实用医学杂志 ›› 2021, Vol. 37 ›› Issue (10): 1346-1350.doi: 10.3969/j.issn.1006⁃5725.2021.10.023

• 调查研究 • 上一篇    下一篇

医护人员对卒中后认知障碍知信行的现状调查及影响因素

刘杨杨, 周宏珍,廖生武,胡瑞丹,侯佳坤,李牧玲,白雪洁   

  1. 1 南方医科大学南方医院(广州 510515);2 南方医科大学护理学院(广州 510515

  • 出版日期:2021-05-25 发布日期:2021-05-25
  • 通讯作者: 周宏珍 E⁃mail:zhouhz2005@126.com
  • 基金资助:
    广州市科技计划项目基金资助项 目(编号 :201803010084);广东省 2020 年科技创新普及专题项目基金资助项目(编号:2020A1414040021)

Knowledge,attitude and practice of medical staff towards post ⁃stroke cognitive impairment and analysis of its influencing factors 

  1. Nanfang Hospital,Southern Medical University,Guangzhou 510515,China 
  • Online:2021-05-25 Published:2021-05-25
  • Contact: ZHOU Hongzhen E⁃mail:zhouhz2005@126.com

摘要:

目的 调查医护人员对卒中后认知障碍的知信行水平并探讨其影响因素,以期为下一步制定 针对医护人员开展卒中后认知障碍管理的培训方案提供参考依据,提高医护人员对卒中后认知障碍的早期筛查及干预能力,有利于脑卒中患者的全面康复。方法 于2020年4-5月,采用一般资料调查表和自行编制的医护人员卒中后认知障碍知信行问卷对广州市2个三甲医院798名医护人员进行调查。结果 收回有效问卷共 780 份(97.7%),医护人员对卒中后认知障碍的相关知识、信念、行为平均得分分别为(50.95 ± 12.994)、(49.95 ± 7.687)、(49.19 ± 13.292)分。多因素分析结果显示,职业、工作科室、职业满意度、卒中 后认知障碍知识培训和培训需求是影响医护人员对卒中后认知障碍知信行的主要因素(P<0.01)。结论 医护人员对卒中后认知障碍知识和行为干预处于中等水平,信念较积极。为确保卒中后认知障碍患者得到早期识别及认知康复,亟需针对医护人员开展卒中后认知障碍的知识和技能培训。

目的 调查医护人员对卒中后认知障碍的知信行水平并探讨其影响因素,以期为下一步制定 针对医护人员开展卒中后认知障碍管理的培训方案提供参考依据,提高医护人员对卒中后认知障碍的早期筛查及干预能力,有利于脑卒中患者的全面康复。方法 于2020年4-5月,采用一般资料调查表和自行编制的医护人员卒中后认知障碍知信行问卷对广州市2个三甲医院798名医护人员进行调查。结果 收回有效问卷共 780 份(97.7%),医护人员对卒中后认知障碍的相关知识、信念、行为平均得分分别为(50.95 ± 12.994)、(49.95 ± 7.687)、(49.19 ± 13.292)分。多因素分析结果显示,职业、工作科室、职业满意度、卒中 后认知障碍知识培训和培训需求是影响医护人员对卒中后认知障碍知信行的主要因素(P<0.01)。结论 医护人员对卒中后认知障碍知识和行为干预处于中等水平,信念较积极。为确保卒中后认知障碍患者得到早期识别及认知康复,亟需针对医护人员开展卒中后认知障碍的知识和技能培训。

关键词:

卒中后认知障碍, 医护人员, 知识, 态度, 行为, 现状调查

Abstract:

Objective To investigate medical staff′s knowledge,attitude and practice toward post⁃stroke cognitive impairment and analyze its influencing factors. This will reflect the status,and serves as a reference for training needs among the staff with a view to facilitate early screening and prompt intervention for cognitive impair⁃ ment among stroke patients. Methods From April 2020 to May 2020,used general information questionnaire and self ⁃ designed medical staff′ s Knowledge,Attitude,Behavior questionnaire to post ⁃ stroke cognitive impairment based on KAP model to investigate 798 medical staff from 2 tertiary hospitals in Guangzhou. Results A total of 780(97.7%)valid questionnaires were collected,the participants′ average scores of knowledge,attitude,and practice related to cognitive impairment after stroke are(50.95 ± 12.994),(49.95 ± 7.687)and(49.19 ± 13.292 respectively. Results of multiple factor analysis showed that occupation,work department,occupational satisfac⁃ tion,training experience and education need are the main influencing factors of KAP of post ⁃stroke cognitive impairment(P < 0.01). Conclusions The medical staff had a moderate level of knowledge and practice toward cognitive impairment after stroke,their attitude was positive. To ensure good prognosis of post⁃stroke cognitive impairment,early diagnosis and immediate rehabilitation are strongly recommended . However,training needs of medical staff should be prioritized to bridge their knowledge gap in assessment and management of cognitive impair⁃ ment among stroke patients. 

Key words:

post ? stroke cognitive impairment, medical staff, knowledge, attitude, behavior, status survey