吉林省二级及以上综合医院护士慢性病防治素养水平及影响因素  

Analysis on chronic disease literacy level and influencing factors of nurses in secondary and above general hospitals in Jilin province

作　　者：李文玲 张世怡 宋冬梅[3] 李明东 齐忠[4] 钱晓波 LI Wen-ling;ZHANG Shi-yi;SONG Dong-mei;LI Ming-dong;QI Zhong;QIAN Xiao-bo(Department of Public Health,Jilin Qianwei Hospital,Changchun,Jilin 130012,China;Project Management Office,Jilin Center for Health Education;Department of Health Education,Chaoyang District Center for Disease Control and Prevention,Changchun City;Baicheng City Center for Disease Control and Prevention)

机构地区：[1]吉林省前卫医院公共卫生科,吉林长春130012 [2]吉林省健康教育中心项目管理办公室 [3]长春市朝阳区疾病预防控制中心健康教育科 [4]白城市疾病预防控制中心

出　　处：《预防医学论坛》2024年第12期905-910,共6页Preventive Medicine Tribune

基　　金：吉林省卫生健康科技能力提升项目(2023GL010);吉林省创新创业人才资助项目(2023RY20)。

摘　　要：目的分析吉林省二级及以上综合医院护士慢性病防治素养水平及影响因素,为相关措施的制订提供参考。方法2022年采用分层多阶段抽样方法,覆盖吉林省各个市(州),随机抽取22家三级、22家二级综合医院,并分别在内科、外科、妇科及其他临床科室随机抽取45名护士作为研究对象。自行设计问卷,内容包含医院基本信息、调查对象社会人口学特征、自评工作情况、行为及生活方式、自我评价状况,采用《全国居民健康素养监测调查问卷》中慢性病防治素养维度题目进行慢性病防治素养水平调查。采用SPSS 22.0统计软件进行数据处理。单因素分析采用χ^(2)检验或χ^(2)_(趋势)检验,多因素分析采用二分类logistic回归分析。结果共发放调查问卷2021份,其中有效问卷2007份,有效问卷回收率99.31%。护士慢性病防治素养测评题目正确率较高的3题为“儿童青少年也可能发生抑郁”“超重或肥胖易患疾病”及“控制体质量的方式”,正确率分别为97.11%、92.43%、87.59%。正确率最低的题目为“大豆制品的好处”,仅为9.32%。护士慢性病防治素养具备率为36.77%(738/2007)。单因素分析结果表明,不同年龄(χ^(2)_(趋势)=11.802)、婚姻状况(χ^(2)=9.088)、文化程度(χ^(2)=6.921)、工作科室(χ^(2)=8.123)、职称(χ^(2)_(趋势)=16.631)、编制情况(χ^(2)=5.202)、从业年限(χ^(2)=10.389)的护士慢性病防治素养水平差异有统计学意义(P<0.05)。过去6个月不经常饮酒(χ^(2)=12.01)、参加体育锻炼(χ^(2)=4.727)、过去30d内不接触二手烟(χ^(2)=4.257)、每日三餐规律饮食(χ^(2)=10.584)、自评睡眠情况好(χ^(2)_(趋势)=12.793)、自评生活方式好(χ^(2)_(趋势)=10.238)及自评健康状况好(χ^(2)_(趋势)=7.847)的护士慢性病防治素养水平高(P<0.05)。多因素分析结果:文化程度(OR=0.792,95%CI:0.657~0.954)、职称[中级(OR=1.387,95%CI:1.119~1.719)、高级(OR=1.620,95%CI:1Objective To analyze the level of chronic disease literacy and its influencing factors of nurses in secondary and above general hospitals in Jilin province,so as to provide reference for the formulation of relevant measures.Methods By the end of 2022,a stratified and multi-stage sampling method was adopted to randomly select 22tertiary and 22secondary general hospitals in all cities of the province,and then randomly selected 45nurses from internal medicine,surgery,gynecology and other clinical departments of each hospital for questionnaire survey.A self-designed questionnaire was utilized,which encompassed basic hospital information,sociodemographic characteristics of the survey participants,self-assessed work conditions,behaviors and lifestyles,and self-evaluation status.The dimension of chronic disease prevention and control literacy in the National Health Literacy Monitoring Questionnaire was used to investigate the level of chronic disease prevention and control literacy.SPSS22.0 statistical software was used for data processing.χ^(2)_(trend) test was used for univariate analysis,and binary logistic regression was used for multivariate analysis.Results A total of 2021questionnaires were distributed,of which 2007were valid,with a recov ery rate of 99.31%.Nurses′chronic disease prevention and treatment literacy assessment questions with high correct rates were“children and adolescents may also be depressed”,“overweight or obesity prone to disease”and“ways to control body mass”.The correct rates were 97.11%,92.43%and 87.59%respectively.The question with the lowest accuracy was“the benefits of soy products”,with only 9.32%.The rate of chronic disease prevention and control literacy of nurses in secondary and above general hospitals in Jilin province was 36.77%(738/2007).Results of single factor analysis showed that chronic disease prevention and control literacy of nurses were different in age(χ^(2)=11.802),marital status(χ^(2)=6.088),education level(χ^(2)_(trend)=6.921),work department(χ^(

关 键 词：慢性病 健康素养 健康行为 护士 

分 类 号：R193[医药卫生—卫生事业管理]