认知症老年人照护人员痴呆知识、照护积极态度、照护胜任力的关系及培训需求分析  

Analysis on relationship between dementia knowledge,positive aspects of caregiving and sense of competence,and training needs among dementia care staff

作　　者：刘凤英 刘丹丹[1] 陈小梅 LIU Fengying;LIU Dandan;CHEN Xiaomei(School of Nursing,Guangxi Medical University,Nanning,Guangxi 530021,China)

机构地区：[1]广西医科大学护理学院,广西南宁530021

出　　处：《职业与健康》2025年第2期192-196,共5页Occupation and Health

基　　金：2021年度广西职业教育教学改革研究一般项目(GXGZJG2021B127)。

摘　　要：目的调查认知症照护人员痴呆知识、照护积极态度、照护胜任力的关系,探讨照护人员的培训需求。方法采用便利抽样法,于2023年10—12月选取广西8家长期照护机构247名认知症照护人员作为研究对象,采用一般资料调查表,痴呆知识评估量表(dementia knowledge assessment scale,DKAS)、照护积极态度量表(thepositive aspects of caregiving,PAC)及护理员照护胜任力量表(the sense of competence in dementia care staff,,SCIDS)进行调查,分析痴呆知识、照护积极态度、照护胜任力三者的关系,同时咨询护理员照护认知症老年人的培训需求。结果共发放问卷265份,回收有效问卷247份,有效率为93.21%。认知症照护人员痴呆知识得分为(14.69±3.25)分,照护积极态度得分为(33.02±7.63)分,照护胜任力得分为(45.49±8.99)分。痴呆知识与照护积极态度、照护胜任力得分均呈正相关(r=0.496、0.423,均P<0.01),照护积极态度与照护胜任力呈正相关(r=0.610,P<0.01);照护积极态度在痴呆知识与照护胜任力间起部分中介作用,占总效应的62.31%。结论认知症照护人员痴呆知识、照护积极态度、照护胜任力得分处于一般水平,照护积极态度作为中介变量对认知症照护人员的照护胜任力产生影响,提升认知症照护人员的照护积极感受有助于其照护胜任力的提高。Objective To investigate the relationship between dementia knowledge,positive aspects of caregiving and sense of competence in dementia care staff,explore their training needs.Methods By the convenience sampling method,a total of 247dementia caregivers in eight long-term care institutes in Guangxi were surveyed from October to December 2023.A questionnaire survey was conducted using the general information questionnaire,the dementia knowledge assessment scale(DKAS),the positive aspects of caregiving(PAC)and the sense of competence in dementia care staff(SCIDS),to analyze the relationship between dementia knowledge,the positive aspects of caregiving and the sense of competence in dementia care staff,and consult caregivers about their training needs.Results A total of 265 questionnaires were distributed and 247 valid questionnaires were recovered,with a validity rate of 93.21%.The dementia caregivers had a dementia knowledge score of(14.69±3.25)points,the positive aspects of caregiving score of(33.02±7.63)points,and the sense of competence in dementia care staff score of(45.49±8.99)points.The dementia knowledge was positively correlated with the positive aspects of caregiving and the sense of competence in dementia care staff(r=0.496,0.423,both P<0.01),while the positive aspects of caregiving was positively correlated with the sense of competence in dementia care staff(r=0.610,P<0.01).The positive aspects of caregiving partially mediated the relationship between dementia knowledge and the sense of competence in dementia care staff,accounting for 62.31%of the total effect.Conclusion The scores of dementia knowledge,the positive aspects of caregiving,and the sense of competence of dementia caregivers are all at the average level,and the positive aspects of caregiving as a mediating variable have an impact on the caregivers'caregiving competence,improving the positive aspects of dementia caregivers would help improve their caregiving competence.

关 键 词：痴呆知识 照护积极态度 照护胜任力 培训需求 认知症 照护人员 

分 类 号：R181.3[医药卫生—流行病学]