湖北省临床护士肠外营养知信行现状及培训需求调查研究
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Investigation on knowledge-attitude-practice regarding parenteral nutrition and training needs among clinical nurses in Hubei province
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    摘要:

    目的 了解临床护士对住院患者实施肠外营养的知信行现状及培训需求,为临床开展相关培训提供参考。 方法 采用自制的肠外营养知信行调查问卷,利用便利抽样法选取湖北省16个地级市33所不同等级医院的2 701名临床护士进行网络问卷调查。 结果 临床护士肠外营养知识、态度和行为维度得分率分别为53.90%、90.45%、85.87%,知信行总得分率为77.00%。单因素分析结果显示,工作年限和是否参加过培训是临床护士肠外营养知识、态度和行为的影响因素;医院是否有明确的肠外营养管理制度、医院是否会定期开展肠外营养的质量督查是态度和行为的影响因素(均P<0.05)。16.62%(449/2 701)名护士认为自己所掌握的知识不能满足当前临床工作的需求;80%以上的护士希望得到肠外营养并发症的预防与处理、肠外营养输注通路选择与维护相关主题培训。 结论 临床护士对住院患者实施肠外营养的态度较积极,行为良好,知识较差。护理管理者应建立和优化培训机制,强化临床护士的知识和行为,提高其对应用肠外营养患者的护理水平。

    Abstract:

    Objective To investigate the knowledge-attitude-practice (KAP) status and training needs of clinical nurses regarding pa-renteral nutrition in hospitalized patients, and to provide reference for clinical training. Methods A total of 2,701 clinical nurses from 33 hospitals at different levels in 16 prefecture-level cities in Hubei Province were conveniently selected for online questionnaire survey by using a self-made parenteral nutrition KAP questionnaire. Results The scoring rate of knowledge, attitude and behavior dimensions of parenteral nutrition were 53.90%, 90.45% and 85.87% respectively.And the overall scoring rate of KAP was 77.00%. Univariate analysis showed that working years and training were the influencing factors of clinical nurses′ parenteral nutrition knowledge, attitude and behavior; whether the hospital had a clear parenteral nutrition management system, whether the hospital would regularly carry out quality control of parenteral nutrition were the influencing factors of attitude and behavior (P<0.05 for all).About 16.62% (449/2701) of the nurses thought that their knowledge was not enough to meet the needs of current clinical work;more than 80% of the nurses hoped to receive training on prevention and treatment of parenteral nutrition complications, the selection and maintenance of parenteral nutrition infusion lines. Conclusion Clinical nurses have a positive attitude to-wards the implementation of parenteral nutrition in hospitalized patients; they also have good behaviors and poor knowledge.Nur-sing managers should establish and optimize the training mechanism, strengthen the knowledge and behavior of clinical nurses, and improve nursing care for patients receiving parenteral nutrition.

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马婉秋,王颖,朱丽,何梅,黄子菁.湖北省临床护士肠外营养知信行现状及培训需求调查研究[J].护理学杂志,2023,38(3):117-120+125

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  • 收稿日期:2022-09-12
  • 最后修改日期:2022-11-18
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  • 在线发布日期: 2023-12-29