北京市护士胰岛素注射知-信-行现状及影响因素分析  

Current status and influencing factors of insulin injection knowledge,attitude,and practice among nurses in Beijing

作　　者：李建荣[1] 王群[2] 赵芳[3] 张明霞[4] 李菁[5] 李阳溪[3] 李芳芳[6] 董颖越[6] Li Jianrong;Wang Qun;Zhao Fang;Zhang Mingxia;Li Jing;Li Yangxi;Li Fangfang;Dong Yingyue(Department of Internal Medicine,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Endocrinology Department,Peking University Third Hospital,Beijing 100191,China;Nursing Department,China-Japan Friendship Hospital,Beijing 100029,China;Department of Endocrinology,Peking University People's Hospital,Beijing 100044,China;School of Nursing,Peking Union Medical College,Beijing 100144,China;Department of Endocrinology,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院内科,北京100730 [2]北京大学第三医院内分泌科,北京100191 [3]中日友好医院护理部,北京100029 [4]北京大学人民医院内分泌科,北京100044 [5]北京协和医学院护理学院,北京100144 [6]中国医学科学院北京协和医院内分泌科,北京100730

出　　处：《中华现代护理杂志》2024年第8期1078-1083,共6页Chinese Journal of Modern Nursing

基　　金：中国医学科学院医学与健康科技创新工程项目(2020-I2M-C&T-B-024)。

摘　　要：目的了解北京市护士胰岛素注射知识、信念及行为现状,并分析影响因素。方法采用分层-随机-整群多阶段抽样法,于2019年7—8月选取北京市30所不同级别医院的7448名护士为研究对象,采用一般资料调查表、胰岛素注射知-信-行问卷进行调查。采用多重线性回归分析探讨护士胰岛素注射知识、信念及行为的影响因素。结果共发放问卷7448份,回收有效问卷7448份,问卷有效回收率为100.00%(7448/7448)。7448名护士中无职务者为6942名,计算了信念维度、行为维度和知-信-行问卷总分;知识维度得分为整体样本计算。护士胰岛素注射知-信-行问卷得分为(115.22±10.75)分,问卷各维度得分分别为(14.14±2.97)、(17.29±2.73)、(83.82±7.72)分。问卷各维度得分均为良好的护士占比为19.01%(1320/6942);问卷各维度得分良好率由高到低依次为行为维度[92.71%(6436/6942)]、信念维度[76.40%(5304/6942)]和知识维度[22.35%(1665/7448)]。多重线性回归分析结果显示,护士胰岛素注射知-信-行总分的影响因素为性别、年龄、职称及科室(P<0.05);知识的影响因素为性别、年龄、工作年限、学历、职称及科室(P<0.05);信念的影响因素为性别、职称及科室(P<0.05);行为的影响因素为性别和年龄(P<0.05)。结论北京市各级医院护士胰岛素注射的信念、行为较好,但知识掌握较欠缺,可通过完善胰岛素注射相关培训教育规范、定期对临床护士进行胰岛素注射知识培训及技能考核等方法提升临床护士胰岛素注射的知识水平。Objective To explore the knowledge,attitude,and practice of insulin injection among nurses in Beijing and analyze its influencing factors.Methods From July to August 2019,stratified-random-cluster multi-stage sampling was used to select 7448 nurses from 30 hospitals of different levels in Beijing as the research subject.The survey was conducted using the General Information Questionnaire and the Insulin Injection Knowledge,Attitude,and Practice Questionnaire.Multiple linear regression was used to analyze the influencing factors of nurses'knowledge,attitude,and practice on insulin injection.Results A total of 7448 questionnaires were distributed and 7448 valid questionnaires were collected,with an effective response rate of 100.00%(7448/7448).Among 7448 nurses,6942 had no positions,and the scores of the belief dimension,behavior dimension,and the total score of questionnaire were calculated;the knowledge dimension score was calculated based on the overall sample.The total score of the Insulin Injection Knowledge,Attitude,and Practice Questionnaire was(115.22±10.75),and the scores for each dimension of the questionnaire were(14.14±2.97),(17.29±2.73),and(83.82±7.72),respectively.The proportion of nurses who scored well in all questionnaire dimensions was 19.01%(1320/6942).The excellent score rates of each dimension in the questionnaire,from high to low,were the practice dimension[92.71%(6436/6942)],attitude dimension[76.40%(5304/6942)],and knowledge dimension[22.35%(1665/7448)].Multiple linear regression analysis showed that the influencing factors of insulin injection knowledge,attitude,and practice among nurses were gender,age,professional title and department(P<0.05).The influencing factors of knowledge were gender,age,years of work,education level,professional title,and department(P<0.05).The influencing factors of attitude were gender,professional title,and department(P<0.05).The influencing factors of practice were gender and age(P<0.05).The above differences were statistically significant.Conclusions Nurs

关 键 词：糖尿病 胰岛素注射 知信行 影响因素 医院管理 

分 类 号：R473[医药卫生—护理学]