某三级甲等综合性医院非糖尿病专科护士血糖监测管理知信行调查

摘要

目的 调查厦门市某三级甲等综合性医院非糖尿病专科护士血糖监测管理知识、态度和行为现状.方法 采用方便抽样法选取厦门市某三级甲等综合性医院409名非糖尿病专科护士为研究对象,采用自行设计的非糖尿病专科护士成人血糖监测管理知信行调查问卷进行调查.结果 血糖监测管理相关知识得分为(6.52±1.39)分,血糖监测管理态度得分为(45.94±4.18)分,血糖监测行为得分为(56.16±6.37)分;非糖尿病专科护士血糖监测管理的态度和行为呈正相关(r=0.119,P<0.05),知识和行为呈正相关(r=0.190,P<0.05);409名护士血糖管理相关知识自评掌握、掌握程度一般、较不熟悉和不熟悉百分比分别为54.8%、37.9%、4.4%和0.5%,2.4%护士认为自己已完全掌握;85.5%的护士接受过相关培训,其中护理部培训和糖尿病联络护士在内的科内培训占主导,分别占64.1%和31.5%;培训方式多为单一培训方式(72.6%);院内理论授课为护士最易接受的培训方式,占78.5%;多元线性回归分析显示,工作年限是非糖尿病专科护士血糖监测管理知信行水平的影响因素.结论 非糖尿病专科护士对血糖监测知识掌握情况不容乐观,血糖监测的知信行水平有待提高,全员规范化、多样化培训是有效途径.%Objective To investigate the knowledge,attitude and practice (KAP) of blood glucose monitoring and management among non-diabetes specialized nurses in a tertiary hospital of Xiamen,and provide basis for the late intervention.Methods With convenient sampling method,409 non-diabetes specialized nurses from a tertiary hospital of Xiamen were selected as the research object,and they were investigated by self-designed blood sugar monitoring and nursing KAP questionnaire.Results The score of knowledge related to blood sugar monitoring management was (6.52±1.39);the score of attitude related to blood sugar monitoring management was (45.94±4.18);the score of practice related to blood sugar monitoring management was (56.16±6.37);the attitude related to blood glucose monitoring management of non-diabetes specialized nurses was positively correlated with their practice (r=0.119,P=0.016);and nurses' practice was also positively correlated with their knowledge (r=0.190,P=0.027). Among 409 nurses,the percentage of nurses' self-rating mastery degree,general mastery degree,less familiar and unfamiliar in blood sugar management knowledge were 54.8%,37.9%,4.4 and 0.5% %,and only 2.4% of nurses thought they completely master the knowledge. 85.5% of nurses had received training,training organized by nursing department and training in department which includes diabetes link nurses were dominant,and they were 64.1% and 31.5%. The training method was single (72.6%). Theoretical teaching in hospital was still the most popular way,and it accounted for 78.5%. By multiple linear regression analysis,service year was the influencing factors of blood sugar monitoring management. ConclusionsThe knowledge that non-diabetes specialist nurses master is not optimistic,and the level of KAP in blood sugar monitoring still needs to be improved,while full standardization and diversity training are effective methods.