河北地区医务人员肿瘤营养认知-态度-行为调查分析  

Investigation and analysis of tumor nutrition‑related knowledge‑attitude‑practice among medical staffs in Hebei region

作　　者：李尧[1] 李奕彤 和丽丽[3] 李晓明[4] 魏冰珠 丛明华[6] Li Yao;Li Yitong;He Lili;Li Xiaoming;Wei Bingzhu;Cong Minghua(Department of Nutrition,Hebei General Hospital,Shijiazhuang 050055,Hebei,China;Department of Oncology,Hebei General Hospital,Shijiazhuang 050055,Hebei,China;Department of Geriatrics,Hebei General Hospital,Shijiazhuang 050055,Hebei,China;Department of Pharmacy,Hebei General Hospital,Shijiazhuang 050055,Hebei,China;Xuchang Municipal Jian'an District Center for Disease Con-trol and Prevention,Xuchang 461100,Henan,China;Department of Comprehensive Care,Chinese Academy of Medical Sciences&Pe-king Union Medical College,Beijing 100021,China)

机构地区：[1]河北省人民医院营养科,石家庄050055 [2]河北省人民医院肿瘤一科,石家庄050055 [3]河北省人民医院老年一科,石家庄050055 [4]河北省人民医院药学部,石家庄050055 [5]河南许昌市建安区疾病预防控制中心疾控信息科,河南许昌461100 [6]中国医学科学院北京协和医学院肿瘤医院综合科,北京100021

出　　处：《肿瘤代谢与营养电子杂志》2021年第1期72-77,共6页Electronic Journal of Metabolism and Nutrition of Cancer

基　　金：河北省2016年度医学科学研究重点课题计划项目(20160466)。

摘　　要：目的调查医务人员肿瘤营养认知-态度-行为(K-A-P)现状,分析其影响因素,为进一步制订针对性干预措施及深入开展医院肿瘤营养工作提供科学依据。方法收集2018年12月至2019年6月河北地区13所医院470名医务人员,采用便利抽样的方法和自设问卷形式,进行营养认知、态度和行为水平调查,根据得分情况进行统计分析。结果调查共发放问卷481份,回收481份,其中有效问卷470份,有效率为97.77%。其中医师240名,护士170名,其他人员60名,营养认识、态度、行为评分分别为(31.06±13.82)分、(115.22±12.24)分、(116.01±18.48)分,分别只有48.94%、53.19%、46.17%的医务人员高于其平均分。Spearman相关性分析显示,态度与行为得分的相关系数为0.444,有一定的相关性。性别、职业、职称、学历、专业、教学功能、医院性质、医院等级是知识的得分影响因素;职业、职称、专业、工作类型、教学功能、医院等级对态度得分有影响;职业、职称、学历、工作年限、工作类型、医院等级是行为得分的影响因素。结论河北地区的医务人员有较积极、严谨的肿瘤营养态度,需要进一步提高营养知识的知晓程度和提升营养行为,可通过加强临床营养学科的建设、临床营养科主动对接医院优势学科等方式优化肿瘤临床营养工作。Objective To investigate the knowledge⁃attitude⁃practice(K⁃A⁃P)of cancer nutrition among 470 medical staffs in Hebei area,and analyze its influencing factors,to provide the scientific basis for make measures and further cancer nutrition work.Methods From December 2018 to June 2019,a self⁃designed questionnaire was used to investigate the K⁃A⁃P among 470 medical staffs in 13 Heibei hospital by the convenient sampling method,and statistical analysis based on collected scores.Results 481 questionnaires were sent out,481 were recollected,finally 470 were effective,the effective rate was 97.77%.There were 240 doctors,170 nurses,and 60 other medical staffs,the scores of overall K、A and P were 31.06±13.82、115.22±12.24 and 116.01±18.48,only 48.94%、53.19%and 46.17%of medical staffs were above the average.Spearman rank correlation showed,attitude was positively related with practice.Factors of knowledge score were sexual,occupation,academic,professional,teaching function,hospital nature and grade;factors of attitude score were occupation,academic,speciality,work type,teaching function、hospital grade;factors of practice score were occupation,academic,professional,working years,work type,hospital grade.Conclusion The medical staffs have a positive and rigorous attitude towards cancer nutrition in Hebei area,and it is necessary to strengthen the nutritional knowledge and nutritional behavior,by strengthening the construction of clinical nutrition and clinical nutritional department voluntary contact the superiority disciplines to optimize the work for cancer nutrition.

关 键 词：医务人员 肿瘤营养 认识 态度 行为 

分 类 号：R730.5[医药卫生—肿瘤] R459.3[医药卫生—临床医学]