背景:连续肾脏替代疗法(CRRT)是重症监护病房(ICU)中常用的肾脏替代疗法(RRT)形式。一个专门的CRRT团队(SCT,由医生和护士组成)在管理CRRT中发挥关键作用,但是缺乏关于联合培训和管理策略的循证研究。这项研究武装起来评估知识,态度,ICU工作人员对CRRT的实践(KAP),并确定教育途径,需要,以及CRRT实施的现状。
方法:本研究于2023年2月6日至3月20日进行。使用自制的结构化问卷进行数据收集。描述性统计,T-tests,方差分析(ANOVA),多元线性回归,采用皮尔逊相关系数检验(α=0.05)。
结果:来自中国中部和南部66家医院的405名ICU工作人员参与了这项研究,产生395份有效问卷。平均知识得分为51.46±5.96(61.8%得分高)。平均态度得分为58.71±2.19(73.9%得分高)。平均练习分数为18.15±0.98(85.1%得分高)。多元线性回归分析表明,年龄,多年的CRRT实践,ICU类别,和CRRT专家小组成员独立影响知识得分;教育水平,多年的CRRT实践,CRRT专家小组成员独立影响态度得分;教育水平和教学医院就业独立影响实践得分。ICU员工接受培训和日常工作经验的最有效方法是在部门内部。
结论:ICU工作人员表现出良好的知识,积极的态度和适当的练习CRRT。延长CRRT在CRRT中的练习时间,在综合ICU或教学医院接受进一步培训,加入CRRT专家小组,升级教育可以提高CRRT的专业水平。考虑到培训计划的便利性,将提高ICU员工的参与度。培训应侧重于基本的CRRT原则,液体管理,和报警处理。
BACKGROUND: Continuous renal replacement therapy (CRRT) is a commonly utilized form of renal replacement therapy (RRT) in the intensive care unit (ICU). A specialized CRRT team (SCT, composed of physicians and nurses) engage playing pivotal roles in administering CRRT, but there is paucity of evidence-based research on joint training and management strategies. This study armed to evaluate the knowledge, attitude, and practice (KAP) of ICU staff toward CRRT, and to identify education pathways, needs, and the current status of CRRT implementation.
METHODS: This study was performed from February 6 to March 20, 2023. A self-made structured questionnaire was used for data collection. Descriptive statistics, T-tests, Analysis of variance (ANOVA), multiple linear regression, and Pearson correlation coefficient tests (α = 0.05) were employed.
RESULTS: A total of 405 ICU staff from 66 hospitals in Central and South China participated in this study, yielding 395 valid questionnaires. The mean knowledge score was 51.46 ± 5.96 (61.8% scored highly). The mean attitude score was 58.71 ± 2.19 (73.9% scored highly). The mean practice score was 18.15 ± 0.98 (85.1% scored highly). Multiple linear regression analysis indicated that gender, age, years of CRRT practice, ICU category, and CRRT specialist panel membership independently affected the knowledge score; Educational level, years of CRRT practice, and CRRT specialist panel membership independently affected the attitude score; Education level and teaching hospital employment independently affected the practice score. The most effective method for ICU staff to undergo training and daily work experience is within the department.
CONCLUSIONS: ICU staff exhibit good knowledge, a positive attitude and appropriately practiced CRRT. Extended CRRT practice time in CRRT, further training in a general ICU or teaching hospital, joining a CRRT specialist panel, and upgraded education can improve CRRT professional level. Considering the convenience of training programs will enhance ICU staff participation. Training should focus on basic CRRT principles, liquid management, and alarm handling.