护士对住院手术患者的营养护理实践及相关因素；以埃塞俄比亚巴赫达尔市转诊医院为例
Nurses' nutritional care practice and associated factors for hospitalized surgical patients; the case of referral hospitals in Bahir Dar City, Ethiopia.
作者信息
Enyew Belay Alamirew, Asemahagn Mulusew Andualem, Belay Kibret Enyew, Tesega Aynamaw Embiale, Mekonnen Gebrehiwot Berie, Tsehay Yeshimebet Tamir, Mamo Sosina Tamre, Messelu Mengistu Abebe, Demile Tiruye Azene, Netsere Henok Biresaw, Wondie Wubet Tazeb, Abebe Gebremeskel Kibret, Adal Ousman, Mulatu Sileshi, Belayneh Asnake Gashaw
机构信息
Department of Adult Health Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
出版信息
J Health Popul Nutr. 2025 Apr 2;44(1):100. doi: 10.1186/s41043-025-00794-6.
BACKGROUND
The prevalence of malnutrition in hospitalized patients continues to be high across countries, including Ethiopia. Although Nurses have key role to provide nutritional care, their practice is unknown in Ethiopia.
OBJECTIVE
we aimed to assess nurses' nutritional care practice and associated factors for hospitalized surgical patients in Bahir Dar city.
METHODS
An institution based cross-sectional study was conducted among 422 nurses in Bahir Dar City referral hospitals from February 1 to March 1/ 2023. Participants were selected by trained data collectors using simple random sampling. Data was collected using structured, self-administered and pre-tested tool and entered into Epi-info 7 & exported to SPSS version 23 for analysis. Multiple binary logistic regression used to identify factors and p-value of < 0.05 used to determine significant association with 95% CI odds ratio.
RESULT
In this study, 410 of 422 nurses were participated. Overall, 143 (35%) 95% CI: 30.5, 39.8) of nurses had good practice on the nutritional care. Female nurses (AOR = 2.69, 95% CI, 1.62, 4.44), nutrition guidelines (AOR = 2.59, 95% CI, 1.52, 4.39), physician order (AOR = 1.82 95% CI, 1.11, 3.00), experience sharing with peers (AOR = 1.74, 95%CI 1.05, 2.87) nurse to patient ratio < 1:5 (AOR = 1.75, 95%CI, 1.01, 3.02), were positively associated with their practice. But, poor knowledge (AOR = 0.50, 95%CI, 0.30, 0.83), and unfavorable attitude (AOR = 0.51 95%CI, 0.30, 0.84) were negatively associated with their practice.
CONCLUSION
The practice of nurses in nutritional care was low. Gender, access to nutritional information sources, physician orders, nurses to patient ratio, knowledge, and attitude of nurses were factors associated with their practice. Therefore; training, guideline access, experience sharing, and increasing nursing staff is crucial to provide optimal nutritional care for hospitalized patients.
背景
包括埃塞俄比亚在内，各国住院患者中营养不良的患病率持续居高不下。尽管护士在提供营养护理方面发挥着关键作用，但在埃塞俄比亚，她们的实际做法尚不清楚。
目的
我们旨在评估巴赫达尔市住院手术患者的护士营养护理实践及相关因素。
方法
2023年2月1日至3月1日，在巴赫达尔市转诊医院的422名护士中进行了一项基于机构的横断面研究。由经过培训的数据收集人员通过简单随机抽样选择参与者。使用结构化、自填式且经过预测试的工具收集数据，并录入Epi-info 7，然后导出到SPSS 23版本进行分析。采用多重二元逻辑回归来确定因素，p值<0.05用于确定与95%置信区间比值比的显著关联。
结果
在本研究中，422名护士中有410名参与。总体而言，143名（35%）95%置信区间：30.5, 39.8）护士在营养护理方面有良好实践。女性护士（调整后比值比[AOR]=2.69，95%置信区间，1.62, 4.44）、营养指南（AOR=2.59，95%置信区间，1.52, 4.39）、医生医嘱（AOR=1.82，95%置信区间，1.11, 3.00）、与同行分享经验（AOR=1.74，95%置信区间1.05, 2.87）、护士与患者比例<1:5（AOR=1.75，95%置信区间，1.01, 3.02）与她们的实践呈正相关。但是，知识水平低（AOR=0.50，95%置信区间，0.30, 0.83）和态度不佳（AOR=0.51，95%置信区间，0.30, 0.84）与她们的实践呈负相关。
结论
护士在营养护理方面的实践水平较低。性别、获取营养信息来源、医生医嘱、护士与患者比例、护士的知识和态度是与其实践相关的因素。因此，培训、获取指南、经验分享以及增加护理人员对于为住院患者提供最佳营养护理至关重要。
Zotero 插件