ความรู้ในการประเมินและการจัดการผู้ป่วยระยะแรกของภาวะช็อคจากการติด อและปัจจัยที่เกี่ยวข้องของพยาบาลวิชาชีพในโรงพยาบาลมหาวิทยาลัย

Abstract

This descriptive study aimed to study the knowledge of detection and management among registered nurses in patients in the early stage of septic shock, and was conducted to identify the factors related to that knowledge. The purposive sample consisted of 185 nurses who were working in medical and surgical wards at a university affiliated hospital. Two instruments were used to collect the data: the demographic data assessment form, and the knowledge of detection and management in the early stage of septic shock patient questionnaire. Descriptive statistics, Chi square test, and Spearman’s Rank Correlation were used to analyze the data. The findings of the study showed that most of the registered nurses had a low level of knowledge of detection, and a moderate level of the knowledge of management of patients in the early stage of septic shock. Age, work experience, and length of experience training were not related to knowledge of detection, whereas working area was related to knowledge of detection in the early stage of septic shock (p < .05). In addition, age and work experience were negatively related to knowledge of management of patients in the early stage of septic shock (p < .05 respectively). Length of experience training was positively related to knowledge of management (p < .01), while working area was not related to knowledge of management. This study suggested that educating all registered nurses about the knowledge of detection and management of patients in the early stage of septic shock should be provided. Moreover, a clinical practice guideline for the early stage of septic shock patients should be developed.