神经内科护士对直立性低血压知识、态度和行为的调查分析  

Analysis on Knowledge,Attitude and Practice Status of Orthostatic Hypotension among Neurology Nurses

作　　者：王垚[1] 李京连 邓永梅[1] 柳欣[1] WANG Yao;LI Jinglian;DENG Yongmei;LIU Xin(Neurology Central,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经病学中心,北京100070 [2]首都医科大学附属北京天坛医院神经外科

出　　处：《中国卒中杂志》2022年第6期643-647,共5页Chinese Journal of Stroke

摘　　要：目的了解神经内科护士关于直立性低血压的知识、态度及行为现状,为临床有针对性地开展相关培训及护理管理项目提供依据。方法于2019年4月采用便利抽样法选取首都医科大学附属北京天坛医院149名神经内科护士为研究对象,使用自行设计的直立性低血压知信行量表进行调查。知信行量表包括知识(6个条目)、态度(6个条目)、行为(10个条目)3个维度的22个条目。比较不同学历、年龄、工作年限、职务、职称的护士直立性低血压知信行总分,以及不同病区护士的知识、态度、行为各维度得分。调查护士对直立性低血压知识的工作需求。结果神经内科护士直立性低血压知信行量表总分为85.80±12.80分,知识得分23.30±3.30分,态度得分25.10±3.30分,行为得分37.30±8.50分。不同学历、年龄、工作年限、职务、职称的神经内科护士直立性低血压知信行总分比较,差异均无统计学意义。不同病区的护士直立性低血压知识(P<0.01)、态度(P=0.03)、行为(P=0.02)得分差异具有统计学意义。目前神经内科护士最希望学习的直立性低血压知识为其预防措施和危险因素,分别占59.73%(89/149)和19.46%(29/149)。结论神经内科护士预防直立性低血压的知识、态度、行为仍有待提高。在今后的工作中管理者应加强直立性低血压的培训,将其预防措施纳入管理系统,提高护理质量。Objective To explore the knowledge,attitude and practice status of orthostatic hypotension in neurology nurses.Methods In April 2019,149 neurology nurses in Beijing Tiantan Hospital,Capital Medical University were selected using the convenience sampling method.They were investigated using the self-designed orthostatic hypotension questionnaire scale,which included three dimensions 22 items:knowledge(6 items),attitude(6 items),and clinical practice(10 items).The total scores were compared among the nurses of different education level,ages,working years,post,professional titles,and the items scores were compared among the nurses of different wards,to analyze these nurses'work needs in orthostatic hypotension.Results The mean total score of orthostatic hypotension in neurology nurses was 85.80±12.80 points,the score of knowledge was 23.30±3.30 points,the score of attitude was 25.10±3.30 points,and the score of clinical practice was 37.30±8.50 points.There was no statistical differences in the total score among the nurses.There were statistical differences in knowledge(P<0.01),attitude(P=0.03)and clinical practice(P=0.02)of orthostatic hypotension among the nurses in different wards.At present,what neurology nurses would like to learn about orthostatic hypotension were preventive measures and risk factors,accounting for 59.73%(89/149)and 19.46%(29/149),respectively.Conclusions The neurology nurses'knowledge of orthostatic hypotension needs to be improved.In the future,managers should strengthen the training of orthostatic hypotension among the neurology nurses,and incorporate preventive measures for orthostatic hypotension into the management system to improve the quality of nursing.

关 键 词：直立性低血压 神经内科 护士 护理质量 

分 类 号：R473.74[医药卫生—护理学]