Zhou Luling, Liu Suzhen, Li Hang
West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
BMC Nurs. 2024 May 2;23(1):303. doi: 10.1186/s12912-024-01948-3.
Primary care providers play an important role in home health care, and their practice behavior is significant for care quality and patient outcomes. This study aimed to assess the home care practice behavior of Chinese primary care providers and to explore the factors associated with the practice behavior.
A multicenter cross-sectional design with a convenience sample was used to survey 863 registered primary care providers from 62 primary health care settings in Sichuan Province, China. Descriptive statistics, t-test or ANOVA for one-way analysis, and Pearson's correlation analyses were used to compare the differences and examine the relationships between participants' demographics and experience of home care services and practice behavior. Multiple linear regression models were performed to identify salient variables associated with the practice behavior from among demographic and home care experience.
The score of home care practice behavior questionnaire was 97.25 ± 21.05. The average scores for the dimensions of home visit preparation, assessment, medical care behavior and safety practice were 3.70 ± 0.95, 3.76 ± 1.02, 3.66 ± 1.03, and 3.20 ± 0.46, respectively. Home care practice behavior was associated with working years, working experience in general hospitals, work area, home care experience such as client types of home care, service frequency and willingness, explaining 21.5% of the total variance.
Chinese primary care providers had a medium to high level of home care practice behavior but poor implementation of safety practice. The results may provide clues to increased focus and implementation of safety practice, as well as providing targeted measures based on influencing factors.
基层医疗服务提供者在家庭医疗保健中发挥着重要作用，其执业行为对护理质量和患者结局具有重要意义。本研究旨在评估中国基层医疗服务提供者的家庭护理执业行为，并探讨与该执业行为相关的因素。
采用多中心横断面设计及便利抽样方法，对来自中国四川省62个基层医疗卫生机构的863名注册基层医疗服务提供者进行调查。运用描述性统计、t检验或单因素方差分析以及Pearson相关分析来比较差异，并检验参与者的人口统计学特征、家庭护理服务经验与执业行为之间的关系。采用多元线性回归模型从人口统计学特征和家庭护理经验中识别与执业行为相关的显著变量。
家庭护理执业行为问卷得分97.25±21.05。家访准备、评估、医疗护理行为和安全实践维度的平均得分分别为3.70±0.95、3.76±1.02、3.66±1.03和3.20±0.46。家庭护理执业行为与工作年限、综合医院工作经验、工作地区、家庭护理经验（如家庭护理的客户类型、服务频率和意愿）相关，解释了总方差的21.5%。
中国基层医疗服务提供者的家庭护理执业行为处于中等偏高水平，但安全实践的执行情况较差。研究结果可为加强对安全实践的关注和执行提供线索，并基于影响因素提供针对性措施。
