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三级医院医务人员的营养素养水平:一项横断面研究的证据

Nutrition literacy level of medical personnel in tertiary hospitals: evidence from a cross-sectional study.

作者信息

Mo Guangju, Zhu Erchang, Guo Xuan, Kong Sijin, Ma Jingbo

机构信息

The First Affiliated Hospital of Bengbu Medical University, Bengbu, 233000, China.

School of public health, Shandong Second Medical University, Weifang, 261053, China.

出版信息

Arch Public Health. 2024 Aug 15;82(1):124. doi: 10.1186/s13690-024-01350-0.

Abstract

BACKGROUND

Nutrition literacy (NL), stemming from health literacy, profoundly influences dietary habits and chronic diseases. Despite their pivotal societal role, scant research exists on NL levels among medical personnel. This study examined NL levels among tertiary hospital medical staff in Bengbu and identified influencing factors.

METHODS

Using cluster sampling, all Bengbu tertiary hospitals were selected, with 4-5 departments randomly chosen. A structured questionnaire assessed demographic characteristics, while the NL short-form scale (NL-SF12) evaluated NL. SPSS 26.0 and AMOS conducted statistical analysis, including confirmatory factor analysis and Cronbach's α for reliability. Chi-square tests and logistic regression analyzed group differences and influencing factors.

RESULTS

The NL-SF12 demonstrated robust reliability and validity. Of participants, 34.22% were male and 65.78% female; 41.03% were doctors and 42.16% nurses. Overall, 45.68% exhibited high NL. Females showed higher total NL (OR = 1.47, 95% CI: 1.08-1.98), cognition (OR = 1.66, 95% CI: 1.22-2.24), skills (OR = 1.48, 95% CI: 1.09-2.00), and interactive NL (OR = 2.21, 95% CI: 1.53-3.19) than males. Those with a master's or higher had higher total NL (OR = 2.20, 95% CI: 1.33-3.65) and cognition (OR = 3.23, 95% CI: 1.94-5.37) than those with an associate degree or less. Pharmacists, inspectors, and technicians had higher total NL (OR = 1.55, 95% CI: 1.06-2.26) and functional NL (OR = 1.49, 95% CI: 1.02-2.17). Gender, education level, and career were the influencing factors of nutrition literacy among medical personnel.

CONCLUSIONS

Female medical staff and those with a master's degree or higher showed higher nutrition literacy (NL), particularly in cognition and skills. Pharmacists, inspectors, and other technicians exhibited higher levels of total NL and functional NL. Gender, education level, and career were identified as significant influencing factors of nutrition literacy among medical personnel. Understanding and considering these factors are crucial for developing targeted strategies to enhance nutrition literacy among healthcare professionals. Future efforts to improve nutrition literacy through training and interventions should be tailored to the characteristics of different groups to effectively enhance the capabilities and proficiency of healthcare professionals in nutrition knowledge and practice.

摘要

背景

营养素养(NL)源于健康素养,对饮食习惯和慢性病有深远影响。尽管医务人员在社会中发挥着关键作用,但关于他们营养素养水平的研究却很少。本研究调查了蚌埠市三级医院医务人员的营养素养水平,并确定了影响因素。

方法

采用整群抽样法,选取蚌埠市所有三级医院,随机抽取4 - 5个科室。通过结构化问卷评估人口统计学特征,同时使用营养素养简表(NL - SF12)评估营养素养。运用SPSS 26.0和AMOS进行统计分析,包括验证性因子分析和Cronbach's α系数以评估信度。采用卡方检验和逻辑回归分析组间差异及影响因素。

结果

NL - SF12具有较强的信度和效度。参与者中,男性占34.22%,女性占65.78%;医生占41.03%,护士占42.16%。总体而言,45.68%的人表现出较高的营养素养。女性在总营养素养(OR = 1.47,95%CI:1.08 - 1.98)、认知(OR = 1.66,95%CI:1.22 - 2.24)、技能(OR = 1.48,95%CI:1.09 - 2.00)和互动营养素养(OR = 2.21,95%CI:1.53 - 3.19)方面高于男性。硕士及以上学历者在总营养素养(OR = 2.20,95%CI:1.33 - 3.65)和认知(OR = 3.23,95%CI:1.94 - 5.37)方面高于大专及以下学历者。药剂师、检验人员和技师的总营养素养(OR = 1.55,95%CI:1.06 - 2.26)和功能性营养素养(OR = 1.49,95%CI:1.02 - 2.17)较高。性别、教育水平和职业是医务人员营养素养的影响因素。

结论

女性医务人员以及硕士及以上学历者表现出较高的营养素养(NL),尤其是在认知和技能方面。药剂师、检验人员和其他技师的总营养素养和功能性营养素养水平较高。性别、教育水平和职业被确定为医务人员营养素养的重要影响因素。了解和考虑这些因素对于制定针对性策略以提高医护人员的营养素养至关重要。未来通过培训和干预提高营养素养的努力应根据不同群体的特点进行调整,以有效提高医护人员在营养知识和实践方面的能力和水平。

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