5?????????????? 。2　????????? 309? ,?????? 282? ,??????? 91%。2. 1　?????????(? 1)? 1　?????????　(n=282)????ICU ??(n=142)?? (%)? ICU ??(n=140)?? (%)?? ? 6 (4. 2%) 3 (2. 1)? 136(95. 8%) 137 (97. 9)??<20? 14 (9. 9%) 5 (3. 6)21～ 25? 98 (69. 0%) 79 (56. 4)26～ 30? 18 (12. 7%) 23 (16. 4)31～ 35? 6 (4. 2%) 19 (13. 6)36～ 40? 5 (35%) 11 (7. 9)>40? 1 (0. 7%) 3 (2. 1)?? ?? 27 (19. 0%) 17 (12. 1)?? 98 (69. 0%) 96 (68. 6)?? 17 (12. 0%) 27 (19. 3)???? ≤2? 62 (43. 7%) 41 (29. 3)2???? 5??? 37 (26. 1%) 22 (15. 7)≥5? 43 (30. 3%) 77 (55. 0)?? ?? 115(81. 0%) 89 (63. 6)?? 22 (15. 5%) 36 (25. 7)???? 5 (3. 5%) 15 (10. 7)?? ???? 44 (31. 0%) 61 (43. 6)????? 98 (69. 0%) 79 (56. 4)???? ? 117(82. 4%) 98 (70. 0)???? ? 25 (17. 6) 42 (30. 0)2.2　ICU?? ICU?????????????? 8 ?????? 2007 ? 1 ?? 22 ?? 1 ?2. 2. 1　????(? 2)? 2　IC U?? ICU ??????????　(n=282)??? ???? ?? ?? ??? U ? P?(??)???? ICU ?? 142 286. 25 58. 71 0. 019 0. 985? ICU ?? 140 286. 11 62. 17　　? 2?? , ICU?? ICU???????????????????????(P>0. 05)。2. 2. 2　??????(? 3)? 3　IC U ?? ICU ????????????　(n=282)??? ???? ?? ?? ??? U ? P?(??)?????? ICU ?? 142 157. 13 35. 68 - 0. 247 0. 805? ICU ?? 140 158. 13 32. 18　　? 3?? , ICU?? ICU???????????????????????????(P>0. 05)。2. 2. 3　????(? 4)? 4　IC U ?? ICU ????????????　(n=282)??? ???? ?? ?? ??? U ? P?(??)???? ICU ?? 142 161. 68 9. 79 2. 452 0. 015*? ICU ?? 140 158. 54 11. 60　　?:*P<0. 05　　?4?? , ICU?? ICU?????????????????????????(P<0. 05), ICU?????????????? ICU?? 。3　??????(? 1 , 2), ICU ?? ICU ???????????????????????????????。????????????????????????????????? ,?????????????????????;??????????????????????????????????? ,????????????。??????????????????????????? 、???????? 。?? ICU ??ICU ???????????????????????? ,? ICU?????????????ICU ??(? 3), ????????? ,??????????????????????????? ,?????????????????? ,???????????? 。?? ,????????[ 3] ,?????????????????。??? ICU?? , ICU???????????????????? ,????????????????????????????????????。?　?　?　?1　Barry J , Make D , Nich olas S , et al . M echanical vent ilat ion be-yond the intensive care unit [ J] . C hes t , 1998 , 113(5)∶289S.2　??? ,???. ICU ?????????????[ J] . ???????? , 2004 , 11(4)∶17-19.3　Dolores Albarracin , Blair T. Jh onson , M art in Fishbein , et al .T heo ries of Reasoned Act ion an d Planned Behavior as Models ofCondom Use ∶ A Meta-Analysi s [ J] . Psychological Bu lletin ,2001 , 127(1)∶142-161.(收稿日期:2006-07-18) ? ? ? ???????????????李翠华　李艳(??????????????,???? 441021)　　???　??????　　????　　?????:R472. 9　　?????:B　　????:1002-6975(2007)01-0009-01　　????:李翠华(1971 - ), 女 , 湖北襄樊 , 本科 , 主管护师 ,护士长 , 从事临床护理工作　　??????????????????????? ,????。?????。1　????????? 500 ml×4 ? ,???????? , ????????(14～ 16 #),??????????????。????? 500 ml????????????? , ??????;???????(14 ～ 16 #)???????? ,???????? , ??????;????????????? 10 ～ 15 cm ??? ,????????????。2　???????????? ,???? 、??? , ??????? ,????????? , ??????????? ,???????? ,?????? , ?????????? ,?????? ,???? , ??????????????。 ??????? ,??????? , ??????? , ????????。?????????? , ???? , ???? , ????。 (收稿日期:2006-09-25) 9 ?????? 2007 ? 1 ?? 22?? 1?

Study on the behavioral intention toward caring mechanically ventilated patients among nurses in ICU and non-ICU settings in Chengdu

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