医务人员肿瘤营养知识-态度-行为现状及既往对比分析  

Investigation and analysis of knowledge-attitude-practice of oncology nutrition among Chinese medical staff

作　　者：张晓伟[1,2] 程雪娇 石汉平[2,3] Zhang Xiaowei;Cheng Xuejiao;Shi Hanping(Nutrition Department of Hebei General Hospital,Shijiazhuang 050000,Hebei,China;Chinese Society of Nutritional Oncology;Department of Gastrointestinal Surgery,Clinical Nutrition,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]河北省人民医院营养科,石家庄050000 [2]中国抗癌协会肿瘤营养专业委员会 [3]首都医科大学附属北京世纪坛医院胃肠外科/临床营养科,北京100000

出　　处：《肿瘤代谢与营养电子杂志》2021年第4期393-397,共5页Electronic Journal of Metabolism and Nutrition of Cancer

基　　金：国家重点研发计划项目(2017YFC1309203)。

摘　　要：目的调查医务人员肿瘤营养知识‐态度‐行为现状,并与既往进行对比,旨在观察状况变化,增强对营养治疗的重视,并为进行有效的继续教育培训提供依据。方法采用多中心、观察性研究,于2018年6月至2018年12月对30个省(自治区、直辖市)1972家医院6898名医务人员进行调查,并与本课题组2013年对全国医务人员肿瘤营养知识-态度-行为调查结果进行比较分析。结果调查对象医务人员营养知识得分(K分)(45.81±28.02)分,及格率41.51%,优秀率20.65%;营养态度得分(A分)(87.69±12.26)分,及格率97.94%,优秀率81.92%;营养行为得分(P分)(75.04±16.34)分,及格率85.41%,优秀率46.49%。K分(P<0.01)及A分(P=0.034)在不同性别之间差异有统计学意义。K分(P<0.01)、A分(P<0.01)、P分(P<0.01)在不同职业、职称、学历之间差异均有统计学意义,A分(P<0.01)、P分(P<0.01)在不同专业之间差异有统计学意义。获取营养知识途径前3位为工作实践中学习、阅读有关书籍及期刊、毕业前在学校时学习。2018年医务人员营养知识得分(K分)、营养态度得分(A分)及营养行为得分(P分)均明显高于2013年全国医务人员肿瘤营养知识-态度-行为调查结果(均P<0.01)。结论全国医务人员的营养知识‐态度‐行为水平明显提高,总体营养知识‐态度‐行为现状明显好转,尤其在肿瘤营养治疗过程中仍有着积极的态度和较好的营养治疗行为,但在营养知识掌握程度方面有待于进一步提高,依然是今后营养教育工作中的重点。Objective Investigation on nutritional K-A-P of medical staff in the oncology in order to enhance the attention of medical staff to nutrition therapy and provide a basis for the effective education of nutrition.Methods From June 2018 to December 2018,30 provinces(autonomous regions and municipalities directly under the central government),1972 hospitals and 6898 medical personnel were investigated by multi-center and observational study,and the results were analyzed statistically and compared with the survey results of cancer nutrition knowledge,attitude and behavior of medical staff in China in 2013.Results The scores of nutrition knowledge(K),pass rate(41.51%),excellent rate(20.65%),nutrition attitude(A),pass rate(97.94%),excellent rate(81.92%),nutrition behavior(P),(75.04±16.34)score,pass rate(85.41%),excellence rate 46.49%.There were significant differences in nutritional K score(P<0.01)and nutritional A score(P=0.034)between different sexes.There were significant differences in nutrition K score(P<0.01),nutrition A score(P<0.01)and nutrition P score(P<0.01).There were significant differences in nutrition A score(P<0.01)and nutrition P score(P<0.01)among different specialties.The top 3 ways to acquire nutrition knowledge are working practice learning,reading related books and periodicals,and studying in school before graduation.The scores of K,A and P of medical staff in 2018 were significantly higher than those in 2013(all P<0.01).Conclusion The level of nutrition knowledge-attitude-behavior of medical staff in China has been improved obviously,and the status of general nutrition knowledge-attitude-behavior has been improved obviously,especially in the process of tumor nutritional therapy,there are still positive attitude and good nutritional therapy behavior,but the degree of mastering nutritional knowledge needs to be further improved,which is still the focus of nutrition education in the future.

关 键 词：医务人员 肿瘤营养 知识‐态度‐行为 

分 类 号：R459.3[医药卫生—治疗学] R73[医药卫生—临床医学]