分诊护士对老年人虐待问题的看法：一项医院环境中的研究。
Triage nurses' perspectives about abuse of older people: a study in a hospital setting.
作者信息
Estebsari Fatemeh, Ghorbanzadeh Sima, Milani Arezoo Sheikh, Saboohi Zahra, Latifi Marzieh, Shahsavari Arezoo, Rahimi Khalifeh Kandi Zahra
机构信息
School of Nursing and Midwifery, Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.
出版信息
BMC Nurs. 2025 Mar 18;24(1):293. doi: 10.1186/s12912-025-02949-6.
BACKGROUND
Abuse of older people is a major public health problem. Although nurses are recognized as playing a crucial role in responding to elder abuse, it tends to be under-recognized and under-reported in Iranian hospitals The present study aimed to measure the level of public and legal triage nurses' knowledge, attitude, and practice toward abuse of older people.
METHODS
This cross-sectional study was conducted on 400 nurses working in teaching hospitals, from May to October 2022. Data collection tools were background information questionnaires and questionnaires on nurses' knowledge, attitudes, and practices regarding elder abuse. A convenient sampling method was used in this study. The link to the questionnaires was sent electronically through the nurses' hospital groups on WhatsApp online software. The data collected were analyzed using SPSS version 18.0. Mean and standard deviation were used for nurses' knowledge, attitude, and practice, and Pearson's correlation was used for the relationship and correlation between nurses' knowledge, attitude, and performance. Significance level 0.05 considered.
RESULTS
The mean age of the participating nurses was 33.8 ± 5.21 years. Based on the results, the mean scores of nurses' general knowledge were 5.59 ± 1.35, legal knowledge was 3.52 ± 1.79, attitude was 43.06 ± 6.57, and practice regarding elder abuse was 12.49 ± 5.57. results showed a direct and significant relationship between nurses' general knowledge of elder abuse and knowledge of physical elder abuse (P < 0.001). A strong and significant direct relationship was also observed between nurses' knowledge of elder neglect and financial elder abuse (P < 0.001).
CONCLUSION
Nurses' general knowledge, attitude, and practice towards elder abuse were lower than the mean. Based on the significant relationship between knowledge and attitude with nurses' performance in the area of elder abuse, it is recommended that quality educational content be included in continuing education programs for nurses. To achieve the goals of changing nurses' behavior, it is suggested that nursing education programs and curricula include the issue of elder abuse, its diagnosis, and reporting.
TRIAL REGISTRATION
Not applicable.
背景
虐待老年人是一个重大的公共卫生问题。尽管护士在应对老年人虐待方面发挥着关键作用，但在伊朗医院中，这一问题往往未得到充分认识和报告。本研究旨在衡量公共和法定分诊护士对老年人虐待的知识水平、态度和实践情况。
方法
本横断面研究于2022年5月至10月对教学医院的400名护士进行。数据收集工具包括背景信息问卷以及关于护士对老年人虐待的知识、态度和实践的问卷。本研究采用便利抽样方法。问卷链接通过WhatsApp在线软件以电子方式发送给护士所在的医院群组。收集到的数据使用SPSS 18.0版本进行分析。护士的知识、态度和实践情况采用均值和标准差进行描述，护士的知识、态度和表现之间的关系及相关性采用Pearson相关性分析。显著性水平设定为0.05。
结果
参与研究的护士平均年龄为33.8±5.21岁。结果显示，护士的一般知识平均得分为5.59±1.35，法律知识为3.52±1.79，态度得分为43.06±6.57，对老年人虐待的实践得分为12.49±5.57。结果表明，护士对老年人虐待的一般知识与身体虐待知识之间存在直接且显著的关系（P<0.001）。护士对老年人忽视和经济虐待的知识之间也观察到强烈且显著的直接关系（P<0.001）。
结论
护士对老年人虐待的一般知识、态度和实践低于平均水平。基于知识和态度与护士在老年人虐待领域表现之间的显著关系，建议在护士继续教育项目中纳入高质量的教育内容。为实现改变护士行为的目标，建议护理教育项目和课程纳入老年人虐待问题、其诊断和报告内容。
试验注册
不适用。
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