青岛市社区护士及非内分泌临床护士对于糖尿病饮食管理的认知调查

发布时间：2018-05-04 17:55

本文选题：护士 + 糖尿病　；参考：《青岛大学》2017年硕士论文

【摘要】：目的调查青岛市社区护士及非内分泌科临床护士对于糖尿病饮食管理的认知现状并分析影响因素,为相关部门进一步提升社区护士及非内分泌科临床护士糖尿病饮食管理认知水平提供参考依据。方法在文献回顾以及专家访谈的基础上拟定问卷框架,然后采用Delphi法编制《护理人员糖尿病饮食管理问卷》。自2015年11月至2016年3月,通过方便抽样选取青岛市65所社区卫生服务中心的189名社区护士及8所综合性医院的333名非内分泌科室临床护士作为研究对象进行调查。应用SPSS17.0录入数据,将原始数据加权后进行统计描述与分析,涉及的统计分析方法包括单因素分析和多元逐步回归分析。结果1.两轮函询专家的积极系数均为100%,权威系数为0.89,一、二级指标的协调系数分别为0.346、0.261(P0.05)。通过专家函询编制的《护理人员糖尿病饮食管理问卷》包括7个一级指标,56个二级指标。2.青岛市社区护士对于糖尿病饮食管理认知的加权总分为(41.79±11.13)。经单因素分析得出,影响青岛市社区护士对于糖尿病饮食管理认知的变量分别为职称(P0.001)、学历继续教育经历(P0.001)、在校期间糖尿病饮食管理相关课程的学习(P0.001)、饮食管理专业培训(P0.001)等4个因素。而最终进入回归方程的为学历继续教育经历(P0.001)、在校期间糖尿病饮食管理相关课程的学习(P0.001)、饮食管理专业培训(P0.001)。3.青岛市非内分泌科临床护士对于糖尿病饮食管理认知的加权总分为(48.82±15.52)。通过单因素分析得出影响青岛市非内分泌科临床护士对于糖尿病饮食管理认知的变量分别为职称(P0.001)、工作年限(P=0.003)、学历(P0.001)、学历继续教育经历(P=0.014)、在校期间糖尿病饮食管理相关课程的学习(P=0.032)、参加饮食管理相关会议(P0.001)等6个因素。最终进入回归方程的为工作年限(P=0.002)、学历(P0.001)、学历继续教育经历(P=0.015)、在校期间糖尿病饮食管理相关课程的学习(P0.001)。结论1.《护理人员糖尿病饮食管理问卷》的可靠性较高,为进一步调查青岛市护理人员对于糖尿病饮食管理的认知现状提供了科学的测评工具。2.青岛市社区护士对于糖尿病饮食管理的认知水平偏低。社区护士应积极参与学历继续教育、糖尿病饮食管理培训,相关部门积极推进将糖尿病饮食管理纳入护理课程中,从而有效提高社区护士的认知水平。3.青岛市非内分泌科临床护士对于糖尿病饮食管理的认知水平偏低。非内分泌科临床护士应积极参加学历继续教育,提高学历水平,相关部门加快进行将糖尿病饮食管理纳入护理课程相关工作的开展,从而提高非内分泌科临床护士的认知水平,提高护理服务质量。
[Abstract]:Objective to investigate the status quo of diabetes diet management in Qingdao community nurses and non Department of Endocrinology clinical nurses and to analyze the influencing factors for further improving the cognitive level of diabetes diet management in community nurses and non Department of Endocrinology clinical nurses. Methods in the literature review and the basis of expert interviews. The questionnaire framework was drawn up and the Delphi method was used to compile the diabetes diet management questionnaire. From November 2015 to March 2016, 189 community nurses from 65 community health centers in Qingdao and 333 non Department of Endocrinology clinical nurses in 8 general hospitals were selected by convenient sampling. The data are recorded by SPSS17.0, and the original data are weighted to be statistically described and analyzed. The statistical analysis methods involved include single factor analysis and multiple stepwise regression analysis. Results the positive coefficients of 1. rounds of two rounds of inquiry experts are 100%, the authority coefficient is 0.89, and the coordination coefficient of the first and two level indexes is 0.346,0.261 (P0.05). The questionnaire for diabetes diet management of nursing staff included 7 first grade indicators, 56 two level indicators.2. in Qingdao community nurses with a weighted total score of (41.79 + 11.13) for diabetes diet management. The single factor analysis showed that the variables affecting the diet management cognition of community nurses in Qingdao were respectively professional titles (P0.001 ), continuing education experience (P0.001), 4 factors such as diabetes diet management related courses (P0.001), diet management training (P0.001), and final regression equation for continuing education experience (P0.001), diabetes diet management related courses (P0.001), diet management training (P) 0.001) the total score of.3. non Department of Endocrinology clinical nurses in Qingdao for diabetes diet management was (48.82 + 15.52). Through single factor analysis, the variables affecting the cognition of diabetes diet management in non Department of Endocrinology clinical nurses in Qingdao were respectively professional title (P0.001), working years (P=0.003), educational background (P0.001), education continuing education Education experience (P=0.014), the learning of diabetes diet management related courses (P=0.032), 6 factors such as eating management related conferences (P0.001), and finally entering the regression equation for working years (P=0.002), educational background (P0.001), educational continuing education experience (P=0.015), and learning of diabetes diet management related courses during school (P0.001). Conclusion the reliability of diabetes diet management questionnaire for 1.< nurses is high, which provides a scientific evaluation tool for further investigation of the cognitive status of diabetes diet management in Qingdao..2. community nurses have low cognitive level on diabetes diet management. Community nurses should actively participate in educational continuing education. Diabetes diet management training, related departments actively promote the integration of diabetes diet management into nursing courses, thus effectively improving the cognitive level of community nurses.3. non Department of Endocrinology clinical nurses in Qingdao on diabetes diet management level is low. Non Department of Endocrinology nurses should actively participate in educational continuing education, improve Education level, related departments to accelerate the development of diabetes diet management into the related work of nursing courses, so as to improve the cognitive level of non Department of Endocrinology clinical nurses and improve the quality of nursing service.

【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2

【参考文献】