临床护士对吞咽障碍患者服药管理知信行现状及影响因素分析

Current situation of clinical nurses'knowledge,attitude,and practice towards medication management of patients with dysphagia and its influencing factors

目的调查临床护士对吞咽障碍患者服药管理的知信行现状,并探索其影响因素。方法于2022年5-7月采用护士对吞咽障碍患者服药管理知信行问卷,采取便利抽样法对江苏省15所三级综合性医院的1194名护士进行调查。结果临床护士吞咽障碍服药管理知信行总分为(167.39±19.07)分,知识、态度、行为维度得分分别为(48.87±6.49)分、(43.38±5.94)分和(75.14±12.76)分。多元线性回归分析结果显示:医院级别、学历、是否参加过相关培训、是否从学术期刊获取知识等(均P<0.01)是临床护士吞咽障碍服药管理知信行的主要影响因素。结论护士对吞咽障碍服药管理知识掌握一般,对规范给药的认可度较高,实践行为还有待加强,护理管理者应充分重视临床护士的培训需求,开展吞咽障碍服药管理知识和实践技能的系统培训,提高吞咽障碍患者服药管理质量。

Objective To investigate the status quo of clinical nurses'knowledge-attitude-practice on medication management of patients with dysphagia,and explore its influencing factors.Methods A total of 1,194 nurses from 15 tertiary general hospitals in Jiangsu province from May to July 2022 was investigated by using the questionnaire on nurses'knowledge-attitude-practice about medication management of patients with dysphagia.Results The total score of clinical nurses'knowledge-attitude-practice about medication management for dysphagia was(167.39±19.07)points,and the scores of knowledge,attitude,and behavior dimensions were(48.87±6.49)points,(43.38±5.94)points,and(75.14±12.76)points,respectively.The results of multiple linear regression analysis showed that hospital level,education background,whether they had participated in relevant training or not,and whether they had obtained knowledge from academic journals(all P<0.01)were the main influencing factors of clinical nurses'knowledge,attitude,and practice about medication management for dysphagia.Conclusion Nurses have a general knowledge of medication management for dysphagia,and have a high recognition of standardized medication,and their practical behavior needs to be strengthened.Nursing managers should pay full attention to the training needs of clinical nurses,carry out systematic training on medication management knowledge and practical skills for dysphagia,and improve the quality of medication management for patients with dysphagia.