我国临床营养支持专科护士培训及执业现状的调查研究  

Status quo of training and domestic deployment of specialist nurses in the clinical nutrition support in China

作　　者：杨洋 赵泽华 黄迎春 丁岚 叶向红 朱冬梅 YANG Yang;ZHAO Ze-hua;HUANG Ying-chun;DING Lan;YE Xiang-hong;ZHU Dong-mei(Research Institute of General Surgery,Nanjing Jingling Hospital,Nanjing 210002,Jiangsu,China;Stationed in the Outpatient,Nanjing Jingling Hospital,Nanjing 210002,Jiangsu,China;Hospital Quality Management Department,Nanjing Jingling Hospital,Nanjing 210002,Jiangsu,China)

机构地区：[1]中国人民解放军东部战区总医院全军普通外科研究所,江苏南京210002 [2]中国人民解放军东部战区总医院第一派驻门诊部,江苏南京210002 [3]中国人民解放军东部战区总医院医院质量管理科,江苏南京210002

出　　处：《肠外与肠内营养》2024年第4期245-251,共7页Parenteral & Enteral Nutrition

摘　　要：目的:调查全国21个省市、自治区的707名临床营养支持专科护士培训及执业现状,分析其影响因素,为完善临床营养支持专科护士培养制度、选拔发展提供依据。方法:于2023年10月至11月,参考专科护士执业情况问卷,采用便利抽样法,对全国21个省市、自治区的707名临床营养支持专科护士进行横断面调查,采用单因素、多元线性回归分析临床营养支持专科护士在临床护理实践、护理教育、护理管理、协调、护理研究与咨询等5个方面的执业现状与应用情况。结果:临床营养支持专科护士执业情况不太理想,75.67%的专科护士使用情况总得分在208分以下(即低于总分的80%)。各维度使用情况中,临床护理实践维度得分最高为(54.17±10.26)分,其次为护理教育维度(36.98±8.00)分。多元线性回归分析结果显示,医院等级和职称是专科护士使用和发展的独立影响因素。结论:临床营养支持专科护士执业水平待进一步提高,建议加强各级医院和社区、家庭的联动合作针对较高职称的专科护士,鼓励其充分发挥作用,加强薄弱环节培训,不断优化临床营养支持护理队伍的专业能力,全面提升专科护理质量,促进其专科高水平发展。Objective:To investigate the status quo of training and domestic use of 707 clinical nutrition support specialty nurses from 21 provinces,cities,and autonomous regions in China.And to analyze their influencing factors and provide reference for improving the training system of clinical nutrition support specialty nurses,selection and development of specialist nurses in clinical nutrition support.Methods:From October to November 2023,a crosssectional survey was conducted on 707 clinical nutrition support specialty nurses from 21 provinces,cities,and autonomous regions across China was conducted using a convenience sampling method based on a questionnaire about the training and home use of clinical nutrition support nurses.Univariate and multiple linear regression analysis was used to examine the use status and application of clinical nutrition support specialty nurses in five aspects:clinical nursing practice,nursing education,nursing management,coordination,nursing research and consultation.Results:The use of specialist clinical nutrition support nurses is not ideal,with 75.67%of specialist nurses scoring less than 208 points(i.e.less than 80%of the total score).Among the use of different dimensions,the clinical nursing practice dimension received the highest score(54.17±10.26),followed by the nursing education dimension(36.98±8.00).The results of multiple linear regression analysis show that hospital level and professional title are independent influencing factors influencing the use and development of specialist nurses.Conclusion:There is a need to further improve the utilisation of clinical nutrition support nurses.It is recommended that links and cooperation between hospitals at all levels,communities,and families be strengthened.For specialist nurses with higher professional titles,encourage them to fully play their roles,strengthen training in weak areas,continuously optimize the professional ability of clinical nutrition support nursing teams,comprehensively improve the quality of clinical nutrition suppo

关 键 词：专科护士 现状调查 影响因素 护理教育 护理管理 

分 类 号：R459.3[医药卫生—治疗学]