医养护机构与医院护理人员对老年护理安全知信行现状的对比研究  

Comparative study on present status of knowledge-attitude-practice for geriatric nursing between nurses from nursing institutions and hospitals

作　　者：裴彩利 俞梦盈 张峻 王芸[1] 何桂娟[1] Pei Caili;Yu Mengying;Zhang Jun;Wang Yun;He Guijuan(Zhejiang Traditional Chinese Medical University,Hangzhou Zhejiang 310053,China)

机构地区：[1]浙江中医药大学,浙江杭州310053

出　　处：《护理与康复》2018年第9期26-30,34,共6页Journal of Nursing and Rehabilitation

基　　金：浙江省科技计划项目;编号:2016C33186

摘　　要：目的比较不同类型机构护理人员对老年护理安全认知差异,分析机构老年护理安全现况,为提升护理安全水平提供参考依据。方法采用便利抽样法对3家医养护机构和3家三级医院老年病房共112名护理人员进行问卷调查。结果对比两组护理人员一般资料,编制类别(P=0.012)和月收入(P=0.008)差异存在统计学意义;对比老年护理安全的认知,学习护理安全知识的重要性、预防老年护理安全问题发生的把握及目前的护理工作是否有利于减少老年护理安全问题的发生差异存在统计学意义(P<0.05);对比护理安全知识培训情况,压疮预防指导、机构内部安全管理制度、安全用药指导及请假外出指导差异存在统计学意义(P<0.05);对比老年护理安全措施实施情况,护理安全评估工具、护理安全防范指南、护理安全持续质量改进及老年护理安全风险预防敏感性指标信息软件实施情况差异存在统计学意义(P<0.05)。结论医养护机构护理人员对老年护理安全认知情况较医院更好,在机构内部安全管理制度及请假外出制度的培训力度较医院弱,其推行护理敏感性指标的监测工作尚不完善,两者的护理安全素养有待加强,老年安全护理措施制度有待改进。Objective To compare the cognitive difference on knowledge-attitude-practice（KAP）for geriatric nursing between nurses from nursing institutions and hospitals,analyze safety status of geriatric nursing and provide reference for improving nursing safety level.Method Choose 112 nursing staff from 3 nursing institutions and 3 hospitals by convenient sampling and investigate them by questionnaire.Result Compare the general information of two groups,there is significant difference on type of staffing system（P=0.012）and monthly income（P=0.008）between two groups.Compare the safety cognition on geriatric nursing,there is significant difference on importance of learning nursing safety knowledge,chances of preventing safety problems for elderly and effect of present nursing care work on reducing safety problems for elderly between two groups（P〈0.05）.Compare knowledge training of nursing safety,there is significant difference on preventive guidance of pressure sore,safety management system inside,safety medication guide and going out guide of inpatient between two groups（P〈0.05）.Compare safety measures implementation of geriatric nursing,evaluation tool,prevention guidelines and continuous quality improvement of nursing safety and implement status of information software on sensitivity index for security risk of geriatric nursing between two groups（P〈0.05）.Conclusion Nurses from nursing institutions have better safety cognition on geriatric nursing than nurses from hospitals.Training on safety management system inside and going out system for inpatients are better in hospitals.There is some problems on monitoring work on sensitivity index of nursing care for nursing institutions.Literacy on nursing safety for both two groups needs to be enhanced.Safety measures of geriatric nursing needs to be improved.

关 键 词：护理人员 老年人 医养护机构 医院 护理安全 

分 类 号：R473.59[医药卫生—护理学]