苏州市护理人员对阿尔茨海默病知识的知晓情况及其影响因素。
Level of Knowledge About Alzheimer's Disease Among Nursing Staff in Suzhou and its Influencing Factors.
机构信息
School of Nursing, Medical College of Soochow University, Suzhou, China.
The First Affiliated Hospital of Soochow University, Suzhou, China.
出版信息
Curr Alzheimer Res. 2019;16(7):650-658. doi: 10.2174/1567205016666190726102935.
BACKGROUND
With the rapid aging process, an increasing number of individuals will be living with dementia worldwide. A good mastery of knowledge about Alzheimer's Disease (AD) by medical staff has been reported to improve the outcome of patients with AD, making it necessary to assess the level of AD knowledge among nursing staff and address their knowledge deficits in order to upgrade the quality of care and improve quality of life for AD patients.
OBJECTIVE
To assess the level of AD knowledge among nursing staff in Suzhou, using the Alzheimer's Disease Knowledge Scale (ADKS), and analyze its influencing factors.
METHODS
Nursing staff working in healthcare institutes such as hospitals, community centers, nursing homes, etc. in all the six districts of Suzhou City were selected by convenience sampling. A selfdesigned questionnaire was used to collect general information of the participants, including gender, age, education, professional title, workplace, AD-related training, contact with AD patients, experience in caring for AD patients, etc., and the ADKS scale was used to assess their level of AD knowledge.
RESULTS
A total of 1102 in-service nursing staff in Suzhou were included in the study. Univariate analysis showed that age, education, professional titles, bias towards AD patients, AD-related training, contact with AD patients, experience in caring for AD patients were the influencing factors of the total ADKS score; multivariate analysis indicated that age, bias towards AD patients, and contact with AD patients are independent influencing factors of the level of AD knowledge among nursing staff in Suzhou.
CONCLUSION
Mastery of AD knowledge among the nursing staff in Suzhou is not satisfactory. It is urgent to change the nursing staff's negative attitude towards AD and put into effect AD-related health education and training courses so that nursing staff can upgrade their level of AD knowledge and provide better care in order to improve the quality of life for AD patients.
背景
随着人口老龄化进程的加快，全世界将会有越来越多的人患有痴呆症。有研究报道，医护人员对阿尔茨海默病（AD）知识的掌握程度能够改善 AD 患者的预后，因此，有必要评估护理人员对 AD 知识的掌握程度，并针对他们的知识缺陷进行干预，以提高护理质量，改善 AD 患者的生活质量。
目的
使用阿尔茨海默病知识量表（ADKS）评估苏州市护理人员对 AD 的认知水平，并分析其影响因素。
方法
采用便利抽样法，选取苏州市六区各类医疗机构（医院、社区卫生服务中心、养老院等）的在职护理人员为研究对象。采用自行设计的问卷收集研究对象的一般资料，包括性别、年龄、教育程度、职称、工作场所、AD 相关培训、与 AD 患者的接触情况、照顾 AD 患者的经验等，使用 ADKS 量表评估其 AD 知识水平。
结果
共纳入苏州市 1102 名在职护理人员。单因素分析结果显示，年龄、教育程度、职称、对 AD 的偏见、AD 相关培训、与 AD 患者的接触情况、照顾 AD 患者的经验是 ADKS 总分的影响因素；多因素分析结果显示，年龄、对 AD 的偏见和与 AD 患者的接触是影响苏州市护理人员 AD 知识水平的独立因素。
结论
苏州市护理人员对 AD 的认知水平不理想。迫切需要改变护理人员对 AD 的负面态度，并实施 AD 相关的健康教育和培训课程，以提高护理人员的 AD 知识水平，为 AD 患者提供更好的护理，从而提高 AD 患者的生活质量。
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