中国神经科护士脑卒中后吞咽障碍知信行现状的横断面研究。
Status of knowledge, attitude and practice of poststroke dysphagia in neurological nurses in China: A cross-sectional study.
机构信息
Department of Neurology, West China Hospital, Sichuan University/ West China School of Nursing, Sichuan University, Chengdu, PR China.
West China School of Nursing/ West China Hospital, Sichuan University, Chengdu, PR China.
出版信息
PLoS One. 2023 Apr 21;18(4):e0284657. doi: 10.1371/journal.pone.0284657. eCollection 2023.
OBJECTIVES
To explore the status and related factors of knowledge, attitude, and practice (KAP) of poststroke dysphagia among neurological nurses in China.
METHODS
Neurological nurses from 40 tertiary hospitals in Southwest China were invited to complete a survey on the knowledge, attitude, and practice of the nursing of poststroke dysphagia. We used a questionnaire to collect the participants' information including the basic characteristics and the KAP Questionnaire on poststroke dysphagia in the neurological ward. A sample of 707 participants completed the survey.
RESULTS
The knowledge, attitude, and practice scores for the nursing of poststroke dysphagia were 12.00±4.09, 71.99±11.00, 52.22±9.08, respectively. The total score of knowledge towards the nursing of poststroke dysphagia was significantly different among nurses with different ages, working time of nursing, working time of nursing in neurology, the highest level of education, professional title, position, the method of training, the number of dysphagia-related nursing trainings, the total length of dysphagia nursing training, and the nursing basis of patients with dysphagia. The total score of attitudes towards the nursing of poststroke dysphagia was significantly different among nurses with the way they were trained, and the nursing basis for patients with dysphagia. The total score of practice towards poststroke dysphagia was significantly different among nurses with the number of dysphagia-related nursing trainings, the total length of dysphagia nursing training, the training method, and the basis of nursing patients with dysphagia.
CONCLUSION
Neurological nurses' knowledge score in poststroke dysphagia is relatively low, and the knowledge level needs improvement. The attitude and practice score of neurological nurses in dysphagia after stroke was much better than the knowledge score. Managers and nursing researchers should develop and offer effective training for neurological nurses to improve their knowledge, attitude and practice towards poststroke dysphagia, and then improve patients' health outcomes.
目的
探讨中国神经内科护士对脑卒中后吞咽障碍的知识、态度和实践（KAP）现状及其相关因素。
方法
从中国西南地区 40 家三级医院邀请神经内科护士完成脑卒中后吞咽障碍护理知识、态度和实践调查问卷。采用问卷收集参与者的基本特征和神经内科病房脑卒中后吞咽障碍 KAP 问卷信息。共 707 名参与者完成了调查。
结果
脑卒中后吞咽障碍护理知识、态度和实践评分分别为 12.00±4.09、71.99±11.00、52.22±9.08。不同年龄、护理工作年限、神经内科护理工作年限、最高学历、职称、岗位、培训方式、吞咽障碍护理培训次数、吞咽障碍护理培训总时长、吞咽障碍患者护理基础的护士，脑卒中后吞咽障碍护理知识总分差异有统计学意义。不同培训方式和吞咽障碍患者护理基础的护士，对脑卒中后吞咽障碍护理的态度总分差异有统计学意义。不同吞咽障碍护理培训次数、吞咽障碍护理培训总时长、培训方式和吞咽障碍患者护理基础的护士，脑卒中后吞咽障碍实践总分差异有统计学意义。
结论
神经内科护士对脑卒中后吞咽障碍的知识得分相对较低，需要提高知识水平。神经内科护士对脑卒中后吞咽障碍的态度和实践得分明显优于知识得分。管理者和护理研究人员应针对神经内科护士制定并提供有效的培训，以提高他们对脑卒中后吞咽障碍的知识、态度和实践水平，从而改善患者的健康结局。
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