肿瘤医院护士淋巴水肿防治知信行的现状调查及影响因素分析  

Current situation and influencing factors of knowledge,attitude and practice in the prevention and treatment of lymphedema among nurses in a cancer hospital

作　　者：胡进 刘高明[2] 叶沙[1] 刘媛媛[1] 邓诗佳 袁美芳[1] 张凤 Hu Jin;Liu Gaoming;Ye Sha;Liu Yuanyuan;Deng Shijia;Yuan Meifang;Zhang Feng(Second Department of Gynecologic Oncology,Hunan Cancer Hospital,Changsha 410013,China;Nursing Department,Hunan Cancer Hospital,Changsha 410013,China;Xiang Ya Nursing School,Central South University,Changsha 410013,China)

机构地区：[1]湖南省肿瘤医院妇瘤二科,长沙410013 [2]湖南省肿瘤医院护理部,长沙410013 [3]中南大学湘雅护理学院,长沙410013

出　　处：《中华现代护理杂志》2023年第15期1997-2003,共7页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金青年基金(82003313);湖南省卫生健康委2022年度科研计划(202214055350)。

摘　　要：目的了解肿瘤医院护士对肿瘤治疗后淋巴水肿防治知信行的现状,并分析其影响因素。方法本研究为横断面研究。采用便利抽样法,于2021年10—11月对湖南省肿瘤医院478名护士采用自制的淋巴水肿防治知信行问卷(包括知识、态度、行为3个维度,共41个条目)进行调查。采用单因素分析和多重线性回归分析探究护士淋巴水肿防治知信行的影响因素。结果肿瘤医院护士对肿瘤治疗后淋巴水肿防治知识、态度、行为得分及总分分别为(17.05±9.81)、(49.96±6.03)、(30.51±11.03)、(97.53±21.52)分,其中知识维度得分率最低,为42.63%,态度维度得分率最高,为90.84%。多重线性回归分析显示,工作中接触过淋巴水肿患者、参加过淋巴水肿相关培训、培训形式(在职继续教育、学校学习、自学)、护士所在科室为乳腺科或妇瘤科是护士淋巴水肿防治知信行水平的影响因素(F=15.801,P<0.01)。结论肿瘤医院护士对肿瘤治疗后淋巴水肿防治知信行总体处于中等水平,知识掌握不佳,行为水平有待提高,但态度较积极。肿瘤医院护理管理者应加强对乳腺科、妇瘤科以外科室护士的淋巴水肿相关知识培训,强化护士对淋巴水肿防治的知识和行为,培养更多淋巴水肿治疗师和专科护士。国家层面应出台政策建立完整的淋巴水肿康复培训体系,提高护士在临床实践中的淋巴水肿防治能力。Objective To explore the current situation of knowledge,attitude and practice in the prevention and treatment of lymphedema after tumor treatment among nurses in cancer hospitals,and analyze its influencing factors.Methods This study is a cross-sectional study.From October to November 2021,convenience sampling was used to survey 478 nurses from Hunan Cancer Hospital using the self-made Lymphedema Prevention and Treatment Knowledge,Attitude and Practice Questionnaire,which included 41 items from three dimensions of knowledge,attitudes and practice.The influencing factors of nurses'knowledge,attitude and behaviors related to lymphedema were studied using univariate analysis and multiple linear regression analysis.Results The knowledge,attitude and practice scores and the total score of nurses in the cancer hospital regarding the prevention and treatment of lymphedema after tumor treatment were(17.05±9.81),(49.96±6.03),(30.51±11.03),and(97.53±21.52),respectively.The score rate of knowledge dimension was the lowest at 42.63%,while the score rate of attitude dimension was the highest at 90.84%.Multiple linear regression showed that working with lymphedema patients,participation in lymphedema training,training forms(on-the-job continuing education,school studies,self-study),and the nurses'department being the breast or gynecological oncology department were the influencing factors for the nurses'knowledge,attitude,and practice in the prevention and treatment of lymphedema(F=15.801,P<0.01).Conclusions Nurses in the cancer hospital generally have a moderate level of knowledge,attitude and practice in the prevention and treatment of lymphedema after tumor treatment.They have poor knowledge mastery and need to improve their behavioral,but their attitude is relatively positive.Nursing managers in cancer hospitals should strengthen training on lymphedema related knowledge among nurses from departments other than breast and gynecological oncology,strengthen nurses'knowledge and behavior in the prevention and treatment of

关 键 词：淋巴水肿 护士 知信行 影响因素 

分 类 号：R473.73[医药卫生—护理学]