老年病房护士老年综合评估知信行现状及影响因素分析  

Current situations and influencing factors for comprehensive geriatric assessment of knowledgeattitude-practice in geriatric ward nurses

作　　者：高艳[1] 陈思羽 张洁[3] 张建华[4] 董萍[4] 

机构地区：[1]北京医院保健医疗部(老年医学部)国家老年医学中心门诊,100730 [2]北京医院保健医疗部(老年医学部)国家老年医学中心急诊,100730 [3]北京医院保健医疗部(老年医学部)老年医学病房B10,100730 [4]北京医院保健医疗部(老年医学部)护理质量管理办公室,100730

出　　处：《中华现代护理杂志》2017年第34期4354-4357,共4页Chinese Journal of Modern Nursing

摘　　要：目的调查某三甲医院老年病房护士老年综合评估（CGA）知信行现状，并探讨其影响因素，为CGA护理模式的培训和临床实施提供理论依据。方法2017年2月，采用方便抽样法选取北京某三甲医院老年病房护士190名作为研究对象，采用自行设计的一般资料调查表和CGA知信行问卷对其进行调查。结果共发放调查问卷190份，回收有效问卷184份，有效回收率为96.84%。184名老年病房护士知信行问卷总分为（74.68±7.53）分，其中优秀、一般、不及格的护士数占比分别为6.0%、90.7%、3.3%。单因素分析显示，基地病房护士与普通老年病房护士知识标准分得分差异有统计学意义（P〈0.05）。1年内接受过CGA培训的护士与未接受过培训的护士行为标准分差异有统计学意义（P〈0.05）。Logistic回归分析显示，是否基地病房是老年病房护士知信行的影响因素（OR=2.212，P=0.028）。结论老年病房护士对CGA知识掌握情况及认知态度的优秀率不高，行为方面更为欠缺。需根据护士的不同特点有针对性地进行培训；制定CGA工作模式的质量评价标准；医院可建立随访中心，依托＂医联体＂制度，实现医院-社区-家庭/护理院之间的无缝转诊；采用初步筛查与详细评估相结合的标准化CGA方法，使老年患者受益。ObjectiveTo investigate the current situations and influencing factors for comprehensive geriatric assessment （CGA） of knowledge-attitude-practice （KAP） in geriatric ward nurses of a grade Ⅲ class A hospital, and to provide theoretical evidence for training and clinical practice of CGA mode.Methods190 geriatric ward nurses from a grade Ⅲ class A hospital were selected in this study in February 2017 using convenience sampling. A self-designed geriatric ward nurses CGA questionnaire was used for the investigation.ResultsA total of 190 questionnaires were issued, and the valid response rate was 96.84% （184/190） . The total KAP score was （74.68±7.53） , with 6.0%, 90.7%, and 3.3% nurses had excellent, good, and failed scores, respectively. The univariate analyses suggested that nurses who were in the base ward had significantly higher KAP scores compared with nurses who were not （P〈0.05） . Those who had received CGA education within one year had significantly higher KAP scores compared with those who had not （P〈0.05） . The Logistic regression analysis showed that whether in the base ward was associated with KAP in geriatric ward nurses （OR=2.212, P=0.028） .ConclusionsThe knowledge of and cognitive attitude towards CGA are unsatisfactory in geriatric ward nurses, especially the CGA behaviors. The intensive training should be tailored for nurses according to their different characteristics. The quality assessment standard of CGA working mode should be established. Furthermore, the revisit center can be developed to improve the transfer of hospital-community-nursing home / home based on conjoined medical system. The standard CGA method which combined basic examination with detailed assessment is beneficial for elderly patients.

关 键 词：护士 老年综合评估 知信行 

分 类 号：R473[医药卫生—护理学]