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上海医学实习生临床营养知识、态度和实践:促成因素。

Clinical nutrition knowledge, attitude and practice of medical interns in Shanghai: Contributory factors.

机构信息

Department of Clinical nutrition center, Huadong Hospital Affiliated to Fudan University, Shanghai, China.

Food hygiene and nutrition department of Shanghai University of Traditional Chinese Medicine, China.

出版信息

Asia Pac J Clin Nutr. 2020;29(1):77-82. doi: 10.6133/apjcn.202003_29(1).0011.

Abstract

BACKGROUND AND OBJECTIVES

To provide a questionnaire, with Shanghai medical interns as respondents, analyzing knowledge (K), attitude (A), and practice (P) in relation to clinical nutrition, and to explore factors that could affect KAP scores.

METHODS AND STUDY DESIGN

The cross- sectional study used 330 interns from Shanghai medical universities responding to general material data questionnaires and KAP questionnaires on clinical nutrition.

RESULTS

The mean KAP score was 210.26±25.9 (X±SD), and the score for each part of the KAP questionnaire was just within the threshold for qualified. Multivariate analysis showed that the factors influencing the proportion of excellent scores for K were preventive medicine major (OR=3.45, p<0.001), senior intern (OR=2.52, p=0.002), and tertiary intern hospital (OR=2.31, p=0.006). The only factor influencing the proportion of excellent scores for P was accessing nutritional information one to three times per week (OR=3.95, p=0.011). Nutrition course had no relation to any scores of K, A, P.

CONCLUSIONS

The mean scores of overall KAP and the individual K, A, P were all categorized as qualified. The P score was the lowest and only influenced by how frequently information was accessed. In summary, nutrition knowledge and regular practical training gained from intern hospital could be a better way to enable senior interns to quickly and competently address patient nutrition problems at the commencement of their careers.

摘要

背景与目的

为上海医学生实习医生设计调查问卷,分析其临床营养知识(K)、态度(A)和实践(P),并探讨影响 KAP 评分的因素。

方法和研究设计

采用横断面研究,选取上海医科大学的 330 名实习医生作为研究对象,填写一般资料问卷和临床营养 KAP 问卷。

结果

平均 KAP 得分为 210.26±25.9(X±SD),KAP 问卷各部分得分仅处于合格线。多因素分析显示,影响 K 优秀率的因素有预防医学专业(OR=3.45,p<0.001)、高年级实习(OR=2.52,p=0.002)和三级实习医院(OR=2.31,p=0.006)。唯一影响 P 优秀率的因素是每周查阅营养信息 1-3 次(OR=3.95,p=0.011)。营养课程与 K、A、P 的任何评分均无关。

结论

总体 KAP 及 K、A、P 的平均分均为合格。P 得分最低,仅受查阅信息频率的影响。综上所述,实习医院的营养知识和定期实践培训可以帮助高年级实习医生更快、更熟练地解决患者的营养问题,是提高他们营养实践能力的有效途径。

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