心血管科护士冠心病二级预防知信行现状及影响因素分析  

Current status and influencing factors of knowledge,attitude and practice about the secondary prevention of coronary heart disease among cardiovascular nurses

作　　者：石瑞 徐建萍[2] 郭青[3] 郭明媚[3] 王晓成[4] 常晓红[3] Shi Rui;Xu Jianping;Guo Qing;Guo Mingmei;Wang Xiaocheng;Chang Xiaohong(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Logistics Management Office,Shanxi Provincial People's Hospital,Taiyuan 030012,China;Department of Cardiology,Shanxi Provincial People's Hospital,Taiyuan 030012,China;Department of Medical Records and Statistics,Shanxi Provincial People's Hospital,Taiyuan 030012,China)

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西省人民医院后勤办公室,太原030012 [3]山西省人民医院心内科,太原030012 [4]山西省人民医院病案统计科,太原030012

出　　处：《中华现代护理杂志》2021年第21期2837-2842,共6页Chinese Journal of Modern Nursing

摘　　要：目的:了解心血管科护士冠心病二级预防知识、态度、行为现状,为规范冠心病二级预防管理提供依据。方法:采用便利抽样法,于2020年7—8月选择山西省11个地级市中的20所综合医院(12所三级医院和8所二级医院)及1所三级甲等心血管病专科医院的1087名心血管科护士为调查对象。采用自编问卷(包括一般资料、知识维度、态度维度、行为维度)对其进行调查。结果:1087名心血管科护士的冠心病二级预防知识维度得分为(24.17±5.37)分,态度维度得分为(53.85±7.97)分,行为维度得分(51.23±10.07)分。多重线性回归分析显示,科室、近12个月是否学习相关指南/共识、心血管工作年限、所在医院及科室是否开展心脏康复、医院等级、是否参加过心脏康复专科培训是心血管科护士二级预防知信行的影响因素(P<0.05)。相关性分析显示,心血管科护士的冠心病二级预防知识、态度、行为得分之间呈正相关(P<0.01)。结论:心血管科护士冠心病二级预防的知识和行为水平有待提高,而护理态度较积极。护理管理者和教育者应增强护士对冠心病患者二级预防相关知识的培训学习,从而有效提高患者冠心病二级预防自我管理的依从性。Objective To understand the status quo of nurses'knowledge,attitude and behavior towards secondary prevention of coronary heart disease(CHD),so as to provide basis for the standardization of secondary prevention management of CHD.Methods From July to August 2020,a total of 1087 nurses in the Cardiovascular Department of 20 comprehensive hospitals(12 ClassⅢhospitals and 8 ClassⅡhospitals)and 1 ClassⅢGrade A Cardiovascular Hospital in 11 cities of Shanxi Province were selected as the research subjects by convenience sampling method.The self-designed questionnaire(including general information,knowledge dimension,attitude dimension and behavior dimension)was used to investigate them.Results The scores of secondary prevention knowledge,attitude and behavior of 1087 nurses in Cardiovascular Department were(24.17±5.37),(53.85±7.97)and(51.23±10.07),respectively.Multiple linear regression analysis showed that department,whether to have learned relevant guidelines/consensus in the past 12 months,cardiovascular working years,whether to have carried out cardiac rehabilitation in hospital and department,hospital level,whether to have participated in cardiac rehabilitation training were the influencing factors of cardiovascular nurses'knowledge,attitude and practice of secondary prevention management(P<0.05).Correlation analysis showed that there were positive correlations among the scores of knowledge,attitude and behavior of secondary prevention of coronary heart disease in nurses of Cardiovascular Department(P<0.01).Conclusions Cardiology nurses need to improve their knowledge and behaviors in the management of secondary prevention of coronary heart disease,while the nursing attitudes are positive.Nursing administrators and educators should strengthen the training and learning of nurses on secondary prevention knowledge of patients with coronary heart disease,so as to effectively improve the compliance of patients with secondary prevention of coronary heart disease self-management.

关 键 词：护士 冠心病 二级预防 知信行 现状调查 

分 类 号：R473.5[医药卫生—护理学]