护生对患者安全知信行现状及其影响因素的调查研究

Study on patient safety status and influencing factors of knowledge, attitude, behavior and practice

目的 调查护生关于患者安全的知识、态度及行为等现状,分析其影响因素,为我国护理院校开展针对护生的患者安全培训教育提供参考.方法 采用便利抽样法,以自行编制的“护生患者安全知信行调查问卷”对天津及福州两地的617名护生进行横断面调查,并对调查结果进行分析.结果 护生对于患者安全认知总分为（3.34±0.44）分,各维度由高到低分别为态度（3.82±0.51）分,行为（3.42±0.60）分,知识（2.92±0.67）分.本科护生关于患者安全的整体认知较专科护生低,t=5.194,P＜0.01;已进入毕业实习护生的整体认知情况较未实习护生高,t=3.264,P＜0.01;而在态度方面却较未实习护生消极,t=-3.813,P＜0.01.回归分析结果显示,护生患者安全认知的影响因素主要为学历和是否进入毕业实习.结论 本次调查的护生的患者安全知信行水平处于中等水平,主要受学历和是否实习影响.

Objective To investigate cognitive status of nursing students for patient safety and analyze its influencing factors,and to supply reference for the patient safety education of nursing students.Methods Using convenience sampling method,617 nursing students in Tianjin and Fuzhou were investigated by self-designed ＂the nursing students for patient safety KABP questionnaire＂.The results underwent analysis.Results The patient safety KABP total score was 3.34±0.44,all dimensions from high to low were attitude 3.82±0.51,behaviour and practice 3.42±0.60,knowledge 2.92±0.67.Undergraduate nursing students overall cognition was lower than those of college nursing students,t=5.194,P＜0.01,the overall cognitive situation of students who had entered the graduation practice was higher than nursing students who had not entered the graduation practice,t=3.264,P＜0.01,however attitude was negative,t=-3.813,P＜0.01.Regression analysis showed that factors influencing cognition of nursing students for patient safety were mainly education degree and whether entering graduation practice or not.Conclusions The cognition of patient safety in nursing students was in the medium level,mainly affected by the education degree and whether entering graduation practice or not.