摘要
目的调查结核科护理人员对肺结核并发2型糖尿病知识的掌握情况，分析其相关影响因素，为相应培训提供科学参考依据。方法采用自行设计的肺结核并发2型糖尿病知识问卷，采取直接抽选法从湖南省有结核科的5所三甲医院中抽取两所（湖南省胸科医院、长沙市中心医院），再以整群抽样的方式抽取280名符合纳入标准的结核科护理人员进行问卷调查。本次调查研究共发放问卷280份，收回有效问卷269份，有效回收率为96．07％（269／280）。问卷主要调查了结核科护理人员对肺结核并发2型糖尿病知识的掌握情况及其相关影响因素。问卷结果采用SPSS20．0软件进行统计分析，满足正态性的资料，使用F检验和LSD检验分析；不满足正态性的资料，则使用Welch检验和TamhaneT^2检验，P〈0．05为差异有统计学意义。结果结核科护理人员肺结核并发2型糖尿病知识平均得分为（26．13±6．15）分，平均得分率为65．32％（26．13／40）。不同职称组的平均知识得分：护士组为（22．33±3．97）分、护师组为（24．47±4．49）分、主管护师组为（32．08±4．90）分、副主任护师及以上组为（35．05±3．93）分，组间差异有统计学意义（F=87．947，P〈0．05）；不同学历组的平均知识得分：中专组为（20．90±5．51）分、大专组为（23．17±4．01）分、本科组为（31．64±3．97）分、硕士及以上组为（37．20±2．28）分，组间差异有统计学意义（F=106．016，P〈0．05）；不同劳动关系组的平均知识得分：临时合同组为（24．73±6．04）分、正式在编组为（27．05±6．21）分、长期合同组为（27．45±5．70）分，组间差异有统计学意义（F=5．410，P〈0．05）；不同护理年限组的平均知识得分：0～年组为（22．79±4．87）分、5～年组为（28．89±5．17）分、10～年组为（31．22±4．45）分、≥20年组为（34．00±4．69）分，组间差异有统计学意义（F=53．029，P〈0．05）。结论结核科护理人员对肺结核并发2型糖尿病知识的掌握水平亟待提高；职称、最高学历、劳动关系和工作年限等是影响结核科护理人员掌握肺结核并发2型糖尿病知识的重要因素。
Objective To investigate the knowledge of pulmonary tuberculosis complicated by diabetes mellitus among the nurses from tuberculosis department, and analyze the associated factors, so as to provide scientific basis for relevant training. Methods Using a self-designed questionnaire on knowledge of pulmonary tuberculosis with diabetes, a random sampling method was used to randomly select two tertiary 3A hospitals from the five tertiary 3A hospitals in Hunan province which had TB departments （Hunan Chest Hospital and Changsha Central Hospital）. Afterwards, based on the inclusion criteria, 280 eligible nurses from the TB departments were surveyed by cluster sampling. A total of 280 questionnaires were sent out and 269 valid questionnaires were collected, with an effective response rate of 96.07% （269/280）. The results of the questionnaires were analyzed with SPSS 20.0. F test was used to analyze the data with normal distribution, and multiple group comparison was done with LSD test. The non-normal data were analyzed with Welch test and Tamhane＇s Te test, P〈0.05 indicated the difference was statistically significant. Results The average score of knowledge of pulmonary tuberculosis complicated by diabetes mellitus among the nurses inform tuberculosis department was （26.13±6.15）, and the correct rate was 65.32% （26.13/40）. The average scores of the different groups with different professional titles were as followed： （22.33±3.97） among the nurses group; （24. 47±4.49） among the senior nurses group; （32.08±54.90） among the nurse-in-charge group; and （35. 05±3.93） among the group with deputy directors or above. The difference between the groups was statistically significant （F=87. 947,P〈0.05）. The average scores of the different groups with dif- ferent highest educational attainment were as followed. （20.90±5.51） among those with technical secondary school degree; （23.17±4. 01） among the group with associate-degree; （31.64±3.97） among the group with bachelor‘ s degree; （37.20±2.28） among the group with master＇s degree or above. The difference between the groups was sta- tistically significant （F= 106. 016, P〈0. 05）. The average scores of the different groups with different contracts were as followed： （24. 73±6.04） among the group with temporary contracts; （27.05±6.21） among the group with nurses on the payroll of manning quotas, and （27.45±5.70） among the group with long term contracts. The dif- ference between the groups was statistically significant （F= 5. 410, P〈0.05）. The average scores of the different groups with different years or nursing experience were as followed： （22.79±4. 87） among the group with 0-5 years of nursing experience;（28.89±5.17） among the group with 5-0 years of nursing experience; （31.22±4.45） among the group with 10-20 years of nursing experience; and （34. 00±4. 69） among the group with 20 or more years nursing experience. The difference between the groups was statistically significant （F= 53. 029, P〈0.05）. Conclusion Department of tuberculosis nurses＇ knowledge on pulmonary tuberculosis complicated by diabetes needs to be improved; the professional titles, the highest degree attainment, the contract types and work experience are the main factors affecting the knowledge of pulmonary tuberculosis complicated by diabetes mellitus.
出处
《中国防痨杂志》
CAS
2018年第2期213-217,共5页
Chinese Journal of Antituberculosis
基金
湖南省卫生和计划生育委员会科研基金（B2017146）
关键词
结核
肺
糖尿病
共病现象
护理人员
问卷调查
数据说明
统计
Tuberculosis, pulmonary
Diabetes mellitus
Comorbidity
Nursing staff
Question- naires
Data interpretation, statistical
