陕西省41家医院护理人员延续护理知信行现状及其影响因素研究  

Knowledge,attitude and practice of transitional care in nurses of 41 hospitals in Shaanxi province:a cluster analysis of current status

作　　者：成改平 杨志华 赵将 岳勤 沈红红 樊春秀 谢娟 Cheng Gaiping;Yang Zhihua;Zhao Jiang;Yue Qin;Shen Honghong;Fan Chunxiu;Xie Juan(Shaanxi Cancer Hospital,Xi’an,7100612;Fugu County People’s Hospital,Fugu of Shaanxi,719400;Hanyin County People’s Hospital,Hanyin of Shaanxi,725100;Pucheng County Hospital,Pucheng of Shaanxi,715500,China)

机构地区：[1]陕西省肿瘤医院,陕西西安710061 [2]府谷县人民医院,陕西府谷719400 [3]汉阴县人民医院,陕西汉阴725100 [4]蒲城县医院,陕西蒲城715500

出　　处：《现代临床护理》2024年第4期15-23,共9页Modern Clinical Nursing

基　　金：陕西省2022年科技计划项目,项目编号为2022SF-156。

摘　　要：目的探讨陕西省41家医院护理人员延续护理知信行的现状及知信行水平分类,了解延续护理障碍因素,为构建出院患者延续护理服务模式提供理论依据。方法采用分层二阶段随机抽样方法,选取陕西省41家医院2288名护士作为调查对象,采用一般资料调查问卷、延续护理知信行问卷及障碍因素调查表进行调查。采用聚类分析方法识别潜类别并分析其影响因素。结果2085名护理人员完成研究。陕西省护理人员延续护理知信行总分为(134.96±23.75)分,处于中等水平,知识、态度、行为得分率分别为72.44%、80.64%、76.98%,态度较积极,知识和行为尚需提高;聚类分析发现,2085名护理人员最佳潜类别数为2,分别命名为低分组(n=1596,76.55%)和高分组(n=489,23.45%)。两类护理人员在护理相关培训、电话随访、网络平台、护理专家门诊、家庭访视、患者俱乐部、医院类别方面的差异具有统计学意义(均P<0.001),对以上有统计学意义的7项因素进行Logistic回归分析,结果表明护理相关培训、电话随访、网络平台和患者俱乐部能够影响护士延续护理知信行的潜类别分类(均P<0.05)。实施延续护理前3位障碍因素分别为人力资源不足(93.81%)、社区服务供给不充分(93.57%)、缺乏规范的延续护理流程(93.09%)。结论陕西省41家医院护理人员延续护理知信行为中等水平,态度较积极,知识和行为有待进一步提高和规范,聚类分析挖掘的结果提示管理者有必要对不同类别的护理人员采取针对性的延续护理服务方式培训,本研究结果可为构建陕西省出院患者延续护理多元化护理服务模式提供理论依据。Objective To investigate current status in knowledge,attitude and practice(KAP)of transitional care among the nurses in Shaanxi province,identify the influencing factors that hinder the transitional care and carry out training of transitional care for the nurses in different specialties in order to provide a theoretical basis for establishing a transitional care model for discharged patients.Methods A total of 2288 nurses were selected to participate the survey from 41 hospitals in Shaanxi province by the stratified two-stage random sampling method.A self-designed questionnaire for general information,an obstacle factor scale,and a KAP of transitional care questionnaire were used as the survey instruments.The data acquired from the survey were processed by Cluster analysis to identify potential categories and the influencing factors.Results Totally 2085 nurses finished the study.Total score of KAP of transitional care among the nurses in Shaanxi province was found at(134.96±23.75),which was at a medium level.The scores of knowledge,attitude and practice were 77.24%,80.64%and 76.98%respectively.Cluster analysis showed that all the nurses could be categorised into either a lower scored group(n=1596,76.5%)or a higher scored group(489,23.5%),with a best potential category number of 2 for the 2085 nurses who participated the survey.There were statistically significant differences between the groups in terms of care training,telephone follow-up,network platform,outpatient service of nursing experts,family visits,patient club and hospital categories(all P<0.05).Logistic regression analysis on even factors above showed that care training,telephone follow-up,network platform and patient club could significantly affect the potential categorisation of KAP of the nurses in transitional care(all P<0.05).The main factors that hindered the transitional care included insufficient human resources(93.81%),insufficient supply of community services(93.57%)and lack of a standardised flowchart for transitional care(93.09%).Conclusion

关 键 词：聚类分析 护理人员 延续护理知信行问卷 陕西省 

分 类 号：R473.2[医药卫生—护理学]