临床护士对慢性疾病轨迹模式认知度的调查分析

Investigation and Analysis of the Cognition Degree of Clinical Nurses About Chronic Illness Trajectory Model

目的了解临床护士对慢性疾病轨迹模式(CITM)的认知程度并探讨其影响因素。方法采用便利抽样法,于2020年5—6月对成都医学院第一附属医院、成都医学院第二附属医院、四川省人民医院东院3家三级甲等综合医院436名注册的临床护士进行CITM认知度问卷调查,应用多元回归分析探索影响临床护士CITM认知程度的因素。结果临床护士CITM的认知度总分为(76.86±10.98)分;不同特征(学历、工作年限、职称、婚姻状况、性别)的临床护士在CITM相关知识、疾病相关性行为、自我概念行为方面差异有统计学意义(P<0.05);多元回归分析显示,临床护士对CITM认知度的影响因素中,性别、工作年限、学历、职称、婚姻状况方面差异无统计学意义(P>0.05),但在不同维度得分影响因素的回归方程中,工作年限是疾病相关性行为的影响因素(P<0.05)。结论临床护士对CITM的认知度处于中等水平,但在CITM相关知识及临床运用方面较欠缺,应加强临床护士对CITM相关知识的培训,提高其在慢性疾病护理中的应用。

Objective To understand the cognition degree of clinical nurses about chronic illness trajectory model(CITM)and explore the influence factors.Methods From May to June 2020,a total of 436 registered clinical nurses in three tertiary grade A general Hospitals,namely the First Affiliated Hospital of Chengdu Medical College,the Second Affiliated Hospital of Chengdu Medical College and the East Hospital of Sichuan Provincial People’s Hospital,were selected by convenient sampling method and investigated with a questionnaire on their cognition degree of CITM.Multiple regression analysis was used to explore the factors influencing the cognition degree of CITM in clinical nurses.Results The total score of CITM cognition degree of clinical nurses was(76.86±10.98)points.Clinical nurses with different characteristics(academic qualification,years of service,professional title,marital status,and gender)had statistically significant differences in CITM related knowledge,disease-related behavior and self-concept behavior(P<0.05).Multiple regression analysis showed that there was no significant difference in CITM cognition degree among clinical nurses with different gender,years of service,academic qualification,professional title and marital status(P>0.05).However,in the regression equation of influencing factors of different dimension scores,years of service was the influencing factor of disease-related behavior(P<0.05).Conclusion Clinical nurses have a medium cognition degree of CITM,and they are lack of CITM related knowledge and clinical application.Training of CIMT related knowledge should be strengthened for clinical nurses to improve its application in the nursing of chronic diseases.