不同级别医院护士对患者身份识别知信行的研究

Knowledge-attitude-practice on patients identification among nurses in hospitals at different levels

目的调查不同级别医院护士对患者身份识别的认知、态度、行为的现状,为了解各级医院护士对患者身份识别的知信行状况提供依据。方法本研究采取分层、概率比例、整群抽样的方法,对2017年1—7月深圳市三、二、一级医院700名护士进行问卷调查。采用自行编制的《护士对患者身份识别的知信行调查问卷》调查护士进行患者身份识别的知信行得分情况。结果本研究共发放调查问卷700份,回收658份,回收有效率为94.0%。三、二、一级医院护士对患者身份识别知信行总分分别为(124.82±4.65)、(117.75±3.85)、(116.58±3.96)分;三级医院护士对患者身份识别知识、态度、行为得分最高,其次是二级医院,一级医院最低。不同等级医院的护士对患者身份识别知识、行为得分的比较,差异有统计学意义(P<0.05);态度得分差异无统计学意(P>0.05);不同学历、职称护士其对患者身份识别知识、态度、行为得分差异有统计学意义(P<0.05);不同性别、年龄的护士其对患者身份识别知识、态度、行为得分差异无统计学意义(P>0.05)。结论三级医院护士对患者身份识别知信行总体处于优秀,一级医院及二级医院临床护士尤其是职称为护士、学历为大专及以下护士对患者身份识别知信行水平亟待加强。

Objective To explore the knowledge-attitude-practice on patients identification among nurses in hospitals at different levels so as to provide a basis for understanding the knowledge-attitude-practice on patients identification among nurses in hospitals at different levels.Methods From January 2017 to July 2017,a total of 700 nurses at ClassⅢ,ⅡandⅠhospitals in Shenzhen were investigated with the questionnaire with the methods of group sampling,probability proportionate and cluster sampling.The self-designed Knowledge-attitude-practice on Patients Identification Questionnaire of Nurses was used to investigate the knowledge-attitude-practice on patients identification among nurses.Results A total of 700 questionnaires were sent out and 658 of them were collected with 94.0%for the valid recovery rate.The total scores of knowledge-attitude-practice on patients identification of nurses at ClassⅢ,ⅡandⅠhospitals were(124.82±4.65),(117.75±3.85)and(116.58±3.96)respectively.The score of knowledge-attitude-practice on patients identification of nurses at ClassⅢhospitals was the highest followed by that at ClassⅡhospitals,and that at ClassⅡhospitals was the lowest.There were statistical differences in the scores of knowledge and practice on patients identification of nurses at different levels of hospitals(P<0.05),and there was no statistical difference in the score of attitude(P>0.05).There were statistical differences in the scores of knowledge-attitude-practice on patients identification among nurses with different educational background and positional titles in hospitals at different levels(P<0.05),and there were no statistical differences in the scores of knowledge-attitude-practice on patients identification among nurses with different sexes and ages(P>0.05).Conclusions As a whole,the knowledge-attitude-practice on patients identification among nurses at ClassⅢhospitals is excellent.However,we need to improve the knowledge-attitude-practice on patients identification among nurses,especially with nurse in the positional title and with junior college and bellow in the educational background,at ClassⅠandⅡhospitals.