目的 探索中医专科护士循证护理能力现状及影响因素，为促进中医护理高质量发展提供参考。 方法 2023年12月至2024年2月，采用便利抽样法选取江苏省中医专科护士535名为研究对象，使用循证护理能力量表、循证实践障碍量表等对其进行调查。采用K-means法将循证护理能力聚类，使用无序多分类Logistic回归分析其影响因素。 结果 535名护士循证护理能力量表、循证实践障碍量表总分分别为（52.60±18.19）分和（54.02±20.71）分。中医专科护士循证能力可分为高能力型、中能力型、低能力型3个类别，3个类别的护士在发表论文篇数、循证护理障碍因素量表4个维度得分等项目上的差异均有统计学意义（均P＜0.05），其主要影响因素包括护士对待循证的态度、专业热爱程度，循证培训及循证项目的参与情况、科研研究报道质量及科研素养（均P＜0.05）。 结论 中医专科护士循证能力存在异质性，管理者可针对性地制订培养策略，以切实提升中医专科护士循证护理能力。

Objective To explore the status quo of evidence-based practice(EBP) ability among Traditional Chinese Medicine(TCM) specialist nurses and its influencing factors,and to provide a reference for promoting the high-quality development of TCM nursing.Methods A total of 535 TCM specialist nurses in Jiangsu Province were selected by the convenience sampling method and a survey was conducted with the evidence-based nursing ability scale and the evidence-based practice barriers scale.The evidence-based nursing ability was clustered by the K-means method,and the influencing factors were analyzed by disordered multi-class Logistic regression.Results The total scores of the evidence-based nursing ability scale and the EBP barrier scale for 535 nurses were(52.60±18.19) and(54.02±20.71)，respectively.The evidence-based ability of TCM specialist nurses can be classified into 3 categories:high-level ability type,medium-level ability type,and low-level ability type.There were statistically significant differences among the 3 categories of nurses in terms of the number of published papers,the scores of the 4 dimensions of the evidence-based practice barrier scale,and other items (all P＜0.05).The main influencing factors included nurses’ attitudes towards evidence-based practice,enthusiasm for the profession,participation in evidence-based training and projects,the quality of scientific research reports,and scientific research literacy (all P＜0.05).Conclusions The evidence-based ability of TCM specialized nurses is heterogeneous.Administrators can provide targeted training strategies to effectively enhance the evidence-based nursing ability of TCM specialized nurses.

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江苏省研究生实践创新计划（SJCX24_0816）；江苏省中医院研究者发起临床研究（YJZ202366）