{"title":"血液透析护士对动静脉通路评估的认识、态度和实践：多中心横断面调查。","authors":"Jingying Chen, Jinghua Lu, Xia Fu, Hongzhen Zhou","doi":"10.1111/hdi.13160","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Hemodialysis nurses' cannulation technique, monitoring, and management methods can affect patients' vascular access longevity. An arteriovenous access assessment comprises a medical history and vascular assessment through physical examination and surveillance. However, further exploration is needed to fully understand hemodialysis nurses' knowledge, attitudes, and practices (KAP) in this area.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Between June and July 2023, we recruited hemodialysis nurses from 21 cities in Guangdong Province using a convenience sampling method. Four questionnaires—the General Data Questionnaire, the KAP Scale of Arteriovenous Access Assessment among Hemodialysis Nurses, the Utrecht Work Engagement Scale, and the NASA Task Load Index—were utilized for data collection through the Questionnaire Star platform.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Of the 530 hemodialysis nurses participating in the study, 458 (86.4%) had a valid response. The participants demonstrated moderate knowledge and practice levels regarding arteriovenous access assessment and exhibited positive attitudes. We identified several factors related to arteriovenous access assessment that predict KAP in hemodialysis nurses. 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Dialysis center managers and educators should prioritize understanding hemodialysis nurses' KAP of arteriovenous access assessment and any factors influencing these areas.</p>\n </section>\n </div>","PeriodicalId":12815,"journal":{"name":"Hemodialysis International","volume":"28 3","pages":"278-289"},"PeriodicalIF":1.2000,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The knowledge, attitudes, and practices of arteriovenous access assessment among hemodialysis nurses: A multicenter cross-sectional survey\",\"authors\":\"Jingying Chen, Jinghua Lu, Xia Fu, Hongzhen Zhou\",\"doi\":\"10.1111/hdi.13160\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>Hemodialysis nurses' cannulation technique, monitoring, and management methods can affect patients' vascular access longevity. 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引用次数: 0
摘要
导言：血液透析护士的插管技术、监测和管理方法会影响患者血管通路的寿命。动静脉通路评估包括病史以及通过体格检查和监测进行的血管评估。然而，要充分了解血液透析护士在这方面的知识、态度和实践（KAP），还需要进一步的探索：方法：2023 年 6 月至 7 月期间，我们采用便利抽样法招募了广东省 21 个城市的血液透析护士。通过问卷星平台，利用四份问卷--一般数据问卷、血液透析护士动静脉通路评估 KAP 量表、乌得勒支工作参与量表和 NASA 任务负荷指数进行数据收集：在参与研究的 530 名血液透析护士中，458 人（86.4%）做出了有效回答。参与者在动静脉通路评估方面的知识和实践水平适中，并表现出积极的态度。我们发现了几个与动静脉通路评估相关的因素，这些因素可预测血液透析护士的 KAP。这些因素包括血液透析护士的工作年限、护士的体格检查知识是否足以满足临床需要、护士是否接受过体格检查培训、护士所在科室是否定期检查体格检查质量以及护士的工作投入程度和脑力劳动负荷。所有因素解释了参与者在动静脉通路评估方面的 KAP 差异的 32.4%：讨论：改善血液透析护士对动静脉通路的评估对确保最佳患者护理至关重要。透析中心的管理者和教育者应优先了解血液透析护士对动静脉通路评估的 KAP 以及影响这些方面的任何因素。
The knowledge, attitudes, and practices of arteriovenous access assessment among hemodialysis nurses: A multicenter cross-sectional survey
Introduction
Hemodialysis nurses' cannulation technique, monitoring, and management methods can affect patients' vascular access longevity. An arteriovenous access assessment comprises a medical history and vascular assessment through physical examination and surveillance. However, further exploration is needed to fully understand hemodialysis nurses' knowledge, attitudes, and practices (KAP) in this area.
Methods
Between June and July 2023, we recruited hemodialysis nurses from 21 cities in Guangdong Province using a convenience sampling method. Four questionnaires—the General Data Questionnaire, the KAP Scale of Arteriovenous Access Assessment among Hemodialysis Nurses, the Utrecht Work Engagement Scale, and the NASA Task Load Index—were utilized for data collection through the Questionnaire Star platform.
Findings
Of the 530 hemodialysis nurses participating in the study, 458 (86.4%) had a valid response. The participants demonstrated moderate knowledge and practice levels regarding arteriovenous access assessment and exhibited positive attitudes. We identified several factors related to arteriovenous access assessment that predict KAP in hemodialysis nurses. These factors included years of experience as a hemodialysis nurse, whether a nurse's knowledge of physical examination was sufficient to meet clinical needs, whether a nurse had received training in performing physical examination, whether a nurse's department regularly checked the quality of physical examination, and nurses' levels of work engagement and mental workload. All factors explained 32.4% of the variance in participants' KAP regarding arteriovenous access assessment.
Discussion
Improving hemodialysis nurses' assessment of arteriovenous access is crucial to ensure optimal patient care. Dialysis center managers and educators should prioritize understanding hemodialysis nurses' KAP of arteriovenous access assessment and any factors influencing these areas.
期刊介绍：
Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis.
The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.
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