临床护士文化照护知信行现状及分析

Knowledge, attitude and practice for cultural care among clinical nurses

目的 :调查宁夏地区临床护士护理回族患者的文化照护知信行现状,分析其影响因素,为回族聚集地区的护士开展相关文化照护教育培训提供指导策略。方法 :采用便利抽样法对472名临床护士进行问卷调查。结果 :宁夏地区临床护士护理回族患者的文化照护知信行处于中下水平,其中知识和行为水平偏低,而态度处于中上水平。单因素分析显示,临床护士文化照护知识因民族、年龄、工作年限、学历、对回族文化的兴趣和相关文化护理培训经历的不同,差异有统计学意义(P<0.05);而其态度及行为则因民族、学历、对回族文化的兴趣等不同具有统计学差异(P<0.05);Pearson相关分析显示,护士文化照护知信行两两之间存在正相关关系(P<0.05);以行为为因变量进行多元线性回归分析,民族、知识、态度和对回族文化的兴趣是临床护士文化照护行为的独立影响因素(P<0.05)。结论 :宁夏地区临床护士文化照护知信行水平偏低,有待提高,应结合当地服务人群的文化习俗等特点,采取有针对性的培训干预措施,建立和完善文化照护护理培训体系。

Objective： To assess clinical nurses＇ cultural care competence of caring the Hui nationality patients in Ningxia province and influential factors. Methods： Totally 472 clinical nurses answered the self-designed questionnaire by the convenience sampling method. Results： The cultural care competence of clinical nurses was poor. Knowledge and practice scores were poor, and the score of attitude was higher in level.Univariate analysis showed that nationality, age, work experience, educational background , Hui cultural interest and training experience were significantly associated with knowledge score （P〈0.05）. Nationality, educational background, Hui cultural interest were significantly associated with attitude and practice score （P〈0.05）. Pearson correlation analysis revealed that there were positive correlations with knowledge, attitude and practice of cultural care competence （P〈0.05）; Multivariate regression analysis indicated that nationality, Hui cultural interest, knowledge and attitude were significantly associated factor with cultural care competence practice （P〈0.05）. Conclusion： The cultural care competence of clinical nurses needs to be enhanced. It will be essential to integrate local cultures and customs with training programs in order to promote cultural care competence.