A cross-sectional survey and influencing factors analysis of knowledge, attitude, and behavior of enteral nutrition implemented by nurses in burn intensive care unit

Li Maojun; Chen Hualing; Ju Yangyang; Zeng Lijin; Li Ning

doi:10.3760/cma.j.cn501225-20220522-00198

Volume 39 Issue 9

Sep. 2023

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(9): 874-881

Li MJ,Chen HL,Ju YY,et al.A cross-sectional survey and influencing factors analysis of knowledge, attitude, and behavior of enteral nutrition implemented by nurses in burn intensive care unit[J].Chin J Burns Wounds,2023,39(9):874-881.DOI: 10.3760/cma.j.cn501225-20220522-00198.

Citation:

PDF( 942 KB)

A cross-sectional survey and influencing factors analysis of knowledge, attitude, and behavior of enteral nutrition implemented by nurses in burn intensive care unit

doi: 10.3760/cma.j.cn501225-20220522-00198

Institute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

More Information

Corresponding author: Li Ning, Email: 335405006@qq.com
Received Date: 2022-05-22

Abstract

Abstract

Objective To investigate the status of knowledge, attitude, and behavior of enteral nutrition implemented by nurses in burn intensive care unit (BICU) and analyze its influencing factors. Methods A multi-center cross-sectional survey research method was used. On May 8 ^th, 2022, 107 BICU nurses who met the inclusion criteria were selected from the burn departments of the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Guangdong Provincial People's Hospital, the First Affiliated Hospital of Guangxi Medical University, the Affiliated Hospital of Qinghai University, the Second Affiliated Hospital of Air Force Medical University, the Affiliated Hospital of Nantong University, Guiyang Steel Factory Staff Hospital, and the Second Affiliated Hospital of Kunming Medical University. The self-made nurses' enteral nutrition nursing knowledge-attitude-behavior questionnaire for severely burned patients was used to investigate the nurses' gender, age, working years, professional title, position, highest educational background, and whether they received systematic training in knowledge of enteral nutrition, the scores of each factor, and the total scores of knowledge, attitude, and behavior dimensions of enteral nutrition in nurses. The nurses were classified according to the general data, and the total scores of their knowledge, attitude, and behavior of enteral nutrition were calculated. Data were statistically analyzed with independent sample t test, one-way analysis of variance, Mann-Whitney U test, and Kruskal-Wallis H test. According to the results of univariate analysis and combined with clinical experience and significance, the generalized linear model analysis was carried out to screen the independent influencing factors of the total scores of knowledge, attitude, and behavior of enteral nutrition in BICU nurses. Results A total of 107 nurses were surveyed, and 107 valid questionnaires were collected, with an effective recovery rate of 100%. In the BICU nurses' enteral nutrition knowledge-attitude-behavior questionnaire, the total scores of knowledge, attitude, and behavior were 44±13, 87±15, and 70±19, respectively. Most of the BICU nurses in this survey were female, aged 22-48 (31±6) years, and the number of nurses worked for 1-5, 6-10, and ≥11 years was evenly distributed. The majority of the professional titles of nurses were nurses, positions were responsible nurses, and the highest educational background was undergraduate. Forty-four nurses received systematic training in knowledge of enteral nutrition. There were statistically significant differences in the total scores of knowledge of enteral nutrition among BICU nurses with different ages, working years, professional titles, positions, highest educational background, and whether they received systematic training in knowledge of enteral nutrition (with Hvalues of 27.36, 15.27, and 10.19, respectively, Z values of -3.33, -2.59, and -6.46, respectively, P<0.05). There were no statistically significant differences in the total scores of attitude and behavior of enteral nutrition among BICU nurses with different gender, ages, working years, professional titles, positions, highest educational background, and whether they received systematic training in knowledge of enteral nutrition ( P>0.05). Age (26-30, 31-35, and ≥36 years old), highest educational background (undergraduate), and the systematic training received in enteral nutrition knowledge were the independent influencing factors for the total score of knowledge of enteral nutrition in BICU nurses (with 95% confidence intervals of 0.12-0.36, 0-0.30, 0.03-0.31, 0.01-0.32, and 0.19-0.40, respectively, standardized regression coefficients of 0.24, 0.15, 0.17, 0.17, and 0.29, respectively, P<0.05). There were no independent influencing factors for the total scores of enteral nutrition attitude and behavior of BICU nurses in different characteristics ( P>0.05). Conclusions The BICU nurses have low cognitive level in the implementation of enteral nutrition, their concept needs to be updated in time, and their behavior needs to be further standardized. Age (26-30, 31-35, and ≥36 years old), highest educational background (undergraduate), and the systematic training received in enteral nutrition knowledge were the independent influencing factors for the knowledge of enteral nutrition in BICU nurses.
- Burns,
- Enteral nutrition,
- Nursing care,
- Knowledge,
- Attitude,
- Behavior,
- Cross-sectional studies,
- Root cause analysis

FullText(HTML)

References(30)

References

[1]	GuoFM, ZhouH, WuJ, et al. A prospective observation on nutrition support in adult patients with severe burns[J]. Br J Nutr, 2019,121(9):974-981. DOI: 10.1017/S0007114519000217.
[2]	Alfonso OrtizL,JiangXR,TurgeonAF,et al.Validation of the modified nutrition risk score (mNUTRIC) in mechanically ventilated, severe burn patients: a prospective multinational cohort study[J]. Burns, 2021,47(8):1739-1747. DOI: 10.1016/j.burns.2021.05.010.
[3]	MoreiraE, BurghiG, ManzanaresW. Update on metabolism and nutrition therapy in critically ill burn patients[J]. Med Intensiva (Engl Ed), 2018,42(5):306-316. DOI: 10.1016/j.medin.2017.07.007.
[4]	PhamCH,FangM,VrouweSQ,et al.Evaluating the safety and efficacy of intraoperative enteral nutrition in critically ill burn patients: a systematic review and meta-analysis[J]. J Burn Care Res,2020,41(4):841-848. DOI: 10.1093/jbcr/iraa036.
[5]	ZhangPJ,ZouBW,LiouYC,et al.The pathogenesis and diagnosis of sepsis post burn injury[J/OL]. Burns Trauma, 2021,9:tkaa047[2022-05-22]. https://pubmed.ncbi.nlm.nih.gov/33654698/.DOI: 10.1093/burnst/tkaa047.
[6]	罗月, 黎宁. 严重烧伤患者早期肠内营养治疗的研究进展[J].中华烧伤杂志,2021,37(9):880-884. DOI: 10.3760/cma.j.cn501120-20210621-00223.
[7]	ChourdakisM,BourasE,ShieldsBA, et al.Nutritional therapy among burn injured patients in the critical care setting: an international multicenter observational study on "best achievable" practices[J]. Clin Nutr,2020,39(12):3813-3820.DOI: 10.1016/j.clnu.2020.04.023.
[8]	SierpEL,KurmisR,LangeK,et al.Nutrition and gastrointestinal dysmotility in critically ill burn patients: a retrospective observational study[J].JPEN J Parenter Enteral Nutr,2021,45(5):1052-1060. DOI: 10.1002/jpen.1979.
[9]	潘艳艳, 徐思达, 范友芬, 等. 特重度烧伤患者早期肠内营养不耐受的危险因素分析[J].中华烧伤杂志,2021,37(9):831-838. DOI: 10.3760/cma.j.cn501120-20210511-00180.
[10]	彭曦.烧伤临床营养新视角[J].中华烧伤杂志,2019,35(5):321-325.DOI: 10.3760/cma.j.issn.1009-2587.2019.05.001.
[11]	SharmaK,MogensenKM,RobinsonMK.Pathophysiology of critical illness and role of nutrition[J]. Nutr Clin Pract,2019,34(1):12-22.DOI: 10.1002/ncp.10232.
[12]	孙文彦,李夕雯,李佳倩,等.护理人员肠内营养管路安全管理认知及行为现状的调查[J].中华临床营养杂志,2020,28(2):106-111.DOI: 10.3760/cma.j.cn115822-20200327-00076.
[13]	钱艳, 张彩华. 临床护士肠内营养知识、态度及行为现状的调查与分析[J].中华现代护理杂志,2017,23(10):1368-1371. DOI: 10.3760/cma.j.issn.1674-2907.2017.10.008.
[14]	SingerP, BlaserAR, BergerMM, et al. ESPEN guideline on clinical nutrition in the intensive care unit[J]. Clin Nutr, 2019,38(1):48-79. DOI: 10.1016/j.clnu.2018.08.037.
[15]	McClaveSA,TaylorBE,MartindaleRG, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)[J]. JPEN J Parenter Enteral Nutr,2016,40(2):159-211. DOI: 10.1177/0148607115621863.
[16]	韩春茂.烧伤管理诊疗常规与技术规范[M].杭州:浙江大学出版社,2014.
[17]	中华护理学会 T/CNAS 19─2020 成人肠内营养支持的护理 2021 中华护理学会.T/CNAS 19─2020 成人肠内营养支持的护理[S].2021.
[18]	米元元, 黄海燕, 尚游, 等. 中国危重症患者肠内营养治疗常见并发症预防管理专家共识(2021版)[J].中华危重病急救医学,2021,33(8):903-918. DOI: 10.3760/cma.j.cn121430-20210310-00357.
[19]	彭曦. 重症烧伤患者的代谢分期及营养治疗策略[J].中华烧伤杂志,2021,37(9):805-810. DOI: 10.3760/cma.j.cn501120-20210802-00264.
[20]	蒋琪霞, 王亚玲, 解怡洁, 等. 成年创伤患者创面以外皮肤清洗现况及影响因素的多中心横断面调查[J].中华烧伤杂志,2021,37(5):429-436. DOI: 10.3760/cma.j.cn501120-20210116-00023.
[21]	刘慧松, 刘志梅, 陈鑫, 等. 多模式培训对ICU护士肠内营养知信行的影响[J].护理学杂志,2020,35(7):59-61. DOI: 10.3870/j.issn.1001-4152.2020.07.059.
[22]	王汇, 程岚, 周金花, 等. 知、信、行模式在临床护士肠内营养护理培训中的应用[J].解放军医院管理杂志,2021,28(8):797-800. DOI: 10.16770/J.cnki.1008-9985.2021.08.035.
[23]	李素云, 柯卉, 张献娜. 护理人员安全实施肠内营养知信行调查[J].护理学杂志,2017,32(18):85-88. DOI: 10.3870/j.issn.1001-4152.2017.18.085.
[24]	吕琳, 杨艳林, 王宁, 等. 医疗机构专科护士分级岗位管理指标体系构建[J].中华医院管理杂志,2023,39(1):61-66. DOI: 10.3760/cma.j.cn111325-20220901-00760.
[25]	MaschJL, BhutianiN, BozemanMC. Feeding during resuscitation after burn injury[J].Nutr Clin Pract,2019,34(5):666-671. DOI: 10.1002/ncp.10400.
[26]	王小亭, 刘大为, 于凯江, 等. 中国重症超声专家共识[J].中华内科杂志,2016,55(11):900-912. DOI: 10.3760/cma.j.issn.0578-1426.2016.11.020.
[27]	MyattTC, MedakAJ, LamSHF. Use of point-of-care ultrasound to guide pediatric gastrostomy tube replacement in the emergency department[J].Pediatr Emerg Care,2018,34(2):145-148. DOI: 10.1097/PEC.0000000000001400.
[28]	都勇, 夏一兰. 重度烧伤患者肠内营养应用管理的研究进展[J].中华急危重症护理杂志,2022,3(2):163-167. DOI: 10.3761/j.issn.2096-7446.2022.02.013.
[29]	许静涌, 杨剑, 康维明, 等. 营养风险及营养风险筛查工具营养风险筛查2002临床应用专家共识(2018版)[J].中华临床营养杂志,2018,26(3):131-135. DOI: 10.3760/cma.j.issn.1674-635X.2018.03.001.
[30]	王小雪, 杨永丽, 马丁, 等. NUTRIC评分和mNUTRIC评分在危重症患者中的研究现状[J].临床急诊杂志,2020,21(10):848-852. DOI: 10.13201/j.issn.1009-5918.2020.10.016.

Relative Articles

[1]	Heng Xue, Li Changmin, Liu Wei, Li Ning, Yuan Zhiqiang, Peng Yizhi, Li Haisheng, Luo Gaoxing. Analysis of effects and influencing factors of continuous renal replacement therapy in severe burn patients complicated with acute kidney injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(5): 468-475. doi: 10.3760/cma.j.cn501225-20240207-00052
[2]	Expert consensus on enteral nutrition care for adult patients with severe burns (2024 edition)[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(9): 801-811. doi: 10.3760/cma.j.cn501225-20240229-00078
[3]	Lu Xuelan, Liu Yingping, Liu Yiwei, Diao Jielin, Wang Feng, Zhong Fangyu, He Jiale, Chen Lang. A cross-sectional survey and analysis of influencing factors on the occurrence of post-burn psychological stress disorder in preschool children[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(4): 373-379. doi: 10.3760/cma.j.cn501225-20230731-00028
[4]	Duan Deqing, Chen Yong, Deng Hong'ao, Hu Shiqiang, Mao Yuangui, Liu Dewu, Han Chunmao, Xu Qinglian, Zhang Hongyan. Multicenter retrospection and analysis of influencing factors on blood transfusion in patients with extensive burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(11): 1047-1056. doi: 10.3760/cma.j.cn501225-20230417-00128
[5]	Wang Qian, Zhu Hongjuan, Feng Ying, Chu Wanli, Song Yaoyao. A cross-sectional survey and analysis of the pain status and its influencing factors in diabetic foot ulcer patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(4): 330-336. doi: 10.3760/cma.j.cn501225-20220421-00150
[6]	Wang Shujun, Li Fangrong, Lu Hongyan, Chen Yuanyuan, Liu Xinzhu, Chen Lihua, Wang Yanhua, Yan Ziqing, Feng Ping, Wu Ying, Zhang Yan, Shen Chuan'an. A cross-sectional survey on the allocation of nursing human resources in burn centers in China[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2023, 39(4): 364-370. doi: 10.3760/cma.j.cn501225-20220613-00231
[7]	Hu Jiao, Li Ling, Chen Wei. Research advances on influencing factors and intervention strategies of pediatric burns[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(9): 883-886. doi: 10.3760/cma.j.cn501120-20210830-00295
[8]	Huang Jie, Li Shuyuan, Wang Xuexin, Li Linhui, Ye Xiaofei, Ji Shizhao. A cross-sectional investigation and analysis of early treatment of partial-thickness burn wounds by professional burn medical staff in China[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(6): 538-548. doi: 10.3760/cma.j.cn501225-20220317-00065
[9]	Jiang Qiqi, Zhang Yin, Qiao Liang, Zha Qinghua, Xie Lin, Luo Zhizhen. A cross-sectional survey and analysis of influencing factors of humanistic of the current status of humanistic care ability of burn specialist nurses[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(11): 1073-1078. doi: 10.3760/cma.j.cn501120-20210318-00092
[10]	Lu Ying, Zhou Qin, Wang Lina, He Ting, Zhao Haiyang, Cao Xiaoqin. Application effects of failure mode and effect analysis on the limb posture positioning nursing of extremely severe burn patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(11): 1078-1084. doi: 10.3760/cma.j.cn501120-20210412-00126
[11]	Jiang Qixia, Wang Yaling, Yijie Xie, Liu Xiaoqing, Xu Juan, Zheng Meichun, Feng Huan, Wang Weiwei, Sun Hongling, Zhu Shoulin, Li Wenjuan, Zhao Ning. Multicenter cross-sectional investigation on the cleaning status and influencing factors of skin cleaning outside the wound in adult trauma patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(5): 429-436. doi: 10.3760/cma.j.cn501120-20210116-00023
[12]	Hu Min, Chen Xiaojuan, Ren Linjie, Huang Jianqiong, Xu Xuewen. A cross-sectional investigation on the current status and influencing factors of kinesiophobia in adult burn patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(6): 575-581. doi: 10.3760/cma.j.cn501120-20200618-00313
[13]	Zhu Hongjuan, Wang Shujun, Yang Hua, Li Dongjie, Chi Yunfei, Li Jie. Cross-sectional survey of life quality of patients with deep partial-thickness and above burns on head and face at discharge and analysis of its influencing factors[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2019, 35(4): 292-297. doi: 10.3760/cma.j.issn.1009-2587.2019.04.009
[14]	Yu Qing, Xiao Yongqiang, Hu Xiaoyan, Xia Zhaofan. Cognitive level of first aid knowledge regarding small area burn among 2 723 child caregivers in Shanghai: a cross-sectional survey and analysis[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2019, 35(3): 198-204. doi: 10.3760/cma.j.issn.1009-2587.2019.03.007
[16]	FAN Jun, MENG Qing-yan, GUO Guang-hua, XIE Yong, LI Yue, HU Fu-sun, XIU Yi-ping, LI Tai-ran, MA Liang. Effect of early enteral immune nutrition on immune function of intestine in mice with severe burn[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2009, 25(2): 140-143. doi: 10．3760／cma．j．issn．1009-2587．2009．02．021
[17]	Chen Bin, Fu Jin-feng, Yuan Wei-gong, Xu Yan, Luo Zhi-hang, Wang Hong, Chen Zong-hua, Li Cui-ping. Study on the mechanism of protective effect of oral L-arginine on intestine after scald injury in rats[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2005, 21(4): 259-261.
[18]	an Hong, Peng Xi, Wang Pei, Huang Yue-Sheng, Wang Shi-Liang. Influence of the enteral feeding of levorotatory arginine on severely burned patients during shock stage[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2005, 21(4): 251-254.
[19]	CHEN Zhong-yong, GU Cai-zhi, WANG Shao-long, YU Bin, WANG Shi-Bang. Comparative study on the enteral and parenteral nutrition during early postburn stage in burn patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2004, 20(4): 217-219.
[20]	Explore enteral nutrition and repair injured intestine[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2004, 20(4): 196-197.

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Figures(1) / Tables(2)

Get Citation

PDF

XML

Article Metrics

Article views (912) PDF downloads(49)

A cross-sectional survey and influencing factors analysis of knowledge, attitude, and behavior of enteral nutrition implemented by nurses in burn intensive care unit

doi: 10.3760/cma.j.cn501225-20220522-00198

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

A cross-sectional survey and influencing factors analysis of knowledge, attitude, and behavior of enteral nutrition implemented by nurses in burn intensive care unit

doi: 10.3760/cma.j.cn501225-20220522-00198

Abstract

References

Relative Articles

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content