肝素钠注射液皮下注射知信行现状调查研究

目的 调查肝素钠注射液皮下注射护理操作规范的知信行现状及其影响因素，为临床护士的培训及管理提供参考依据。方法 使用方便抽样法选取2022年4—5月西安交通大学第一附属医院、西北妇女儿童医院和深圳市人民医院临床护士720人为研究对象，采用临床护士肝素钠注射液皮下注射护理操作规范的知信行调查问卷，进行问卷调查并寻找其影响因素。结果 临床护士肝素钠注射液皮下注射知信行得分(145.33±19.94)分，知识、态度、行为三维度分别是(19.23±4.48)分、(44.33±6.82)分、(81.73±15.05)分；多元线性回归结果显示临床护士对肝素钠注射液皮下注射操作知识的显著影响因素是工作时长、有无接受肝素钠注射液皮下注射操作培训；态度的显著影响因素是工作时长；行为的显著影响因素是知识、态度及有无接受肝素钠注射液皮下注射培训等。结论 临床护士关于肝素钠注射液皮下注射操作护理态度积极程度较好，但知识水平和行为执行情况有待进一步促进和提高。管理者只有采取多样化形式培训，做好肝素钠注射液皮下注射的质控管理，才能确保病人的用药安全。

Investigation on knowledge, attitudes and practice of subcutaneous injection of heparin sodium injection

Objective To investigate the current status and influencing factors of knowledge, attitude and practice (KAP) of nursingoperation standard for subcutaneous injection of heparin sodium injection, so as to provide reference for the training and management ofclinical nurses.Methods A total of 720 clinical nurses in the First Affiliated Hospital of Xi ''an Jiaotong University, Northwest Wom?en and Children''s Hospital and Shenzhen People''s Hospital from April to May, 2022 were selected as the research objects by conve?nient sampling method. The knowledge, attitude and practice of clinical nurses on nursing operation standard of subcutaneous injectionof heparin sodium injection was used to conduct the questionnaire survey and find its influencing factors.Results The total score of knowledge, attitude and practice of clinical nurses was (145.33±19.94)points, and the scores of knowledge, attitude and behavior were(19.23±4.48)points, (44.33±6.82)points and (81.73±15.05)points, respectively. The results of multiple linear regression analysis showedthat the influencing factors of clinical nurses'' knowledge of subcutaneous heparin injection operation were "working years" and "wheth?er they accepted the training of subcutaneous heparin injection operation". The significant influencing factor of attitude was workingyears. The significant influencing factors of behavior were "knowledge, attitude" and "whether to accept the training of subcutaneousheparin sodium injection". Conclusions Clinical nurses have a positive attitude towards the operation of subcutaneous injection ofheparin sodium injection, but their knowledge level and behavior implementation need to be further promoted and improved. Managersshould adopt diversified forms of training and do a good job in the quality control management of subcutaneous injection of heparin so?dium injection to ensure the safety of patients'' medication.