Survey on the current status of knowledge，attitude and practice on exercise in maintenance hemodialysis patients by nurses in hemodialysis rooms of Shandong Province

doi:10.3761/j.issn.0254-1769.2024.24.004

Abstract

Abstract:

Objective To understand the current status of the knowledge，attitude and practice of hemodialysis nurses in Shandong Province on intradialysis exercise for maintenance hemodialysis patients，and to analyze its influencing factors. Methods A convenience sampling method was used to conduct a questionnaire survey on the knowledge，attitude and practice of maintenance hemodialysis nurses in 81 hospitals in Shandong Province in March 2024 by a self-compiled questionnaire on the knowledge，attitude and practice of hemodialysis nurses. The questionnaire included 3 dimensions，namely knowledge，attitude and practice，with a total of 38 items. Multiple linear regression and generalized linear model were used to analyze the influencing factors of exercise knowledge，attitude，and practice levels of hemodialysis nurses on maintenance hemodialysis patients during dialysis. Results A total of 555 questionnaires were collected，of which 478 were valid，with an effective recovery rate of 86.13%. The scores of knowledge，attitude and practice were（8.09±3.74），41.00（40.00，49.00） and（26.58±10.62） scores，respectively. The results of multivariate analysis showed that gender and whether or not they had participated in dialysis exercise-related training were influencing factors of hemodialysis nurses on knowledge. Hospital level，nurse position，and whether or not they had participated in dialysis exercise-related training were influencing factors of hemodialysis nurses on attitude. Nurses’ cognition and nurses’ attitude towards intradialysis exercise for maintenance hemodialysis patients，whether or not they had participated in dialysis exercise-related training，whether or not intradialysis exercise had been carried out in the hemodialysis room，and whether or not the hemodialysis room was equipped with exercise equipment were influencing factors of hemodialysis nurses on practice. Conclusion Hemodialysis nurses in Shandong Province have a positive attitude towards intradialysis exercise，but their knowledge and practice need to be improved. Hemodialysis room managers should strengthen the relevant training of nurses on intradialysis exercise，try to carry out intradialysis exercise in hemodialysis rooms，continuously improve the process and exercise facilities during the implementation process，continuously improve quality，and accelerate the promotion of intradialysis exercise.

Key words: Hemodialysis, Exercise, Nurses, Knowledge, Attitude, Practice, Questionnaire

摘要：

目的了解山东省血液透析室护士对维持性血液透析患者透析中运动的知信行现状并分析其影响因素。方法采用便利抽样法，于2024年3月采用自行编制的血液透析室护士对维持性血液透析患者透析中运动知信行问卷对山东省81所医院的血液透析室护士进行问卷调查，问卷包含知识、态度、行为3个维度，共38个条目。采用多元线性回归及广义线性模型分析血液透析室护士对维持性血液透析患者透析中运动知信行水平的影响因素。结果最终纳入478名血液透析室护士，知识、态度、行为维度得分分别为（8.09±3.74）、[41.00（40.00，49.00）]、（26.58±10.62）分。多因素分析结果显示，性别、是否参与过透析中运动相关培训是血液透析室护士对患者透析中运动知识的影响因素；医院级别、护士职务、是否参与过透析中运动相关培训是血液透析室护士对患者透析中运动态度的影响因素；护士关于患者透析中运动的知识和态度、是否参与过透析中运动相关培训、所在血液透析室是否开展过透析中运动、所在血液透析室是否配备运动器材是血液透析室护士关于维持性血液透析患者透析中运动行为的影响因素。结论山东省血液透析室护士对透析中运动的态度较积极，但知识、行为方面有待提高。血液透析室管理者应加强护士透析中运动的相关培训，积极尝试在血液透析室对患者开展透析中运动，在开展过程中不断完善流程和运动设施，持续质量改进，加速透析中运动在血液透析室中的推广。

关键词: 血液透析, 运动, 护士, 知识, 态度, 行为, 问卷调查

FAN Xiaobo, JIANG Yanping, LIU Hui, LI Ningning, GAO Langlang, CUI Li. Survey on the current status of knowledge，attitude and practice on exercise in maintenance hemodialysis patients by nurses in hemodialysis rooms of Shandong Province[J]. Chinese Journal of Nursing, 2024, 59(24): 2973-2979.

范晓波, 姜艳萍, 刘慧, 李宁宁, 高朗朗, 崔莉. 山东省血液透析室护士对患者透析中运动的知信行现状调查[J]. 中华护理杂志, 2024, 59(24): 2973-2979.

Figures/Tables 4

Table 1 General information of hemodialysis room nurses and the results of univariate analysis on the scores of exercise knowledge， attitude， and practice questionnaire in MHD patients during dialysis（n=478）

Table 1(continued) General information of hemodialysis room nurses and the results of univariate analysis on the scores of exercise knowledge， attitude， and practice questionnaire in MHD patients during dialysis（n=478）

Table 2 The bottom 3 items in the questionnaire on exercise knowledge， attitude， and practice of MHD patients during dialysis by nurses in the hemodialysis rooms（n=478）

Table 3 Multivariate analysis of exercise knowledge， attitude， and practice among hemodialysis room nurses in MHD patients during dialysis

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