Research Division, Praboromarajchanok Institute, Ministry of Public Health of Thailand, Nonthaburi, Thailand.
Nurs Health Sci. 2012 Mar;14(1):32-7. doi: 10.1111/j.1442-2018.2011.00657.x. Epub 2012 Feb 3.
Chronic diseases are now the largest cause of mortality in Thailand, and form an increasingly large portion of the healthcare landscape. In the Thai health system, many patients with chronic conditions receive care and disease management services from nurses, yet specialized training in chronic diseases is not currently part of standard nursing degree programs. Given the evolving epidemiology of the Thailand population, we questioned whether practicing nurses remain confident in their knowledge and skills in chronic disease management. We conducted a cross-sectional, self-efficacy survey of nurses in eight randomly-selected provinces in Thailand, receiving 468 responses. Nurse self-efficacy was analyzed in prominent chronic disease types, including cancer, hypertension, diabetes, heart disease, cerebrovascular diseases, and pulmonary diseases. Factors, such as geographic location, education level, continuing education experience, and hospital size, were found to significantly affect nurse self-efficacy levels; nurses highly prioritized additional training in heart diseases and cerebrovascular diseases, followed by hypertension, cancer, and diabetes.
慢性病目前是泰国最大的死亡原因，也是医疗保健领域日益重要的组成部分。在泰国的卫生系统中，许多慢性病患者接受护士的护理和疾病管理服务，但慢性病方面的专业培训目前并不是标准护理学位课程的一部分。鉴于泰国人口的流行病学不断演变，我们质疑护士是否对自己在慢性病管理方面的知识和技能有信心。我们对泰国八个随机选定的省份的护士进行了横断面自我效能调查，共收到 468 份回复。分析了护士在癌症、高血压、糖尿病、心脏病、脑血管病和肺部疾病等主要慢性病类型中的自我效能。地理位置、教育水平、继续教育经验和医院规模等因素被发现显著影响护士的自我效能水平；护士非常重视心脏病和脑血管病方面的额外培训，其次是高血压、癌症和糖尿病。
