胸外科医护人员预康复知信行现状及影响因素分析  

Analysis of the current situation and influencing factors of knowledge,attitude,and practice of prehabilitation among medical staff in department of thoracic surgery

作　　者：陈爱莲 唐文凤[1] 徐连 杨小艺 张诚[1] 吴庆琛[1] CHEN Ailian;TANG Wenfeng;XU Lian;YANG Xiaoyi;ZHANG Cheng;WU Qingchen(Department of Thoracic Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院胸外科,重庆400016

出　　处：《中国医药导报》2022年第14期192-196,共5页China Medical Herald

基　　金：重庆市科卫联合医学科研项目(2020MSXM131);重庆医科大学附属第一医院护理科研基金项目(HLJJ2020-08)。

摘　　要：目的调查胸外科医护人员预康复知信行(KAP)现状,并分析其影响因素,为促进预康复临床实践提供支持。方法2020年11月至12月,选取重庆市38所综合医院的394名胸外科医护人员作为研究对象。使用自制的预康复知信行问卷评估其预康复KAP水平,采用单因素和多因素分析胸外科医护人员预康复KAP水平的影响因素。结果胸外科医护人员预康复KAP总分为(63.87±9.16)分,知识得分为(26.20±4.84)分,态度得分为(22.28±2.52)分,行为得分为(15.39±4.51)分,知识与态度、知识与行为、态度与行为均呈正相关(P<0.01)。单因素分析结果显示,不同年龄、学历、工作年限、职务、医院级别和科室是否实施加速康复外科的胸外科医护人员预康复KAP得分差异有统计学意义(P<0.05)。多元线性回归分析结果显示,工作年限(X_(3))、医院级别(X_(5))、科室是否实施加速康复外科(X_(6))是预康复KAP水平的影响因素(P<0.05)。得到线性回归方程:Y=93.269-4.270 X_(3)-3.290X_(5)-7.123X_(6),F值=42.902,R^(2)=0.420,调整后R^(2)=0.410。结论胸外科医护人员预康复KAP处于中等水平,其预康复态度积极,知识和行为水平亟待提高。工作年限、医院级别、科室是否实施加速康复外科是胸外科医护人员预康复KAP水平的影响因素,应加强低年资医护人员及基层医院预康复的教育培训,推动科室加速康复外科实施,促进预康复临床实践。Objective To investigate the current situation of the knowledge,attitude,and practice(KAP)of prehabilitation medical staffs in department of thoracic surgery and its influencing factors,and to provide reference for clinical practice.Methods From November to December 2020,394 medical staffs working in department of thoracic surgery of 38 general hospitals in Chongqing were selected as the research objects.The current situation of KAP level about prehabilitation was evaluated by using the self-designed KAP questionnaire.The single factor and multi-factor analysis were used to analyze the influencing factors of KAP level about prehabilitation of medical staffs working in department of thoracic surgery.Results The total score of KAP of medical staff in department of thoracic surgery was(63.87±9.16)points,the knowledge score was(26.20±4.84)points,the attitude score was(22.28±2.52)points,and the practice score was(15.39±4.51)points.Knowledge and attitude,knowledge and behavior,attitude and behavior were positively correlated(P<0.01).The results of univariate analysis showed that there was significant difference in the score of knowledge,attitude and practice of pre-habilitation among thoracic medical staff of different age,education background,working years,position,hospital level and department whether to implement enhanced recovery after surgery of medical staff in department of thoracic surgery(P<0.05).Multivariate regression analysis showed that working years(X_(3)),hospital levels(X_(5)),and whether the department had implemented enhanced recovery after surgery(X_(6))were influencing factors of medical staff in department of thoracic surgery(P<0.05).The linear regression equation was obtained:Y=93.269-4.270 X_(3)-3.290X_(5)-7.123X_(6),F=42.902,R^(2)=0.420,adjusted R^(2)=0.410.Conclusion Medical staffs working in department of thoracic surgery have a positive attitude towards prehabilitation,but their knowledge and practice need to be improved.Working years,hospital levels,and whether their departments had impl

关 键 词：预康复 加速康复外科 知识 信念 行为 胸外科 医护人员 影响因素 

分 类 号：R192[医药卫生—卫生事业管理]