18所三甲医院专科护士糖尿病预防性干预的知信行调查分析

doi:10.3969/j.issn.10073205.2017.03.008

河北医科大学学报

18所三甲医院专科护士糖尿病预防性干预的知信行调查分析

1.河北医科大学第三医院护理部,河北石家庄 050051;2.华北理工大学基础医学院2015级，河北唐山 063000；
3.河北医科大学第三医院内分泌科,河北石家庄 050051;4.河北医科大学第三医院科研处，河北石家庄 050051

出版日期:2017-03-25 发布日期:2017-03-29
作者简介:张秀果（1972-），女，河北赵县人，河北医科大学第三医院主任护师，医学硕士，从事临床护理学研究。
基金资助:
河北省医学科学研究重点课题（20160150）

Investigation and analysis of the nursing “knowledgebeliefpractice” condition on carrying out the preventive intervention in the 18 Thirdlevel GradeA hospitals #br#

1.Department of Nursing, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China;
2.Class 2015, Basic Medical College, North China University of Science and Technology, Hebei Tangshan
063000, China； 3.Department of Endocrinology, the Third Hospital of Hebei Medical University,
Shijiazhuang 050051, China; 4.Department of Scientific Research Office, the Third
Hospital of Hebei Medical University, Shijiazhuang 050051, China

Online:2017-03-25 Published:2017-03-29

摘要/Abstract

摘要： 探讨糖尿病预防性干预的护理现状及其影响因素，为针对性开展糖尿病患者预防性干预工作提供科学的理论依据。
〖HTH〗方法〖HTSS〗〖KG*2〗采用方便抽样法，应用自行设计的问卷，对河北省18所三甲综合医院内分泌科在岗且有护士执业证书的282名护理人员进行调查。
〖HTH〗结果〖HTSS〗〖KG*2〗护理人员糖尿病预防性知识平均得分为（5.68±1.13）分，不同文化程度、不同职称护士知识得分差异有统计学意义（P＜005），不同工作年限、不同年龄的护士知识得分差异有统计学意义（P＜005），且随文化程度的提高、年龄的增加、职称的升高、工作年限的延长，护士预防性知识水平均呈提高趋势。护士对糖尿病预防性干预作用的自评得分为（8.28±1.44）分，对预防性干预患者依从性得分为（5.07±1.39）分；护士实施预防性干预行为中，占比由高到低依次为：用药指导、饮酒、吸烟、健康宣讲、控制体质量、运动、血糖监测及饮食指导、心理疏导。
〖HTH〗结论〖HTSS〗〖KG*2〗护理人员对糖尿病预防性干预工作的认知情况良好，并对患者实施了多方位健康行为指导，但预防性干预知识水平偏低、行为指导力度不均衡和患者依从性较差是工作开展的薄弱点。

关键词: 糖尿病, 干预性研究, 护理人员

Abstract: ［Abstract］ Objective〖HTSS〗〓To investigate the present condition of the nursing service on carrying out preventive intervention for diabetes patients and to analyze the problems and the factors influencing preventive intervention, then to carry out the targeted preventive intervention of diabetes.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓The interview outline and questionnaires were designed on the basis of the literature research and expert consultation. We choose 282 nurses in endocrinology with nurse practice certificate and voluntary cooperation from 18 general thirdlevel of Hebei province as the research objects by the unrandom sampling method.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The knowledge score of nurses was（5.68±1.13 ） points on average. There was a statistically significant(P＜005) difference of knowledge scores between the different education degree nurses, and the different professional titles nurses, among which the masters' average knowledge score and the association chief nurses were highest. The result of the variance analysis on knowledge score of nurses with different nursing work experience and different age showed statistically significant(P＜005). And with the increasing in education, age, title and length of work, the prevention knowledge score of nurses has the tendency to increase. The average selfassessment score of the function of preventive intervention of diabetes patients was（8.28±1.44 ） points, and the selfassessment score of the compliance of preventive intervention for diabetes patients was（5.07±1.39） points. From high to low the individualized directed for patients are having medication, drinking behavior, smoking behavior, health mission, the weight loss plan, exercise program, blood sugar monitoring programme, the weight loss plan and dietary therapy and psychogical counseling.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The awareness of nurses service for prophylactic intervention of diabetes was in good condition, and implemented guidance for the patient's health behavior, but there are still some weak points such as the grasping condition of preventive intervention knowledge was poor, the efforts of guidance was uneven, and the patient compliance was poor, which are the major influence factors of nursing work.

Key words: diabetes mellitus, intervention studies； nursing staff

张秀果1，李昊儒2，陈彩真1，李栋正3，张〓莉3，魏〓宁4*. 18所三甲医院专科护士糖尿病预防性干预的知信行调查分析[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2017.03.008.

ZHANG Xiuguo1, LI Haoru2, CHEN Caizhen1, LI Dongzheng3, ZHANG Li3, WEI Ning4*. Investigation and analysis of the nursing “knowledgebeliefpractice” condition on carrying out the preventive intervention in the 18 Thirdlevel GradeA hospitals #br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2017.03.008.

[1]	贺佳, 魏枫. 长链非编码RNA NEAT1在糖脂代谢相关疾病发展中的作用及机制研究进展 [J]. 河北医科大学学报, 2023, 44(9): 1103-1108.
[2]	李芳, 李志红, 姚明言, 尹飞. 能量代谢通路TNAP在2型糖尿病患者的表达及对脂肪细胞功能调控的机制研究 [J]. 河北医科大学学报, 2023, 44(8): 894-899.
[3]	邢玉微, 孙泽楠, 柴雪姣, 位庚. 外周血miR-92b-5p与miR-148b-3p在2型糖尿病进展至糖尿病肾病中的表达及交互作用 [J]. 河北医科大学学报, 2023, 44(6): 654-659.
[4]	张桐毓, 杨传慧, 徐宁. 糖尿病周围神经病变炎症因子变化及与神经传导速度相关性 [J]. 河北医科大学学报, 2023, 44(5): 517-520,571.
[5]	王文琦, 丁海霞, 张涛 . 度拉糖肽对2型糖尿病合并冠心病患者心肌缺血总负荷及内皮功能的影响 [J]. 河北医科大学学报, 2023, 44(5): 521-525.
[6]	尉全平, 杨建宝, 翟洪然, 侯凤香, 付晓康, 孙子梅. 孕妇糖代谢异常及维生素D缺乏对子代甲状腺功能的影响[J]. 河北医科大学学报, 2023, 44(5): 553-556,578.
[7]	田梅梅, 李敏, 刘岩, 徐静, 李玉坤, 支忠继. 2型糖尿病合并冠心病患者血浆半乳糖凝集素3水平及相关因素研究 [J]. 河北医科大学学报, 2023, 44(4): 402-406.
[8]	谷梁, 马小溪. 甲状腺激素水平与糖尿病肾病患者高尿酸血症发生的相关性 [J]. 河北医科大学学报, 2023, 44(4): 407-411.
[9]	鲁晓琪（综述）, 李淑娟（审校）. 糖尿病和牙周炎的骨代谢关系的研究进展 [J]. 河北医科大学学报, 2023, 44(4): 484-488.
[10]	李雪景, 陈冬梅, 段佳良, 姚一民, 尚庆丽. 联合手术治疗增殖性糖尿病视网膜病变的继发性闭角型新生血管性青光眼的临床效果观察 [J]. 河北医科大学学报, 2023, 44(3): 319-323.
[11]	杨洁, 丁文萃, 王海英, 史亚男. 甲状腺过氧化物酶抗体与2型糖尿病下肢血管病变的相关性研究 [J]. 河北医科大学学报, 2023, 44(2): 152-156.
[12]	廖苏丹, 张弛, 苏钢. 血清GLP-1、hs-CRP与2型糖尿病患者代谢综合征及认知功能的相关分析 [J]. 河北医科大学学报, 2023, 44(2): 157-160,183.
[13]	吴苏敏, 周欣, 王丽波. 血清CMKLR1、FSTL1水平与糖尿病视网膜病变严重程度相关性 [J]. 河北医科大学学报, 2023, 44(2): 189-193,213.
[14]	朱明明, 李宗虎, 郑宪玲, 王颖霞, 张树杰, 张瑞清. 不同骨密度水平的糖尿病患者外周血Omentin-1水平、脂代谢、氧化应激的表达及意义 [J]. 河北医科大学学报, 2023, 44(11): 1267-1273.
[15]	王臣廷, 吕翠君, 安向莲, 袁敏, 刘建凤. 2型糖尿病合并大血管病变与血浆NGAL表达、胫前色素沉着斑的相关性 [J]. 河北医科大学学报, 2023, 44(11): 1274-1278.

18所三甲医院专科护士糖尿病预防性干预的知信行调查分析

Investigation and analysis of the nursing “knowledgebeliefpractice” condition on carrying out the preventive intervention in the 18 Thirdlevel GradeA hospitals #br#

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价