中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2014年
6期
637-640
,共4页
阿尔茨海默病%进食困难%知信行
阿爾茨海默病%進食睏難%知信行
아이자해묵병%진식곤난%지신행
Alzheimer disease%feeding dififculties%Knowledge,Attitude and Practice (KAP)
目的：了解护士对老年期阿尔茨海默病患者进食困难知识的掌握情况及其临床实践情况。方法：对福建省8家三级医院221名神经内科或老年科护士采用自行设计的“护士对老年期阿尔茨海默病患者进食困难认知状况调查问卷”进行现况调查。结果：36.6%的护士认为自己在护理工作中能够及时恰当地处理老年期阿尔茨海默病患者的进食困难问题；不同年龄、不同学历、不同职称、不同护龄和不同本科室工作年限护士在进食困难的知识维度得分有统计学差异（P<0.01）；不同年龄、不同护龄及不同本科室工作年限护士在进食困难的行为维度得分有统计学差异（P<0.05）。结论：缺乏专业的知识和技能以及消极的护理态度是造成护士不能及时恰当解决老年期阿尔茨海默病患者进食困难问题的主要原因，应建立一个标准的进食护理路径来指导护士的行为。
目的：瞭解護士對老年期阿爾茨海默病患者進食睏難知識的掌握情況及其臨床實踐情況。方法：對福建省8傢三級醫院221名神經內科或老年科護士採用自行設計的“護士對老年期阿爾茨海默病患者進食睏難認知狀況調查問捲”進行現況調查。結果：36.6%的護士認為自己在護理工作中能夠及時恰噹地處理老年期阿爾茨海默病患者的進食睏難問題；不同年齡、不同學歷、不同職稱、不同護齡和不同本科室工作年限護士在進食睏難的知識維度得分有統計學差異（P<0.01）；不同年齡、不同護齡及不同本科室工作年限護士在進食睏難的行為維度得分有統計學差異（P<0.05）。結論：缺乏專業的知識和技能以及消極的護理態度是造成護士不能及時恰噹解決老年期阿爾茨海默病患者進食睏難問題的主要原因，應建立一箇標準的進食護理路徑來指導護士的行為。
목적：료해호사대노년기아이자해묵병환자진식곤난지식적장악정황급기림상실천정황。방법：대복건성8가삼급의원221명신경내과혹노년과호사채용자행설계적“호사대노년기아이자해묵병환자진식곤난인지상황조사문권”진행현황조사。결과：36.6%적호사인위자기재호리공작중능구급시흡당지처리노년기아이자해묵병환자적진식곤난문제；불동년령、불동학력、불동직칭、불동호령화불동본과실공작년한호사재진식곤난적지식유도득분유통계학차이（P<0.01）；불동년령、불동호령급불동본과실공작년한호사재진식곤난적행위유도득분유통계학차이（P<0.05）。결론：결핍전업적지식화기능이급소겁적호리태도시조성호사불능급시흡당해결노년기아이자해묵병환자진식곤난문제적주요원인，응건립일개표준적진식호리로경래지도호사적행위。
Objective: To investigate the knowledge, attitude and behavior of nurses towards feeding dififculty in senile Alzheimer disease patients, analyze the deifciencies of nursing clinical practice. Methods: We recruited 221 nurses in neurology departments and geriatric departments of 8 tertiary hospitals in Fujian province by cluster sampling and they were investigated with self-designed questionnaire for knowledge, attitude and behavior towards feeding dififculty in senile Alzheimer disease patients. Results: Only 36.6% nurses believed they could solve feeding dififculty of Alzheimer disease dementia patients timely and properly. There were statistically signiifcant differences among knowledge scores of nurses with different age, educational backgrounds, professional titles, working years, and the years working in neurology departments or geriatric departments (P<0.01). There were statistically signiifcant differences among behavior of nurses with different age, working yearsand the years working in neurology departments or geriatric departments (P<0.05) .Conclusion: Lacking professional knowledge and skills, and the passive nursing attitude are the main reasons of not solving feeding dififculty in senile Alzheimer disease patients timely and properly. We should establish a standardized nursing feeding pathway to guide the nurses' behaviors.
