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产科住院病房产妇对预防跌倒的知识、态度和行为:护士与产妇的比较横断面研究

The knowledge, attitude, and practice toward fall prevention of parturients in the obstetric inpatient wards: a comparative cross-sectional study between nurses and parturients.

作者信息

Wen Jing, Wen Jiao, Jing Wenjuan, He Hongmei, Ren Jianhua

机构信息

Department of Obstetrics Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.

出版信息

Front Public Health. 2025 Jan 30;13:1412111. doi: 10.3389/fpubh.2025.1412111. eCollection 2025.

DOI:10.3389/fpubh.2025.1412111
PMID:39949554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11823421/
Abstract

OBJECTIVE

This study aimed to compare the knowledge, attitudes, and practices of parturients and nurses regarding fall prevention among parturients, with the goal of understanding the cognitive factors contributing to post-delivery fall.

METHODS

A cross-sectional survey was conducted among obstetric nurses and women in obstetric ward within 2 days after vaginal delivery. The survey instrument included a self-design questionnaire comprising a demographic information sheet and a KAP questionnaire, which demonstrated acceptable reliability and validity.

RESULTS

A total of 705 nurses and 1,220 parturients completed the survey. Over half of both nurses and parturients exhibited reasonably good knowledge, positive attitudes and appropriate practices related to fall prevention. Significant associations were identified between the education level of parturients and their knowledge and attitudes. Nurses scored lower in the attitude dimension compared to parturients (4.32 ± 1.01 vs. 4.84 ± 0.36, < 0.001), whereas nurses scored higher than parturients in the practice dimension (3.76 ± 0.44 vs. 3.57 ± 0.48, < 0.001).

CONCLUSION

Nurses should focus on enhancing the fall practices of parturients by emphasizing key points for fall prevention and providing guidance in situations of improper behaviors (e.g., unaccompanied activities). Further education programs for nurses should prioritize increasing their confidence and proficiency in fall prevention.

摘要

目的

本研究旨在比较产妇和护士在产妇预防跌倒方面的知识、态度和行为,以了解导致产后跌倒的认知因素。

方法

对阴道分娩后2天内产科病房的产科护士和产妇进行横断面调查。调查工具包括一份自行设计的问卷,其中包含一份人口信息表和一份KAP问卷,该问卷具有可接受的信效度。

结果

共有705名护士和1220名产妇完成了调查。超过半数的护士和产妇在预防跌倒方面表现出相当良好的知识、积极的态度和适当的行为。产妇的教育水平与其知识和态度之间存在显著关联。护士在态度维度上的得分低于产妇(4.32±1.01对4.84±0.36,<0.001),而护士在行为维度上的得分高于产妇(3.76±0.44对3.57±0.48,<0.001)。

结论

护士应通过强调预防跌倒的关键点并在行为不当(如无人陪同活动)的情况下提供指导,来重点加强产妇的跌倒预防行为。针对护士的进一步教育项目应优先提高他们在预防跌倒方面的信心和熟练程度。

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