摘要
目的:调查上海市骨科护士延续护理知信行现状和对髋部骨折开展延续护理的意见。方法:2019年1—3月选取上海市18家公立二、三级医院,利用问卷星,借助微信平台将"护士延续护理知信行量表"及"自制针对髋部骨折患者术后开展延续护理的意见问卷"以链接形式发送于骨科护士,进行问卷调查,共回收有效问卷423份。结果:骨科护士延续护理知识维度总得分为(39.60±8.72)分;信念维度总得分为(60.43±9.52)分;行为维度总得分为(29.03±8.43)分,处于中等水平。职务和学历是骨科护士延续护理知信行总分的影响因素(P<0.05);医院级别、学历、职务是骨科护士延续护理知识得分的影响因素(P<0.05);职务、学历、医院级别是骨科护士延续护理态度得分的影响因素(P<0.05);职称是骨科护士延续护理行为得分的影响因素(P<0.05)。骨科护士认为延续护理需求实现最佳方式为微信公众号,最重要维度为康复锻炼方面,最佳实施者为康复师,最恰当的频次为每2周1次。结论:上海市临床护士的延续护理知信行水平需进一步提高,对髋部骨折开展延续护理,需加强医疗机构间的信息交流,建立和完善护士延续护理培训体系,建立以信息技术为支撑,以患者为中心的新型延续护理服务体系,促进延续护理工作的有序开展。
Objective:To investigate knowledge,attitude and practice status of transitional care in orthopedic nurses in Shanghai and their advice on transitional care for hip fractures.Methods:From January to March 2019,the questionnaire star was used to send"nurse transitional care knowledge attitude practice scale"and"self-made opinion questionnaire on postoperative transitional care for patients with hip fractures"to orthopedic nurses in 18 public secondary and tertiary hospitals in Shanghai by link through WeChat platform to conduct a questionnaire survey.A total of 423 valid questionnaires were collected.Results:The total scores of knowledge,attitude and practice dimensions of transitional care in orthopedic nurses were respectively(39.60±8.72),(60.43±9.52)and(29.03±8.43),which were at the medium level.Position and education background were the influencing factors of the total score of knowledge,attitude and practice of transitional care in orthopedic nurses(P<0.05).Hospital level,professional title,educational background and position were the influencing factors of knowledge score of transitional care in orthopedic nurses(P<0.05).Position,education background and hospital level were the influencing factors of the attitude score of transitional care in orthopedic nurses(P<0.05).Professional title was the influencing factor of the practice score of transitional care in orthopedic nurses(P<0.05).Orthopedic nurses believed that the best way to realize transitional care needs was WeChat official account,the most important dimension was rehabilitation exercise,the best practitioner was the rehabilitation therapist and the most appropriate frequency was once every two weeks.Conclusions:The level of knowledge,attitude and practice of transitional care in clinical nurses in Shanghai needs to be further improved.To carry out transitional care for hip fractures,it is necessary to strengthen information exchange between medical institutions,establish and improve the nurses'transitional care training system,establish a new transitional care service system based on information technology and centered on patients and promote the orderly development of transitional care work.
作者
何丹
胡三莲
钱会娟
周玲
He Dan;Hu Sanlian;Qian Huijuan;Zhou Ling(Department of Orthopedics,the Sixth People's Hospital Affiliated,to Shanghai Jiao Tong University,Shanghai 200233,China;School of Nursing,Shanghai Jiao Tong University,Shanghai 200025,China;Department of Nursing,the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China)
出处
《中华现代护理杂志》
2020年第22期3009-3014,共6页
Chinese Journal of Modern Nursing
基金
上海市护理质控中心2019年护理工作改进项目(ZK20190I5)
上海市中西医结合学会科研基金(SQ52)。
关键词
骨科
医院
髋部骨折
延续护理
知信行
Orthopedics,hospital
Hip fractures
Transitional rare
Knowledge,attitude and practice
