护士对咳痰机认知程度与临床应用效果的相关性分析-国际护理学研究-CSCIED科技核心评价数据库-手机版

护士对咳痰机认知程度与临床应用效果的相关性分析

Correlation analysis between nurses' level of awareness and clinical application efficacy of sputum extraction devices

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DOI	10.12208/j.ijnr.20260085
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2026, 8(2)
作者	白荣荣, 狄众芳, 杜娟, 康艳茹, 孟欣, 王晓琳, 薛慧雯,
作者单位	内蒙古科技大学包头医学院第一附属医院内蒙古包头
摘要	目的探讨护士对咳痰机的认知程度与临床应用效果的关联性，为优化咳痰机临床应用管理、提升护理质量提供参考。方法采用横断面研究设计，通过便利抽样法，选取2025年1月-2025年7月某三级医院呼吸与危重症医学科、ICU、神经外科等科室使用过咳痰机的120名护士及对应的120例患者为研究对象。每名护士仅纳入其在研究期间负责操作咳痰机的1例患者，确保护士认知水平与患者临床结局的一一对应关系。采用自行设计的护士咳痰机认知问卷评估护士认知水平，通过回顾性分析患者临床资料，收集日均排痰量、肺部感染控制率、气道通畅维持时间及不良反应发生率4项应用效果指标。运用SPSS 26.0软件进行统计分析，计量资料以（͞x±s）表示，计数资料以率（%）表示，采用方差分析比较不同认知组临床应用效果差异，Pearson相关分析探讨护士认知得分与临床应用效果的关联性，P<0.05为差异有统计学意义。结果护士咳痰机认知得分平均为（68.92±11.18）分，其中高认知组（≥80分）30名、中认知组（60-79分）71名、低认知组（＜60分）19名。高认知组护士对应的患者日均排痰量、肺部感染控制率、气道通畅维持时间相关水平均显著优于中、低认知组，不良反应发生率相关水平显著低于中、低认知组（P＜0.05）；中认知组相关指标优于低认知组（P＜0.05）。Pearson相关性分析显示，护士认知得分与日均排痰量呈正相关（r=0.70，p＜0.05），与肺部感染控制率呈正相关（r=0.28，p＜0.05），与气道通畅维持时间呈正相关（r=0.56，p＜0.05），与不良反应发生率呈负相关（r=-0.21，p＜0.05）。结论护士对咳痰机的认知程度与临床应用效果显著相关，认知水平越高，对应的患者日均排痰量相关水平更高、气道通畅维持时间相关水平更长、肺部感染控制率相关水平更高，不良反应发生率相关水平更低。
Abstract	Objective To investigate the correlation between nurses’ level of cognition regarding mechanical insufflator-exsufflator and its clinical application outcomes, thereby providing insights for optimizing the clinical management of mechanical insufflator-exsufflator use and enhancing the quality of nursing care. Methods A cross-sectional study design was employed. Using convenience sampling, 120 nurses from departments including Respiratory and Critical Care Medicine, ICU, and Neurosurgery of a tertiary hospital, who had operated mechanical insufflator-exsufflators between January and July 2025, and their corresponding 120 patients were recruited. Each nurse was associated with only one patient for whom they operated the device during the study period, ensuring a one-to-one correspondence between nurses’ cognitive levels and patients’ clinical outcomes. A self-developed questionnaire assessed nurses’ cognition levels. Patients’ clinical data were retrospectively analyzed to collect four outcome indicators: daily average sputum excretion, pulmonary infection control rate, duration of airway patency maintenance, and incidence of adverse reactions. Statistical analysis was performed using SPSS 26.0. Measurement data were expressed as mean ± standard deviation (͞x±s), and count data as rates (%). Variance analysis was used to compare outcome differences among different cognition groups, and Pearson correlation analysis was conducted to examine the relationship between nurses’ cognition scores and clinical outcomes, with P<0.05 considered statistically significant. Results The average cognition score of nurses was 68.92±11.18. Participants were stratified into high-cognition (≥80 points, n=30), moderate-cognition (60–79 points, n=71), and low-cognition (<60 points, n=19) groups. Patients cared for by nurses in the high-cognition group demonstrated significantly better outcomes in terms of daily average sputum excretion, pulmonary infection control rate, and duration of airway patency maintenance, as well as a significantly lower incidence of adverse reactions, compared to those in the moderate- and low-cognition groups (P<0.05). Similarly, the moderate-cognition group outperformed the low-cognition group across all indicators (P<0.05). Pearson correlation analysis revealed that nurses’ cognition scores were positively correlated with daily sputum excretion (r=0.70, p<0.05), pulmonary infection control rate (r=0.28, p<0.05), and duration of airway patency maintenance (r=0.56, p<0.05), and negatively correlated with the incidence of adverse reactions (r=-0.21, p<0.05). Conclusion Nurses' cognition level regarding mechanical insufflator-exsufflator is significantly correlated with clinical application outcomes. Higher cognition levels are associated with increased daily sputum excretion, longer maintenance of airway patency, higher pulmonary infection control rates, and lower incidence of adverse reactions in patients.
关键词	护士；咳痰机；认知程度；临床应用效果；相关性分析
KeyWord	Nurses; Mechanical Insufflator-exsufflator; Cognitive level; Clinical application outcomes; Correlation analysis
基金项目
页码	114-120

参考文献
相关文献

[1] Willis LD. 2022 Year in Review: Mechanical Insufflation-Exsufflation. Respir Care. 2023 Jan 30;68(2):275-283.

[2] GOMEZ-MERINO E, SANCHO J, MARIN J, et al.Mechanical insufflation-exsufflation:pressure, volume, and flow relationship and the adequacy of the manufacture′s guidelines
[J].Am J Phys Med Rehabil, 2002, 81 (8) :579-583.

[3] 李义靖,姜惠娟,薛瑞忠,等.神经重症获得性衰弱患者应用咳痰机联合排痰机的疗效
[J].中国煤炭工业医学杂志,2022,25(05):557-560.

[4] Chatwin M, Wakeman RH. Mechanical Insufflation-Exsufflation: Considerations for Improving Clinical Practice. J Clin Med. 2023 Mar 31;12(7):2626.

[5] Sheers NL, Andersen T, Chatwin M. Airway Clearance in Neuromuscular Disease. Sleep Med Clin. 2024 Sep;19(3):485-496.

[6] Shah NM, Kaltsakas G, Madden-Scott S, Apps C, Sheridan S, Ramsay M, Srivastava S, Suh ES, D'Cruz R, Mackie M, Weston N, Hart N, Murphy P. Mechanical insufflation-exsufflation use in neuromuscular disease: a single centre cohort study. BMJ Open Respir Res. 2025 Feb 17;12(1):e002651.

[7] Lee CH, Hyun SE, Hur Y, Shin HI. Synergistic Effect of Manually Assisted Cough During Mechanical Insufflation-Exsufflation in Patients With Spinal Cord Injury. Respir Care. 2024 Jun 28;69(7):819-828.

[8] Morrow B, Argent A, Zampoli M, Human A, Corten L, Toussaint M. Cough augmentation techniques for people with chronic neuromuscular disorders. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013170.

[9] 陆俊江,廖建坤,梁国兴,等.咳痰机在重症监护室获得性衰弱患者排痰中的应用
[J].中国当代医药,2020,27(23): 58-60+64.

[10] Hov B, Andersen T, Toussaint M, Mikalsen IB, Vollsaeter M, Markussen H, Indrekvam S, Hovland V. User-perceived impact of long-term mechanical assisted cough in paediatric neurodisability. Dev Med Child Neurol. 2023 May;65(5):655-663.

[11] 李景余,臧丽丽,吕慧静,等.脑出血术后病人肺部感染危险因素分析及风险预测模型构建
[J].护理研究,2022, 36(17):3055-3060.

[12] 吴明隆.问卷统计分析实务：SPSS操作与应用
[M].重庆：重庆大学出版社，2010:191-192,200-201.

[13] 田亚杰,郑晓娜,韩智培,等.乳腺癌患者身体接受度量表的汉化及信效度检验
[J].护理学杂志,2025,40(16):45-48.

[14] KAISER H F, RICE J. Little jiffy, mark IV
[J].Educational and psychological measurement,1974,34(1):111-117.

[15] 马志强，王培蕊，潘荷君.全科医生内隐胜任力量表的编制及应用研究
[J].中国全科医学，2023,26(4):467-476.

[16] 许亚杰,程晓英,陈朔晖.NICU护士对安宁疗护认知及实践的研究进展
[J].中华护理杂志,2024,59(24):3055-3060.

[17] Shah NM, Apps C, Kaltsakas G, Madden-Scott S, Suh ES, D'Cruz RF, Arbane G, Patout M, Lhuillier E, Hart N, Murphy PB. The Effect of Pressure Changes During Mechanical Insufflation-Exsufflation on Respiratory and Airway Physiology. Chest. 2024 Apr;165(4):929-941.

[18] Veldhoen ES, van der Wal R, Verweij-van den Oudenrijn LP, Wösten-van Asperen RM, Gaytant MA, van der Ent CK, van der Pol WL, Hulzebos EH. Evidence for Beneficial Effect of Daily Use of Mechanical Insufflation-Exsufflation in Patients With Neuromuscular Diseases. Respir Care. 2023 Apr;68(4):531-546.

[19] Andersen TM, Hov B, Halvorsen T, Røksund OD, Vollsæter M. Upper Airway Assessment and Responses During Mechanically Assisted Cough. Respir Care. 2021 Jul;66(7):1196-1213.

[20] 陆燕.标准化呼吸道管理在老年髋部骨折术后加速康复护理中的效果分析
[J].中国防痨杂志,2024,46(S2):437-439.

[21] Stilma W, Verweij L, Spek B, Scholte Op Reimer WJM, Schultz MJ, Paulus F, Rose L. Mechanical insufflation-exsufflation for invasively ventilated critically ill patients-A focus group study. Nurs Crit Care. 2023 Nov;28(6):923-930.

[22] 罗曦，唐姗姗.基于循证的集束化护理在预防脑卒中患者肺部感染中的应用
[J].川北医学院学报，2023,38(6): 859-862.

[23] 项英,邵绍鲲,卢国慧.强化呼吸道护理对ICU肺癌患者排痰效果及肺部感染的影响
[J].中华肿瘤防治杂志,2020, 27(S1):224-225.

[24] 王柏舟,康晶,王宁.急诊科护士医院感染相关知识认知程度的调查分析
[J].中华医院感染学杂志,2014,24(19): 4923-4925.

[25] 王莹, 马洁, 米颖, 等.咳痰机在机械通气患者清理呼吸道分泌物中的应用
[J].天津护理, 2012, 20 (6) :400-401.

[26] 岳伟岗, 张志刚, 马芳丽, 等.咳嗽辅助仪用于清理神经肌肉疾病合并呼吸功能不全患者气道分泌物的临床疗效
[J].中国呼吸与危重监护杂志, 2014, 13 (6) :588-590.

[27] 赵红英,蔡佳萍.综合护理在重症监护室肺部感染患者中的应用效果研究
[J].中国全科医学,2021,24(S1):202-204.

引用本文

白荣荣, 狄众芳, 杜娟, 康艳茹, 孟欣, 王晓琳, 薛慧雯. 护士对咳痰机认知程度与临床应用效果的相关性分析 [J]. 国际护理学研究. 2026; 8; (2). 114 - 120.

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