摘要
目的:了解北京市神经科护士卒中后吞咽障碍护理知识、信念、行为的现状。方法:于2019年9—10月采用自编问卷对北京市17所三甲医院的324名神经内、外科护士进行横断面调查,问卷内容包括一般资料及神经科护士的卒中患者吞咽障碍相关知识、护理信念和护理行为。结果:神经科护士卒中患者的吞咽障碍知识问卷总分为42分,调查得分为(24.98±5.04)分;护理信念问卷总分为40分,调查得分为(33.75±4.81)分;护理行为问卷总分为44分,调查得分为(31.23±8.59)分。不同科室、年龄、初始学历、最高学历、职称、职务、护龄、神经科工作年限、接受吞咽障碍相关培训次数不同的神经科护士吞咽障碍知识得分比较,差异有统计学意义(P<0.05)。不同科室、接受吞咽障碍相关培训次数不同和接受吞咽障碍相关培训总时长不同的神经科护士的吞咽障碍护理信念得分和护理行为得分比较,差异有统计学意义(P<0.05)。不同科室、最高学历、接受吞咽障碍相关培训次数不同和接受吞咽障碍相关培训总时长不同的神经科护士的吞咽障碍护理知信行总得分比较,差异有统计学意义(P<0.05)。相关性分析显示,神经科护士卒中后吞咽障碍护理知信行得分之间呈正相关(P<0.05)。结论:神经科护士的卒中后吞咽障碍知识水平和护理行为有待提高,护理信念处于良好水平。护理管理者和教育者应增加护士对卒中后吞咽障碍相关知识的学习,强化卒中后吞咽障碍护理行为,以达到正确识别患者存在的吞咽障碍,有效管理吞咽障碍患者,及时指导患者康复的目的。
Objective To explore the status quo of knowledge,attitude and practice(KAP)of neurological nurses in dysphagia after stroke.Methods From September to October 2019,totally 324 neurological and neurosurgical nurses from 17 ClassⅢGrade A hospitals in Beijing were selected for this cross-sectional study using the self-made questionnaire.The content of the questionnaire included general information and the neurological nurses'KAP of dysphagia in stroke patients.Results The total score of the neurological nurses'knowledge about dysphagia in stroke patients was 42,and the survey score was(24.98±5.04).The nursing attitude questionnaire score was 40,and the survey score was(33.75±4.81).The nursing practice questionnaire score was 44,and the survey score was(31.23±8.59).Comparison of knowledge scores of dysphagia among neurological nurses in different departments,ages,initial education,highest education,job title,job title,nursing,length of neurology work,and number of training related to dysphagia,the differences were statistically significant(P<0.05).The differences in nursing belief scores and nursing behavior scores of neurological nurses in different departments,the number of training related to dysphagia and the total duration of training related to dysphagia were statistically significant(P<0.05).The neurosurgery nurses in different departments,the highest educational level,the number of training related to dysphagia,and the total length of training related to dysphagia were different,and the total scores of dysphagia nursing knowledge and behavior were statistically significant(P<0.05).Correlation analysis shows that the knowledge,belief and behavior of dysphagia nursing were positively related(P<0.05).Conclusions The knowledge level and nursing practice of dysphagia after stroke in neurological nurses need to be improved,and their nursing attitude is at a good level.Nursing managers and educators should increase the nurses'knowledge of post-stroke dysphagia,and strengthen the nursing practice of post-stroke dysphagia,in order to correctly identify the patients'dysphagia,effectively manage the patients with dysphagia,and guide the rehabilitation of patients in time.
作者
孙倩
苏尹
王艳玲
Sun Qian;Su Yin;Wang Yanling(Department of Neurology,Beijing Hospital National Center of Gerontology Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,P.R.,Beijing 100730,China;School of Nursing,Capital Medical University,Beijing 100069,China)
出处
《中华现代护理杂志》
2020年第23期3144-3150,共7页
Chinese Journal of Modern Nursing
关键词
卒中
护士
吞咽障碍
知信行
问卷调查
Stroke
Nurses
Dysphagia
Knowledge
attitude and practice
Questionnaire survey
作者简介
通信作者:王艳玲,Email:wangyanling_eliza@126.com。
