营养支持专科护士营养护理实践知信行现状及影响因素分析  

Current status and influencing factors of nutrition support specialist nurses'knowledge,attitude and practice about nutrition nursing practice

作　　者：杨妮 徐园 周新艺 刘戈[3] 丁炎明[4] 郭淑丽[5] 路潜[6] 邓海波[1] 刘莹[5] 马玉芬 Yang Ni;Xu Yuan;Zhou Xinyi;Liu Ge;Ding Yanming;Guo Shuli;Lu Qian;Deng Haibo;Liu Ying;Ma Yufen(Nursing Department,Chinese Academy of Medical Sciences&Peking Union Medical College&Peking Union Medical College Hospital,Beijing 100730,China;Department of Healthcare,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;Department of International Medicine,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;Nursing Department,Peking University First Hospital,Beijing 100034,China;Department of General Surgery,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China;Department of Medical and Surgical Nursing,School of Nursing,Peking University,Beijing 100191,China;Labor Union,Chinese Academy of Medical Sciences&Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院护理部,北京100730 [2]中国医学科学院北京协和医院保健医疗部,北京100730 [3]中国医学科学院北京协和医院国际医疗部,北京100730 [4]北京大学第一医院护理部,北京100034 [5]中国医学科学院北京协和医院基本外科,北京100730 [6]北京大学护理学院内外科护理学教研室,北京100191 [7]中国医学科学院北京协和医院工会,北京100730

出　　处：《中华现代护理杂志》2025年第13期1698-1704,共7页Chinese Journal of Modern Nursing

摘　　要：目的调查营养支持专科护士关于营养护理实践的知信行现状,并分析其影响因素,为优化和提升营养支持专科护士知信行水平、构建营养支持专科护士培养方案提供参考。方法于2023年10—11月,采用便利抽样法选择来自28个省、自治区、直辖市的557名营养支持专科护士为调查对象。使用一般资料问卷、营养护理实践知信行问卷进行调查,采用多重线性回归分析探讨知信行的影响因素。结果共发放557份问卷,有效回收问卷507份,有效回收率为91.0%。507名营养支持专科护士的营养护理实践知识维度得分为30.00(28.00,31.00)分,态度维度得分为47.00(41.00,50.00)分,行为维度得分为(22.65±6.77)分。多重线性回归分析结果显示,学历是营养支持专科护士的营养护理实践知识维度的影响因素(P<0.05),职称、医院级别、从事营养支持专科护士年限是营养护理实践态度维度的影响因素(P<0.05)。结论营养支持专科护士的营养护理实践知识储备较丰富,态度较积极,但行为还需进一步提升;其知信行水平受学历、职称、医院级别、从事专业领域年限等多重因素的影响。在专科护士培养过程中管理者应关注不同层次护士的学习需求,开展针对性培训,建立专科护士标准工作流程,重视基层医院人才建设,从而推动营养支持专科护士的高质量发展。Objective To investigate the current status of nutritional support specialist nurses'knowledge,attitude and practice about nutrition nursing practice and analyze their influencing factors,so as to provide reference for optimizing and improving the level of nutritional support specialist nurses'knowledge,attitude and practice,and constructing a training program for nutritional support specialist nurses.Methods From October to November 2023,557 nutritional support specialist nurses in 28 provinces,autonomous regions,and municipalities directly under the central government of China were selected for the survey using the convenience sampling method.General information questionnaire and Nutrition Nursing Practice Knowledge,Attitude and Practice Questionnaire were used to conduct the survey.Multiple linear regression was used to explore the influencing factors of knowledge,attitude and practice.Results A total of 557 questionnaires were distributed and 507 questionnaires were effectively recovered,with an effective recovery rate of 91.0%.The nutrition nursing practice knowledge dimension scores,attitude dimension scores,and practice dimension scores of 507 nutritional support specialist nurses were 30.00(28.00,31.00),47.00(41.00,50.00),(22.65±6.77),respectively.Multiple linear regression analyses showed that education was an influencing factor in the knowledge dimension of nutrition nursing practice among nutritional support nurse specialists(P<0.05);title,hospital level,and years of experience as a nutritional support nurse specialist were influencing factors in the attitude dimension of nutrition nursing practice(P<0.05).Conclusions Nutritional support specialist nurses have a good knowledge base of nutrition nursing practice and a positive attitude,but their practices need to be further improved.Knowledge,attitude,and practice are affected by multiple factors such as education,title,hospital level,and number of years in the professional field.In the process of nurse specialist training,managers should pay attention

关 键 词：横断面研究 营养支持 专科护士 知识 态度 行为 影响因素 

分 类 号：R47[医药卫生—护理学]