上海市某医疗联合体区域内护士胰岛素注射知信行现状及培训需求
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摘要
目的了解上海市某医疗联合体区域内护士胰岛素注射知识、态度、行为及培训需求。方法采用便利抽样法选取2017年9-10月上海市某二级综合医院及区域内社区护士340名为研究对象,采用一般情况调查问卷、胰岛素注射知信行及培训需求调查表对其进行调查。结果护士胰岛素注射相关知识、态度、行为及总分分别为(5.69±0.94)、(43.49±4.83)、(5.00±1.51)及(54.20±5.49)分;培训需求得分为(27.36±3.35)分,其中51.8%护士的培训需求非常强烈。不同医院等级、职称、工作年限的护士,胰岛素注射行为得分差异有统计学(P<0.05)。Logistic回归分析显示,医院等级和工作年限是护士胰岛素注射行为的主要影响因素。结论上海市某医疗联合体区域内护士胰岛素注射行为水平参差不齐,对胰岛素药物知识等有强烈培训需求;管理者应根据医院等级及护士情况制定培训策略,以规范护士的胰岛素注射行为。
Objective To understand the knowledge, attitude, practice and training needs of nurses on insulin injection in a medical alliance in Shanghai.Methods By the convenience sampling method,340 nurses in a secondary general hospital and communities in Shanghai from September to October 2017 were selected.The general situation questionnaire,insulin injection knowledge,practice and training needs questionnaire were used to investigate the situation.Results The knowledge,attitude,practice and total score of insulin injection were 5.69±0.94,43.49±4.83,5.00±1.50 and 54.20±5.49,respectively; the training demand score was 27.36±3.35, among which 51.8 % of nurses' training needs were very strong.There were significant differences in insulin injection behavior scores among nurses of different hospital grades, professional titles and working years(P<0.05).Logistic regression analysis showed that the factors influencing insulin injection behavior of nurses were hospital grade and work life.Conclusions The level of insulin injection knowledge,attitude and practice of nurses in the medical alliance in Shanghai was moderate,and there was the strong training demand for insulin drug knowledge.To regulate the insulin injection behavior of nurses,nursing managers should develop training strategies according to hospital level and individual characteristics of nurses.
Objective To understand the knowledge, attitude, practice and training needs of nurses on insulin injection in a medical alliance in Shanghai.Methods By the convenience sampling method,340 nurses in a secondary general hospital and communities in Shanghai from September to October 2017 were selected.The general situation questionnaire,insulin injection knowledge,practice and training needs questionnaire were used to investigate the situation.Results The knowledge,attitude,practice and total score of insulin injection were 5.69±0.94,43.49±4.83,5.00±1.50 and 54.20±5.49,respectively; the training demand score was 27.36±3.35, among which 51.8 % of nurses' training needs were very strong.There were significant differences in insulin injection behavior scores among nurses of different hospital grades, professional titles and working years(P<0.05).Logistic regression analysis showed that the factors influencing insulin injection behavior of nurses were hospital grade and work life.Conclusions The level of insulin injection knowledge,attitude and practice of nurses in the medical alliance in Shanghai was moderate,and there was the strong training demand for insulin drug knowledge.To regulate the insulin injection behavior of nurses,nursing managers should develop training strategies according to hospital level and individual characteristics of nurses.
引文
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[2] 纪立农,郭晓蕙,黄金,等.中国糖尿病药物注射技术指南(2016年版)[J].中华糖尿病杂志,2017,9(2):79-103.
[3] 杨亚平,梅永霞,张振香,等.郑州市医疗联合体模式下社区护士岗位培训现状及需求分析[J].卫生职业教育,2017,35(11):133-135.
[4] 冯琳,周克雄.非内分泌科护士对糖尿病知识掌握情况调查分析[J].护理实践与研究:上半月版,2010,7(9):104-106.
[5] 任改瑛,周明群,白灵.非内分泌科护士对糖尿病知识掌握的现状及培训对策[J].护理研究:上旬版,2014,28(12A):4336-4337.
[6] 金艳兰,张海林,胡红霞,等.在职临床护士参与继续教育学习动机调查分析[J].护理研究,2017,31(33):4267-4269.
[7] 朱叶.内训师模式在非专科护士糖尿病管理知识培训中的应用研究[D].郑州:郑州大学,2017.
[8] 刘雪英,祖大玲,丁红美,等.临床护士对胰岛素治疗认知及注射技术掌握现状调查[J].上海护理,2017,17(4):35-39.
[9] 李蓓,赵雪,杨玲凤,等.多学科糖尿病管理团队对联络护士培训的中期效果评价[J].护理学杂志,2017,32(9):44-47.
[10]郝晋红,金瑞华.我国在职护士继续教育现状[J].护理研究,2012,26(7C):1926-1927.
[11]赵芳,李建荣,黄金,等.社区护士糖尿病知识的调查分析[J].中华护理杂志,2016,51(5):635-638.