ICU护士报警疲劳现状及影响因素分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (2): 207-210.

ICU护士报警疲劳现状及影响因素分析

段菲^a, 刘伟^b, 肖江琴^a

新疆维吾尔自治区人民医院 a 护理部，b 重症医学科，新疆乌鲁木齐 830000

收稿日期:2022-05-13 修回日期:2022-09-13 发布日期:2026-03-02
通信作者: 肖江琴，主任护师，E-mail：470197025@qq.com
作者简介:段菲，女，在读硕士研究生，研究方向为临床护理。

Analysis on status and influencing factors of alarm fatigue among ICU nurses

DUAN Fei^a, LIU Wei^b, XIAO Jiang-qin^a

a Nursing Department，b Critical Care Medicine，Xinjiang People's Hospital，Urumqi Xinjiang 830000，China

Received:2022-05-13 Revised:2022-09-13 Published:2026-03-02
Contact: XIAO Jiang-qin，Chief nurse，E-mail：470197025@qq.com

摘要/Abstract

摘要： 目的调查重症监护室（intensive care unit，ICU）护士医疗设备报警疲劳现状及其主要影响因素，为临床制定有效的报警管理策略提供理论依据。方法采用一般资料调查表、ICU护士报警疲劳量表及临床设备报警管理问卷于2022年1—2月对新疆乌鲁木齐市某三级甲等医院的168名ICU护士进行问卷调查。结果 ICU护士报警疲劳总分为（22.15±7.74）分，得分最高的条目是“我会更加注意某些班次（如：夜班）中的仪器报警声”。回归分析显示，学历、职称、职业满意度及报警参数设置均是ICU护士报警疲劳的主要影响因素（均P<0.05），共解释28.9%的总变异。结论护理管理者应制定相应的培训方案，模拟临床真实情景进行考核，针对发现的问题持续质量改进，从而形成良好的报警管理氛围，预防报警疲劳的发生。

关键词: ICU护士, 报警疲劳, 设备报警管理

Abstract: Objective To investigate the status of medical equipment alarm fatigue among nurses in intensive care unit（ICU） and its main influencing factors，provide theoretical basis for clinical development of effective alarm management strategies. Methods From January to February 2022，168 ICU nurses in a grade-A tertiary hospital of Urumqi in Xinjiang were investigated by general information questionnaire，ICU nurses' alarm fatigue scale and clinical equipment alarm management questionnaire. Results The total score of alarm fatigue of ICU nurses was （22.15±7.74）points，and the item with the highest score was "I will pay more attention to the sound of instrument alarm in some shifts（such as night shift）". The regression analysis showed that education background，professional title，career satisfaction and setting of alarm parameters were the main influencing factors of ICU nurses' alarm fatigue（all P<0.05），which explained 28.9% of the total variation. Conclusion The nursing managers should develop corresponding training programs，simulate the real clinical situation for assessment，and continue to improve the quality of the problems found，so as to form a good alarm management atmosphere and prevent the occurrence of alarm fatigue.

Key words: ICU nurses, Alarm fatigue, Equipment alarm management

中图分类号:

R181.3⁺1

段菲, 刘伟, 肖江琴. ICU护士报警疲劳现状及影响因素分析. [J]职业与健康, 2023, 39(2): 207-210.

DUAN Fei, LIU Wei, XIAO Jiang-qin. Analysis on status and influencing factors of alarm fatigue among ICU nurses. [J]OCCUPATION AND HEALTH, 2023, 39(2): 207-210.

参考文献

[1] WINTERS B D,CVACH M M,BONAFIDE C P,et al.Technological Distractions(Part 2):A Summary of Approaches to Manage Clinical Alarms With Intent to Reduce Alarm Fatigue[J].Crit Care Med,2018,46(1):130-137.
[2] FARNSWORTH R.Alarm Fatigue[J].J Christ Nurs,2020,37(2):125.
[3] GORGES M,MARKEWITZ B A,WESTENSKOW D R.Improving alarm performance in the medical intensive care unit using delays and clinical context[J].Anesth Analg,2009,108(5):1546-1552.
[4] 周姓良,胡靖青,刘爱侠,等.ICU预防报警疲劳的研究进展[J].中华护理杂志,2014,49(6):712-715.
[5] TORABIZADEH C,YOUSEFINYA A,ZAND F,et al.A nurses' alarm fatigue questionnaire:development and psychometric properties[J].J Clin Monit Comput,2017,31(6):1305-1312.
[6] 刘洁,刘婧,黄霞红,等.ICU护士报警疲劳量表的汉化及信度效度检验[J].中国护理管理,2021,21(4):522-525.
[7] CHO O M,KIM H,LEE Y W,et al.Clinical alarms in intensive care units:Perceived obstacles of alarm management and alarm fatigue in nurses[J].Healthc Inform Res,2016,22(1):46-53.
[8] 王婧,王建宁,周松,等.ICU护士医疗设备报警疲劳程度及其影响因素的研究[J].中华护理杂志,2017,52(2):211-215.
[9] RUSKIN K J,HUESKE-KRAUS D.Alarm fatigue:impacts on patient safety[J].Curr Opin Anaesthesiol,2015,28(6):685-690.
[10] CHAMBRIN M C,RAVAUX P,CALVELO-AROS D,et al.Multicentric study of monitoring alarms in the adult intensive care unit (ICU):a descriptive analysis[J].Intensive Care Med,1999,25(12):1360-1366.
[11] TANNER T.The problem of alarm fatigue[J].Nursing for Women's Health,2013,17(2):153-157.
[12] 潘佳丽,邬燕伟,徐洁慧.重症监护病房护理人员报警疲劳的研究进展[J].当代护士(上旬刊),2021,28(3):12-14.
[13] BRIDI A C,DA S R,DE FARIAS C C,et al.Reaction time of a health care team to monitoring alarms in the intensive care unit:implications for the safety of seriously ill patients[J].Rev Bras Ter Intensiva,2014,26(1):28-35.
[14] VAN ROMPAEY B,ELSEVIERS M M,VAN DROM W,et al.The effect of earplugs during the night on the onset of delirium and sleep perception:a randomized controlled trial in intensive care patients[J].Crit Care,2012,16(3):R73.
[15] BOROWSKI M,GORGES M,FRIED R,et al.Medical device alarms[J].Biomed Tech (Berl),2011,56(2):73-83.
[16] KORNIEWICZ D M,CLARK T,DAVID Y.A national online survey on the effectiveness of clinical alarms[J].Am J Crit Care,2008,17(1):36-41.
[17] WELCH J.An evidence-based approach to reduce nuisance alarms and alarm fatigue[J].Biomed Instrum Technol,2011:46-52.
[18] 方婵燕,林日霞,许妙婷.重症医学科护士仪器设备报警疲劳现状及其影响因素分析[J].临床护理杂志,2021,20(1):73-76.
[19] 杨丽平,张志刚,张彩云,等.ICU报警疲劳产生的原因及预防策略[J].中国护理管理,2017,17(9):1274-1277.
[20] GRAHAM K C,CVACH M.Monitor alarm fatigue:standardizing use of physiological monitors and decreasing nuisance alarms[J].Am J Crit Care,2010,19(1):28-34+35.