儿科护士健康教育素养的现状调查

doi:10.3761/j.issn.0254-1769.2020.10.016

摘要/Abstract

摘要：

目的通过调查了解国内儿科护士健康教育素养现状及影响因素,为指导管理者制订有针对性的培训方案,提高儿科护士的健康教育素养提供依据。方法采取普查的方法,选取31个省份各级医院儿科护士作为调查对象,发放自制儿科护士健康教育素养调查问卷对其进行健康教育素养知、信、行三方面的调查,并采用多元线性回归法分析健康教育素养的影响因素。结果共回收15 800份问卷,其中有效问卷15 765份,有效回收率为99.78%,此次31个省份参与调查。儿科护士健康教育素养知识得分为（37.80±4.46）分,态度得分为（31.74±3.60）分,行为得分为（77.03±7.76）分。多元线性回归分析显示,职称、发表过健康教育相关论文、参加过健康教育相关培训为儿科护士健康教育素养的主要影响因素（P<0.05）。结论儿科护士的健康教育素养处于中等水平,有待进一步提高。护理管理者根据临床需要为护士提供切实可行的、有效的培训,提高儿科护士的健康教育素养。

关键词: 护士, 健康教育素养, 问卷调查, 影响因素分析, 护理管理研究

Abstract:

Objective To explore the current status and influencing factors of health education literacy of clinical pediatric nurses in China,so as to help clinical managers to formulate targeted training programs and provide references for the improvement of health education literacy of clinical nurses. Methods Pediatric nurses from 31 provinces and cities at all levels in the country were selected as survey subjects by the method of general survey,and a self-made “Pediatric Nurse Health Education Literacy Questionnaire” was distributed to investigate the knowledge,attitude and practice of health education literacy of nurses. The influencing factors of health education literacy were analyzed by multiple linear regression method. Results A total of 15,800 questionnaires were collected,of which 15,765 were valid with an effective recovery rate of 99.78%. 31 provinces,autonomous regions and municipalities nationwide participated in this survey. The knowledge of health education literacy of nationwide pediatric nurses scored（37.80±4.46）;the score of attitude was（31.74±3.60）;the practice scored（77.03±7.76）. Multiple linear regression analysis showed that professional titles,related publications,and the attendance of related trainings were main influencing factors of health education literacy of pediatric nurses（P<0.05）. Conclusion The health education literacy of pediatric clinical nurses in China was at a medium level,which needs to be further improved. Active participation in various forms of training could help nurses form a complete framework of health education and improve the holistic level of health education literacy. Nursing managers should provide effective trainings for nurses based on clinical needs and make joint efforts to improve the health education literacy of pediatric clinical nurses.

Key words: Nurses, Health Education Literacy, Questionnaires, Root Cause Analysis, Nursing Admini-stration Research

刘美华,朱丽辉,张玉侠,张琳琪,林艳,阐玉英,曾冰英,花芸,周芸,曾烈梅,赵秀芳,彭剑雄,刘花艳. 儿科护士健康教育素养的现状调查[J]. 中华护理杂志, 2020, 55(10): 1531-1536.

LIU Meihua,ZHU Lihui,ZHANG Yuxia,ZHANG Linqi,LIN Yan,SHAN Yuying,ZENG Bingying,HUA Yun,ZHOU Yun,ZENG Liemei,ZHAO Xiufang,PENG Jianxiong,LIU Huayan. Investigation on health education literacy of pediatric clinical nurses and analysis of influencing factors[J]. Chinese Journal of Nursing, 2020, 55(10): 1531-1536.

图/表 5

表1 儿科护士健康教育素养知信行得分（n=15 765）

Table 1 The overall scores of pediatric nurses’ health education literacy, knowledge, belief and practice （n=15 765）

表2 儿科护士健康教育素养知信行得分前3位和后3位的条目

Table 2 Top 3 and bottom 3 items of pediatric nurses’ health education literacy knowledge

表3 儿科护士健康教育素养知信行得分单因素分析结果（n=15 765,分,$\bar{x}$±s

Table 3 Single factor analysis results of pediatric nurses’ health education literacy, knowledge, belief and behavior scores（n=15 765,score,$\bar{x}$±s）

表4 自变量赋值表

Table 4 Assignment table of independent variables

表5 儿科护士健康教育素养知信行总分影响因素的多元线性回归分析结果（n=15 765）

Table 5 The results of multiple linear regression analysis of the factors affecting the total scores of pediatric nurses’ health education literacy, knowledge, belief and behavior（n=15 765）

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