安徽省4所综合医院临床护士营养护理能力现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2022.05.014

摘要/Abstract

摘要：

目的调查安徽省4所综合医院临床护士的营养护理能力,并分析其影响因素,为提高临床护士营养护理能力提供理论依据。方法采用便利抽样法,2021年1月—2月应用一般资料问卷、临床护士营养护理能力量表对安徽省北部、中部、南部4所综合性医院的863名临床护士进行横断面调查。通过多元线性逐步回归分析临床护士营养护理能力的影响因素。结果共回收有效问卷762份,临床护士营养护理能力总分为（235.16±44.02）分,条目得分为（3.73±0.70）分,其中营养专业知识维度和临床营养评估能力维度得分较低。多元线性逐步回归分析结果显示,工作年限、科室、定期接受营养护理督查、在校学习营养课、参加营养学习班、定期参加营养业务学习是临床护士营养护理能力的影响因素（P<0.05）。结论临床护士营养护理能力有待提高,护理管理者应重视对临床护士进行营养相关教育及培训,强化营养专业知识和临床营养评估能力,完善定期检查与考核机制,以提高临床护士的营养护理能力。

关键词: 临床护士, 营养护理, 能力, 影响因素分析, 横断面研究, 护理管理研究

Abstract:

Objective To investigate the status quo of clinical nurses’ nutritional care competence in Anhui Province and to analyze its influencing factors. Methods A total of 863 clinical nurses were recruited from 4 general hospitals in northern,central and southern Anhui Province by convenience sampling method. They were investigated by a general information questionnaire and a nutritional care competence scale for clinical nurse. The influencing factors of clinical nurses’ nutritional care competence were analyzed through multiple linear regression. Results Totally 762 valid questionnaires were collected. The score of clinical nurses’ nutritional care competence was（235.16±44.02）;the average score of the total items was（3.73±0.70）. The scores of nutritional professional knowledge dimension and clinical nutrition assessment competence dimension were lower. Multiple liner regression showed that the working years,clinical departments,regular supervision from managers,nutrition courses during school,experience of attending nutrition classes and regular nutrition learning in nursing work were the influencing factors of the clinical nurses’ nutritional care competence（P<0.05）. Conclusion The nutritional care competence of clinical nurses needs to be improved. Nursing managers should pay attention to nutrition-related education and training,strengthen the training of nutritional professional knowledge and clinical nutrition assessment competence,perfect the regular inspection and assessment mechanism to improve the nutritional care competence of clinical nurses.

Key words: Clinical Nurse, Nutritional Care, Competence, Root Cause Analysis, Cross-Sectional Studies, Nursing Administration Research

李海群, 朱心怡, 赵梅, 于宁宁, 陈静, 孙皖肖. 安徽省4所综合医院临床护士营养护理能力现状及影响因素分析[J]. 中华护理杂志, 2022, 57(5): 602-607.

LI Haiqun, ZHU Xinyi, ZHAO Mei, YU Ningning, CHEN Jing, SUN Wanxiao. The current situation and influencing factors of nutritional care competence for clinical nurses from 4 general hospitals in Anhui Province[J]. Chinese Journal of Nursing, 2022, 57(5): 602-607.

图/表 4

表1 调查对象的一般资料及临床护士营养护理能力影响因素的单因素分析结果（n=762）

Table 1 The general data of subjects and univariate analysis of predictors for clinical nurses’ nutritional care competence（n=762）

表2 临床护士营养护理能力量表各维度得分及标准得分率（n=762）

Table 2 The scores and standard score rate of each dimension of nutritional care competence scale for clinical nurse（n=762）

表3 临床护士营养护理能力量表得分最低的5个条目（分,$\bar{x}±s$,n=762）

Table 3 The 5 items with the lowest scores of nutritional care competence scale for clinical nurse（score,$\bar{x}±s$,n=762）

表4 临床护士营养护理能力影响因素的多元线性回归分析（n=762）

Table 4 Multiple linear regression analysis of influencing factors of clinical nurses’ nutritional care competence（n=762）

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