河南省三级甲等医院内分泌科护士糖尿病健康素养现状及影响因素分析

Diabetes health literacy and influencing factors of nurses in the Endocrinology Department of a tertiary hospital in Henan Province

目的探讨河南省三甲医院内分泌科护士糖尿病健康素养的现况,分析其影响因素,为提高内分泌科护士糖尿病症状管理能力提供参考依据。方法本研究采取整群抽样法,于2020年6—7月选取河南省6所省级三级甲等综合教学医院的400名内分泌科护士作为研究对象,运用一般资料调查表、护士糖尿病健康素养量表、组织支持感量表进行问卷调查。使用SPSS 21.0统计学软件进行数据分析,采用成组t检验或单因素方差分析研究不同人口学特征与内分泌科护士糖尿病健康素养的关系,通过多元线性回归分析研究内分泌科护士糖尿病健康素养的影响因素。结果共回收问卷400份,有效问卷387份。内分泌科护士糖尿病健康素养总分为(98.83±22.00)分。问卷分3个维度共28个条目,3个维度得分从高到低依次是批判性素养[(3.74±0.72)分]、功能性素养[(3.46±0.85)分]、互动性素养[(3.43±0.88)分]。单因素分析显示,不同年龄、学历、性格特征、健康素养相关培训内分泌科护士糖尿病健康素养差异有统计学意义(均P<0.05);多元线性回归分析显示,学历、性格特征、健康素养相关培训、组织支持感是内分泌科护士糖尿病健康素养的影响因素(均P<0.05)。结论内分泌科护士糖尿病健康素养处于中等水平,护理管理者要针对性开展相关培训,增强护士感知组织支持的积极情感体验,从而提高内分泌科护士的糖尿病健康素养水平。

Objective To explore the current status of diabetes health literacy amongst nurses in the Department of Endocrinology in Henan Province's top three hospitals,analyse its influencing factors and provide reference basis for improving nurses'ability to manage diabetes symptoms.Methods The cluster sampling method was adopted to select 400 endocrinology nurses from 6 provincial-level tertiary general teaching hospitals in Henan Province from June to July 2020 as the research objects,and the questionnaire survey was conducted using the general information questionnaire,nurses'diabetes health literacy scale,and organisation support scale.SPSS 21.0 statistical software was used for data analysis.T-test or one-way analysis of variance was used to study the relationship between different demographic characteristics and diabetes health literacy amongst nurses in the Endocrinology Department,and its influencing factors were analysed through multiple linear regression.Results A total of 400 questionnaires were returned,and 387 valid questionnaires were collected.The total score for diabetes health literacy amongst nurses in the Endocrinology Department was(98.83±22.00)points.The questionnaire was divided into three dimensions with a total of 28 items.The scores of the three dimensions from high to low were critical literacy[(3.74±0.72)points],functional literacy[(3.46±0.85)points]and interactive literacy[(3.43±0.88)points].Single-factor analysis showed that diabetes health literacy was statistically significant in terms of age,educational background,personality characteristics and health literacy-related training(all P<0.05).Multiple linear regression analysis showed that educational background,personality characteristics,health literacy-related training and sense of organisational support were the influencing factors of diabetes health literacy amongst nurses in the endocrinology department(all P<0.05).Conclusion The diabetes health literacy amongst nurses in the Endocrinology Department is at an intermediate level.Nursing managers should carry out relevant training to enhance the positive emotional experience of nurses'perception of organisational support,so as to improve the diabetes health literacy of nurses in the endocrinology department.