Objective To understand the status quo of knowledge, attitude and practice (KAP) of nurses in hospital and community about nutrition for stroke patients, compare their differences, and analyze the common related factors, so as to provide basis for carrying out nutritional nursing education for stroke patients in hospital-community interaction.Methods A total of 160 neurology nurses from 7 Class Ⅲ Grade A hospitals and 161 nurses from 10 community hospitals in Shanghai were selected from August to October 2017 by convenience sampling method. The Chinese version of the Staff Attitudes to Nutritional Nursing Care Geriatric scale were applied in the investigation. A total of 340 questionnaires were distributed and 321 valid questionnaires were recovered, with a recovery rate of 94.4％. SPSS 20.0 software was used for statistical analysis.Results The scores of nutrition knowledge, nutrition attitude and nutritional practice of the 160 hospital nurses were (58.44±12.67), (72.72±10.73) and (85.50±15.49) respectively, while those of the 161 community nurses were (53.98±13.15), (75.87±8.24) and (69.81±16.75) respectively. The differences in scores between the two groups were statistically significant (P<0.05). Multiple linear stepwise regression analysis showed that the factors related to nutritional knowledge were academic qualifications and further study at work. Academic qualifications, duration of continuous nursing for stroke patients and nutritional course in school were related to nutrition attitude. Age, academic qualifications and clinical nutrition nursing training were the main factors influencing nutrition practice scores.Conclusions There are differences in scores of nutrition KAP between hospital and community nurses. Effective nutrition nursing training can improve nurses' KAP of nutrition for stroke patients, so as to ensure the effective development of nutrition nursing services for patients.%目的 了解医院和社区护士对脑卒中患者营养护理知识态度及行为现况,比较两者差异,分析共性相关影响因素,为在医院-社区联动中开展脑卒中患者营养护理教育工作提供实证依据.方法 采取便利抽样法,于2017年8—10月选取上海市7家三甲医院160名神经内科护士以及10家社区医院161名护士为研究对象,采用改良版《中文版护士对老年患者营养护理态度量表》进行调查.共发放340份问卷,回收有效问卷321份,回收有效率为94.4％.采用SPSS 20.0软件包进行统计分析.结果 160名医院护士的营养知识、营养态度、营养行为得分分别为(58.44±12.67)、(72.72±10.73)、(85.50±15.49)分;161名社区护士的营养知识、营养态度、营养行为得分分别为(53.98±13.15)、(75.87±8.24)、(69.81±16.75)分,两组护士得分比较差异均有统计学意义(P<0.05).多元线性逐步回归分析,影响医院和社区护士对脑卒中患者营养知识得分的主要因素是学历和是否通过进修学习获得营养护理指导;影响营养态度得分的主要因素为学历、连续护理卒中患者时长及是否通过学校教育获得营养护理指导;影响营养行为得分的主要因素是年龄、学历和是否接受过临床营养护理培训.结论 医院和社区护士对脑卒中患者营养护理知识态度及行为存在差异.可通过开展有效的营养护理教育,改善护士对脑卒中患者营养护理知信行的情况,进而保证对患者营养护理服务的有效开展.
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