养老院护理助理对尿失禁的知识、态度和培训需求：一项混合方法研究。
Nursing assistants' knowledge, attitudes and training needs regarding urinary incontinence in nursing homes: a mixed-methods study.
机构信息
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xiangya School of Nursing, Central South University, Changsha, China.
出版信息
BMC Geriatr. 2023 Jan 22;23(1):39. doi: 10.1186/s12877-023-03762-z.
BACKGROUND
Urinary incontinence is an increasingly common problem, especially among older people in nursing homes. Nursing assistants are the leading workforce in nursing homes, and their knowledge and attitudes regarding urinary incontinence have garnered considerable attention in the context of aging in China. However, most previous studies on this issue have focused on registered nurses. This study aimed to explore nursing assistants' knowledge, attitudes and training needs with regard to urinary incontinence.
METHODS
We conducted a two-part mixed-methods study. After institutional manager approval, we surveyed the knowledge and attitudes of 509 nursing assistants regarding urinary incontinence. We carried out semi-structured interviews with 40 nursing assistants to elicit detailed information on training needs.
RESULTS
In general, knowledge about urinary incontinence was poor (14.00 ± 4.18), although attitudes were primarily positive (35.51 ± 3.19). Most nursing assistants were very willing to learn more about urinary incontinence (93.9%, 478/509), but time constraints and low educational background may be barriers to learning motivation. The three preferred training styles among nursing assistants were face-to-face guidance from a mentor, training combining theory with practice, and online video training.
CONCLUSIONS
Chinese nursing assistants had poor knowledge but positive attitudes toward urinary incontinence. Facility managers should focus on developing training and learning mechanisms regarding urinary incontinence. It is important to adopt diverse training styles according to the actual situation of nursing homes.
背景
尿失禁是一个日益普遍的问题，尤其在养老院的老年人中更为常见。护理助理是养老院的主要劳动力，他们对尿失禁的知识和态度在老龄化中国背景下受到了相当大的关注。然而，之前关于这个问题的大多数研究都集中在注册护士上。本研究旨在探讨护理助理在尿失禁方面的知识、态度和培训需求。
方法
我们进行了一项两部分的混合方法研究。在机构经理批准后，我们调查了 509 名护理助理对尿失禁的知识和态度。我们对 40 名护理助理进行了半结构化访谈，以了解有关培训需求的详细信息。
结果
总体而言，对尿失禁的知识了解较差（14.00±4.18），尽管态度主要是积极的（35.51±3.19）。大多数护理助理非常愿意学习更多关于尿失禁的知识（93.9%，478/509），但时间限制和低教育背景可能是学习动力的障碍。护理助理最受欢迎的三种培训方式是导师的面对面指导、理论与实践相结合的培训以及在线视频培训。
结论
中国护理助理对尿失禁的知识了解较差，但态度积极。机构管理者应重点制定尿失禁培训和学习机制。根据养老院的实际情况，采用多样化的培训方式非常重要。
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