非内分泌科护士胰岛素注射知信行现状及结构方程模型分析  

Status quo of knowledge,attitude and behavior of insulin injection among nurses of non-endocrinology department and analysis of structural equation model

作　　者：厉姝岑 傅荣[2] 张红梅[3] 张宁[3] 顾天伟 LI Shucen;FU Rong;ZHANG Hongmei;ZHANG Ning;GU Tianwei(School of Nursing,Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing210023,China;Department of Internal Medicine,Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing210000,China;Department of Endocrinology,Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing210000,China)

机构地区：[1]南京中医药大学护理学院,江苏南京210023 [2]南京中医药大学中西医结合鼓楼临床医学院内科,江苏南京210000 [3]南京中医药大学中西医结合鼓楼临床医学院内分泌科,江苏南京210000

出　　处：《中国医药导报》2020年第26期161-165,共5页China Medical Herald

基　　金：江苏省卫生和计划生育委员会医学科研课题(Q2017006);南京大学医院管理研究所课题研究项目、南京鼓楼医院医学发展医疗救助基金会资助项目(NDYG2018009);南京鼓楼医院护理科研重点课题(ZSA148-3)。

摘　　要：目的分析非内分泌科护士胰岛素注射知识、态度、行为现状并探讨知信行三者的作用机制。方法采用便利抽样法于2019年6—7月对南京市某三级甲等医院1233名非内分泌科护士进行调查。使用一般资料调查表及胰岛素注射技术知信行调查问卷,利用SPSS 23.0及Amos 23.0软件对现状进行分析及结构方程模型构建。结果本研究共收回1235份问卷,有效问卷1233份,有效回收率为99.8%。非内分泌科护士胰岛素注射知识与态度、知识与行为、态度与行为得分呈正相关(r=0.13、0.10、0.39,P=0.000)。不同性别、工作年限、学历、职称、婚姻状态、是否糖尿病小组成员、近1年接受培训不同次数的非内分泌科护士胰岛素注射知识得分比较,差异有统计学意义(P<0.05);是否糖尿病小组成员、近1年接受相关培训不同次数胰岛素注射态度得分比较,差异有统计学意义(P<0.05);近1年接受培训不同次数胰岛素注射行为得分比较,差异有统计学意义(P<0.05)。结构方程模型拟合良好,知识对态度有直接影响,效应系数为0.14;态度对行为有直接影响,效应系数为0.56;知识对行为的总效应系数为0.15,其中直接影响系数为0.07,通过态度对行为产生的间接影响系数为0.08。结论非内分泌科护士胰岛素注射知识水平亟待提高,态度与行为水平良好。正向态度的引导是提升护士胰岛素注射知信行水平的关键。Objective To analyze the current status of insulin injection knowledge,attitude and behavior among non-endocrinology nurses,and explore the mechanism of action of knowledge,attitude,and behavior.Methods A total of 1233 non-endocrine nurses in a class three grades hospital in Nanjing Province from June to July 2019 were selected by convenience sampling method.The general information questionnaire and insulin injection technology knowledge,attitude and behavior questionnaire were used,and SPSS 23.0 and Amos 23.0 software were applied to analyze the status quo and construct the structural equation model.Results In this study,a total of 1235 questionnaires were collected,1233 valid questionnaires,and the effective response rate was 99.8%.The scores of non-endocrinology nurses′insulin injection knowledge and attitude,knowledge and behavior,attitude and behavior were positively correlated(r=0.13,0.10,0.39,P=0.000).The differences in comparison of insulin injection knowledge scores among non-endocrinology nurses with different genders,working years,education background,job title,marital status,whether they were members of the diabetes team,and the number of times of training in the past one year were statistically significant(P<0.05).There were statistically significant differences in the score of insulin injection knowledge among non-endocrine nurses of whether it was a member of the diabetes group and received relevant training for different times in the past one year(P<0.05).There was a statistically significant difference in the scores of insulin injection behavior at different times of training in the past one year(P<0.05).The structural equation model fits well,knowledge had a direct effect on attitude,and the effect coefficient was 0.14;attitude had a direct effect on behavior,and the effect coefficient was 0.56;the total effect coefficient of knowledge on behavior was 0.15,of which the direct effect coefficient was 0.07,and the indirect influence coefficient through attitude on behavior was 0.08.Conclusion Non

关 键 词：非内分泌科 护士 胰岛素注射 知信行 结构方程模型 

分 类 号：R192[医药卫生—卫生事业管理]