南宁市神经内科护士对脑卒中吞咽障碍患者护理知识和态度的调查报告

Investigation report on nursing knowledge and attitude of patients with dysphagia in stroke in Nanning neurology nurses

目的了解南宁市神经内科护士对脑卒中吞咽障碍患者护理知识的掌握和态度现况,为临床开展吞咽障碍知识培训、提升临床护理质量提供依据.方法对广西南宁市7所医院360名符合纳入标准神经内科护士进行脑卒中吞咽障碍护理知识及态度问卷调查.结果神经内科护士对脑卒中吞咽障碍患者护理知识平均得分为(54.52±15.51)分,态度平均得分为(45.12±3.90)分;不同医院等级、年龄、职称的护士吞咽障碍知识得分比较,差异有统计学意义(t=-1.007,P=0.035;F=3.994,P=0.009;F=0.347,P=0.002);不同层级医院的护士态度评分比较,差异有统计学意义(t=7.435,P=0.007);61.1%(220/360)的护士未学习过脑卒中吞咽障碍管理指南;60%(216/360)护士管理吞咽障碍患者的依据是前人或自己的经验积累,73.9%(266/360)护士认为阻碍自己进行脑卒中吞咽管理的原因是缺乏相关知识和技能.结论神经内科护士对脑卒中吞咽障碍护理态度积极,但知识欠缺,尤其是二级及以下医院、低年龄、低职称、低工作年限的护士对脑卒中吞咽障碍护理知识掌握欠缺,护理管理者应开展针对性的培训,为护士提供更多的教育培训机会,以提高护士吞咽障碍护理知识水平和服务质量.

Objective To investigate the management knowledge and attitudes of dysphagia in stroke patients in Nanning neurology nurses,and to provide evidence for clinical knowledge training and improvement of clinical nursing quality.Methods A total of 360 neurology nurses from 7 different levels of hospitals in Nanning were investigated for knowledge and attitudes about stroke dysphagia management.Results The average score of management knowledge of neurological nurses was 54.52±15.51,and the average score of attitude was 45.12±3.90.There was significant difference in the knowledge score of nurses from different hospital level,ages and titles(t=-1.007,P=0.035;F=3.994,P=0.009;F=0.347,P=0.002).There was significant difference in the attitudes score of nurses from different ages and titles(t=7.435,P=0.007);61.1%(220/360)of nurses did not learn stroke management guidelines for dysphagia;60%(216/360)of nurses administered dysphagia were based on their own experience,73.9%(266/360)of nurses believe that the reason for hindering their own swallowing management is the lack of relevant knowledge and skills.Conclusions Neurology nurses have a positive attitude towards stroke management of dysphagia,but lack of knowledge.Nurses with low age,low professional title and low working years have poor knowledge of management of stroke dysphagia.Nursing managers should carry out targeted training for nurses,provide more education and training opportunities to improve the knowledge and service quality of nurses with dysphagia.