医护人员对卒中后认知障碍知信行的现状调查及影响因素

Knowledge,attitude and practice of medical staff towards post⁃stroke cognitive impairment and analysis of its influencing factors

目的调查医护人员对卒中后认知障碍的知信行水平并探讨其影响因素,以期为下一步制定针对医护人员开展卒中后认知障碍管理的培训方案提供参考依据,提高医护人员对卒中后认知障碍的早期筛查及干预能力,有利于脑卒中患者的全面康复。方法于2020年4-5月,采用一般资料调查表和自行编制的医护人员卒中后认知障碍知信行问卷对广州市2个三甲医院798名医护人员进行调查。结果收回有效问卷共780份(97.7%),医护人员对卒中后认知障碍的相关知识、信念、行为平均得分分别为(50.95±12.994)、(49.95±7.687)、(49.19±13.292)分。多因素分析结果显示,职业、工作科室、职业满意度、卒中后认知障碍知识培训和培训需求是影响医护人员对卒中后认知障碍知信行的主要因素(P<0.01)。结论医护人员对卒中后认知障碍知识和行为干预处于中等水平,信念较积极。为确保卒中后认知障碍患者得到早期识别及认知康复,亟需针对医护人员开展卒中后认知障碍的知识和技能培训。

Objective To investigate medical staff′s knowledge,attitude and practice toward post⁃stroke cognitive impairment and analyze its influencing factors.This will reflect the status,and serves as a reference for training needs among the staff with a view to facilitate early screening and prompt intervention for cognitive impair⁃ment among stroke patients.Methods From April 2020 to May 2020,used general information questionnaire and self⁃designed medical staff′s Knowledge,Attitude,Behavior questionnaire to post⁃stroke cognitive impairment based on KAP model to investigate 798 medical staff from 2 tertiary hospitals in Guangzhou.Results A total of 780(97.7%)valid questionnaires were collected,the participants′average scores of knowledge,attitude,and practice related to cognitive impairment after stroke are(50.95±12.994),(49.95±7.687)and(49.19±13.292)respectively.Results of multiple factor analysis showed that occupation,work department,occupational satisfac⁃tion,training experience and education need are the main influencing factors of KAP of post⁃stroke cognitive impairment(P<0.01).Conclusions The medical staff had a moderate level of knowledge and practice toward cognitive impairment after stroke,their attitude was positive.To ensure good prognosis of post⁃stroke cognitive impairment,early diagnosis and immediate rehabilitation are strongly recommended.However,training needs of medical staff should be prioritized to bridge their knowledge gap in assessment and management of cognitive impair⁃ment among stroke patients.