上海某区护士出院准备服务知信行现状及影响因素的多中心横断面调查OA
Current Status and Influencing Factors of Nurses'Knowledge,Attitude,and Practice Regarding Dis-charge Planning Services in a District of Shanghai:A Multicenter Cross-sectional Survey
目的 了解上海市某区护士对出院准备服务(DP)的知识、信念和行为现状并分析其影响因素,为医院建立适宜的DP培训方案及实施延续护理服务提供参考.方法 2024年7月,采用便利抽样法选取上海市某区17所公立医疗机构的护士1 282名为研究对象.运用一般资料调查表以及护士DP知识、态度、行为调查问卷对其进行问卷调查,采用单因素分析、相关分析及多元线性回归分析探讨护士DP知信行水平的影响因素.结果 1 282名护士DP知识、态度、行为维度得分分别为[79(60,89)]分、[52(48,60)]分、[67(54,80)]分.多元线性回归分析结果表明,DP知识得分受年龄、医院等级、科室分类、接受培训经历、实施经验影响,行为得分受医院等级影响,知识、态度及行为得分三者互相影响(均P<0.05).结论 护士对DP的知信行总体处于中等水平;建议根据护士不同年龄、科室分类、医院等级、有无相关培训及实施经验等因素,个性化落实DP知识及技能的培训和指导,推动延续性护理服务高质量发展.
Objective To understand the current status of nurses'knowledge,attitude,and practice(KAP)regarding discharge planning services in a district of Shanghai and to analyze influencing factors,aiming to provide a reference for hospitals to establish appropriate training programs for discharge planning services and to implement transitional care services.Methods In July 2024,1282 nurses from 17 public medical institutions in a district of Shanghai were selected as subjects by convenience sampling.They were investigated using the General Information Questionnaire and the Nurses'KAP Questionnaire on Discharge Planning Services.Univariate analysis,correlation analysis,and multivariate linear regression analysis were conducted to explore the factors influencing nurses'KAP levels regarding discharge planning services.Results The scores of the 1282 nurses in the knowledge,attitude,and practice dimensions of discharge planning services were 79(60,89),52(48,60),and 67(54,80)points,respectively.Multivariate linear regression analysis revealed that knowledge scores were influenced by age,hospital level,department category,training experience,and experience in implementing discharge planning services;practice scores were influenced by hospital level;knowledge,attitude,and practice scores influenced each other(P<0.05 for all).Conclusion Nurses show a moderate level of KAP regarding discharge planning services.It is recommended to provide personalized training and guidance on the knowledge and skills required for discharge planning services,according to factors such as nurses'age,department category,hospital level,training experience and experience in implementing such services,so as to promote the high-quality development of transitional care services.
吴玲玲;许华娇;许方蕾;李丽
同济大学医学院,上海 200092||复旦大学附属金山医院,上海 201508复旦大学附属金山医院,上海 201508同济大学附属同济医院,上海 200065复旦大学附属金山医院,上海 201508
医药卫生
出院准备服务出院准备度护士知信行多中心
Discharge planning servicesDischarge readinessNursesKnowledge,attitude and practiceMulticenter
《上海护理》 2026 (10)
32-37,6
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