心内科护士主动开展急性心肌梗死患者早期心脏康复的意愿及影响因素分析

摘要

Objective To analyze the factors influencing nurse ’ willingness to conduct early cardiac rehabilitation and to provide theoretical guidance for promoting the implementation of clinical cardiac rehabilitation nursing. Methods A self-designed general information questionnaire, early cardiac rehabilitation knowledge questionnaire and nurse ’s knowledge on early cardiac rehabilitation questionnaire were applied to investigate 171 nurses in cardiology ward in three third-level first-class hospitals of Beijing. The influence factors of cardiac rehabilitation nursing were analyzed by logistic regression. Results Totally 58.5%of the nurses (100/171) were willing to conduct early cardiac rehabilitation for AMI patients. Multiple logistic regression analysis indicated that nurse ’ knowledge on early cardiac rehabilitation and doctor ’s support were independent factors influencing nurse ’ willingness to develop early cardiac rehabilitation (P<0.05). Conclusion In order to improve the motivation of nurses to implement cardiac rehabilitation nursing, more emphasis should be put on improving nurse ’ knowledge on cardiac rehabilitation and doctors provide more supports to nurses.%目的：分析心内科护士主动开展急性心肌梗死患者早期心脏康复的意愿及影响因素，为临床心脏康复护理开展提供参考依据。方法采用横断面研究，对北京市3所三级甲等医院171名心内科护士作为调查对象，采用一般资料调查表、早期心脏康复相关知识问卷和护士对早期心脏康复的认识情况问卷进行调查。对心内科护士主动开展早期心脏康复意愿的影响因素进行多因素Logistic回归分析。结果171名心内科护士有100名愿意对急性心肌梗死患者主动开展早期心脏康复护理，占58.5%。多因素Logistic回归分析显示，对急性心肌梗死患者早期开展心脏康复的认识和医生对护士工作的重视是影响心内科护士主动开展早期心脏康复的独立影响因素（P<0.05）。结论心内科护士对急性心肌梗死患者主动开展早期心脏康复意愿较低，提高其对急性心肌梗死患者开展早期心脏康复运动重要性的认识，提高医生对护士工作的重视，有利于促进心内科护士主动开展早期心脏康复护理工作。