基于计划行为理论的护生老年照护意愿影响因素模型构建与分析  

Model construction and analysis of influencing factors of nursing interns'willingness to take care of the elderly based on the theory of planned behavior

作　　者：张丽莉 蔡静波 马蕊 周定杰 ZHANG Lili;CAI Jingbo;MA Rui;ZHOU Dingjie(School of Nursing,Jiangsu Health Vocational College,Nanjing 211800,China;Cardiology Department,Nanjing Medical University Affiliated Elderly Hospital,Nanjing 210024,China;Health Promotion Research Department,Jiangsu Health Development Research Center/NHC Contraceptive Adverse Reaction Surveillance Center/Jiangsu Provincial Medical Key Laboratory of Fertility Protection and Health Technology Assessment,Nanjing 210036,China)

机构地区：[1]江苏卫生健康职业学院护理学院,江苏南京211800 [2]南京医科大学附属老年医院心内科,江苏南京210024 [3]江苏省卫生健康发展研究中心/国家卫生健康委计划生育药具不良反应监测中心/江苏省生育力保护与卫生技术评估重点实验室健康促进研究部,江苏南京210036

出　　处：《医药高职教育与现代护理》2024年第1期5-10,共6页Medical Higher Vocational Education and Modern Nursing

基　　金：2022年江苏省高校哲学社会科学研究专题项目(2022SJSZ0363);江苏省科教能力提升工程(ZDXYS202210);江苏省卫生健康发展研究中心自主科研项目(JSHD2021061)。

摘　　要：目的 基于计划行为理论与技术接受模型构建护生老年照护意愿影响因素模型,探讨影响护生从事老年照护意愿的因素。方法 采用调查问卷和结构方程模型,对南京市某护理学院245名护生进行调查,分析护生从事老年照护意愿的影响因素。结果 护生从事老年照护行为意愿得分为(3.29±0.70)分,处理中等偏上水平。感知行为控制和态度影响护生从事老年照护行为意愿的路径系数分别为0.638(P<0.001)和0.261(P<0.05),感知有用性和感知易用性影响态度的路径系数分别为0.453和0.418(均P<0.001)。结论 感知行为控制和态度是正向影响护生从事老年照护意愿的主要因素,感知有用性和感知易用性通过正向影响态度间接影响行为意愿。建议护理教育者和老年照护各级机构管理者通过加强护生老年护理综合能力的培养,优化机构管理政策,提高护生老年照护的从业率。Objective Based on the theory of planned behavior and the technology acceptance model,a model of influencing factors on nursing interns'willingness to take care of the elderly was constructed,and the factors affecting nursing interns'willingness to engage in elderly care were explored.Methods 245 nursing interns in a nursing college in Nanjing were investigated by questionnaire and the influencing factors of nursing interns'willingness to engage in elderly care were analyzed by structural equation model.Results The willingness score of nursing students to engage in elderly care behavior was 329±070,which is above average.The path coefficients of perceived behavioral control and attitude affecting nursing interns'willingness to engage in elderly care behavior were 0.638(P<0.001)and 0.261(P<0.05),respectively.The path coefficients of perceived usefulness and perceived ease of use affecting attitude were 0453 and 0418(P<0001).Conclusions Perceived behavioral control and attitude were the main factors that positively affect nursing interns'willingness to engage in elderly care.Perceived usefulness and perceived ease of use indirectly affect behavioral willingness through positive attitudes.It is suggested that nursing educators and managers of medical and nursing institutions should improve the employment rate of nursing interns in elderly care by strengthening the cultivation of comprehensive abilities in elderly care and optimizing the management policies of the institutions.

关 键 词：计划行为理论 技术接受模型 老年照护 护生 影响因素 

分 类 号：R47-4[医药卫生—护理学] G642[医药卫生—临床医学]