我国三甲医院临床护士运动康复护理知信行的调查研究  

Investigation on the knowledge,attitude and practice of exercise rehabilitation nursing of clinical nurses in ClassⅢGrade A hospitals in China

作　　者：曹晶[1] 王思瑶 陈亚萍[3] 徐园[3] 刘戈[4] 赵宇[3] 王丽[5] 邱贵兴[3] 吴欣娟[1] Cao Jing;Wang Siyao;Chen Yaping;Xu Yuan;Liu Ge;Zhao Yu;Wang Li;Qiu Guixing;Wu Xinjuan(Nursing Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Orthopedics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Neurosurgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;China Astronaut Research and Training Center,Beijing 100089,China)

机构地区：[1]中国医学科学院北京协和医院护理部,100730 [2]中国医学科学院北京协和医院消化内科,100730 [3]中国医学科学院北京协和医院骨科,100730 [4]中国医学科学院北京协和医院神经外科,100730 [5]中国航天员科研训练中心,北京100089

出　　处：《中华现代护理杂志》2021年第33期4526-4530,共5页Chinese Journal of Modern Nursing

基　　金：中国工程院咨询研究项目整合医学战略研究(2035);医学与运动的整合(2018-ZD-09-08)。

摘　　要：目的了解我国三甲医院临床护士运动康复护理知识、态度和行为的现状。方法采用便利抽样法,于2019年5—7月采用自行设计的护士运动康复知信行调查问卷,对全国31个省、直辖市、自治区的31所三甲医院共9091名护士进行线上调查。问卷共34个条目,主要包括调查对象的基本信息、护士需掌握的运动康复护理知识和技能、护士提供运动康复指导的意愿及临床实施现状。本研究共发放9091份问卷,有效回收率为100%。结果9091名护士中分别有3728名(41.0%,3728/9091)和3749名(41.2%,3749/9091)护士表示在学校没有接受过相关课程或技能培训;8565名(94.2%,8565/9091)护士认为提供运动康复指导重要,但缺乏相应的指导能力、动力和精力;实际工作中8493名(93.4%,8493/9091)护士会向患者提供运动康复相关建议和指导,主要依据科室护理常规、相关培训、个人经验和文献。结论我国三甲医院临床护士参与患者运动康复指导的态度积极,但相关知识和技能掌握水平较低、康复指导行为有待规范,今后应在专业培训、人员培养及相关指南、标准建设方面进一步加强。Objective To understand the current status of knowledge,attitude and practice of exercise rehabilitation nursing of clinical nurses in ClassⅢGrade A hospitals in China.Methods The convenient sampling method was adopted to conduct an online survey of 9091 nurses from 31 ClassⅢGrade A hospitals in 31 provinces,municipalities and autonomous regions by using a self-designed questionnaire on Nurses'Knowledge,Attitude and Practice of Exercise Rehabilitation from May to July 2019.There were 34 items in the questionnaire,which mainly included the basic information of the survey objects,the knowledge and skills of sports rehabilitation nursing that nurses needed to master,the willingness of nurses to provide sports rehabilitation guidance and the current status of clinical implementation.A total of 9091 questionnaires were distributed in this study,and the effective response rate was 100%.Results Among the 9091 nurses,3728 nurses(41.0%,3728/9091)and 3749 nurses(41.2%,3749/9091)respectively indicated that they had not received relevant courses or skills training in school.8565 nurses(94.2%,8565/9091)thought it was important to provide sports rehabilitation guidance,but they lacked the corresponding guidance ability,motivation and energy.In practice,8493 nurses(93.4%,8493/9091)would provide suggestions and guidance related to sports rehabilitation to patients,mainly based on departmental nursing routine,relevant training,personal experience and literature.Conclusions Clinical nurses in ClassⅢGrade A hospitals in China have a positive attitude to participate in the exercise rehabilitation guidance of patients,but the level of knowledge and skills is low,and the behavior of rehabilitation guidance needs to be standardized.In the future,it should be further strengthened in terms of professional training,personnel training and related guidelines and standard construction.

关 键 词：护士 运动康复 运动指导 知信行 问卷调查 

分 类 号：R47[医药卫生—护理学]