[1]蒲 佳,钟千梅,徐林灵,等.养老护理员评估老年人自理能力的知信行现状及影响因素研究[J].医学信息,2024,37(23):167-174.[doi:10.3969/j.issn.1006-1959.2024.23.040]
　PU Jia,ZHONG Qianmei,XU Linling,et al.Study on the Status Quo and Influencing Factors of Knowledge, Attitude and Practice of Pension Caregivers in Evaluating the Self-care Ability of the Elderly[J].Journal of Medical Information,2024,37(23):167-174.[doi:10.3969/j.issn.1006-1959.2024.23.040]
点击复制

养老护理员评估老年人自理能力的知信行现状及影响因素研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年23期
页码:
167-174
栏目:
护理研究
出版日期:
2024-12-01

文章信息/Info

Title:
Study on the Status Quo and Influencing Factors of Knowledge, Attitude and Practice of Pension Caregivers in Evaluating the Self-care Ability of the Elderly
文章编号:
1006-1959（2024）23-0167-08
作者:
蒲 佳; 钟千梅; 徐林灵; 李 红; 王海燕; 魏继鸿; 陈宏碧
电子科技大学医学院附属绵阳医院·绵阳市中心医院免疫科，四川 绵阳 621000
Author(s):
PU Jia; ZHONG Qianmei; XU Linling; LI Hong; WANG Haiyan; WEI Jihong; CHEN Hongbi
Department of Immunology,Mianyang Hospital·Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology,Mianyang 621000,Sichuan,China
关键词:
养老护理员; 老年人; 自理能力评估; 知信行
Keywords:
Pension caregivers; The elderly; Self-care ability assessment; Knowledge;  attitude and practice
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.23.040
文献标志码:
A
摘要:
目的 了解医养结合机构养老护理员对老年人自理能力评估知信行现状及影响因素。方法 于2023年5月1日-6月30日，分层整群抽样选取绵阳市医养结合机构295例养老护理员作为研究对象，采用一般资料和医养结合机构养老护理员对老年人自理能力评估知信行问卷进行问卷调查。结果 养老护理员主要为女性（77.29%），年龄集中在40~49岁（35.25%）；单因素分析显示，年龄、文化程度、从事养老护理工作年限、婚姻状况、收入、培训经历、培训频率、护理的老年人自理能力是养老护理员对老年人自理能力评估知识维度得分、态度维度得分、行为维度得分的影响因素（P＜0.05）。医养结合机构养老护理员对老年人自理能力评估知识、态度、行为维度的标准分别为（70.63±6.52）分、（75.26±8.27）分、（64.03±7.52）分。相关性分析显示，医养结合机构养老护理员对老年人自理能力评估知识、态度和行为之间均呈正相关（P＜0.05），其中知识维度与态度维度得分相关性最强（r=0.315）。多因素分析结果显示，从事养老工作年限、是否有相关培训经历、专业培训频率、态度得分是养老护理员对老年人自理能力评估知识维度得分的影响因素（P＜0.05）；性别、文化程度、聘任方式、从事养老护理工作年限、知识得分是养老护理员对老年人自理能力评估态度得分的影响因素（P＜0.05）；是否有相关培训经历、护理的老人自理能力是养老护理员对老年人自理能力评估行为得分的影响因素（P＜0.05）。结论 医养结合机构养老护理员对老年人自理能力评估知识、态度和行为水平处于中等水平。养老机构管理者与民政部门应重视养老护理员自理能力评估临床实践，利用医联体模式的资源，完善养老护理员培训和教育体系，提高养老护理员对老年人自理能力的认知水平，为养老机构开展老年人自护活动，提高照护质量提供理论依据。
Abstract:
Objective To understand thestatus quo and influencing factors of knowledge, attitude and practice of pension caregivers in evaluating the self-care ability of the elderly.Methods From May 1 to June 30, 2023, 295 pension caregivers in medical and nursing institutions in Mianyang City were selected as the research objects by stratified cluster sampling. The general data and the knowledge, attitude and practice questionnaire of pension caregivers in medical and nursing institutions were used to conduct a questionnaire survey on the self-care ability assessment of the elderly.Results The pension caregivers were mainly female (77.29%), aged 40-49 years old (35.25%). Univariate analysis showed that age, education level, years of working in elderly care, marital status, income, training experience, training frequency and self-care ability of the elderly were the influencing factors of the knowledge dimension score, attitude dimension score and practice dimension score of the pension caregivers’ assessment of self-care ability of the elderly (P<0.05).The standard of knowledge, attitude and practice dimension of self-care ability assessment of the elderly by pension caregivers in medical and nursing institutions was (70.63±6.52)scores, (75.26±8.27)scores and (64.03±7.52)scores, respectively. Correlation analysis showed that there was a positive correlation between the knowledge, attitude and practice of the elderly self-care ability assessment of pension caregivers in the medical and nursing institutions (P<0.05), and the correlation between the knowledge dimension and the attitude dimension was the strongest (r=0.315).The results of multivariate analysis showed that the years of working in the old-age care, whether there was relevant training experience, the frequency of professional training, and the attitude score were the influencing factors of the knowledge dimension score of the pension caregivers’ assessment of the elderly’s self-care ability (P<0.05); gender, education level, employment mode, years of working in elderly care and knowledge scorewere the influencing factors of the attitude score of pension caregivers on the assessment of self-care ability of the elderly (P<0.05); whether there was relevant training experience and the self-care ability of the elderly were the influencing factors of the self-care ability assessment practice score of pension caregivers (P<0.05).Conclusion The level of knowledge, attitude and practice of the elderly self-care ability assessment of pension caregivers in the medical and nursing institutions is at a medium level. The managers of nursing homes and civil affairs departments should pay attention to the clinical practice of self-care ability assessment of nursing home caregivers, make use of the resources of the medical consortium model, improve the training and education system of nursing home caregivers, improve the cognitive level of nursing home caregivers on the self-care ability of the elderly, and provide theoretical basis for nursing homes to carry out self-care activities for the elderly and improve the quality of care.

参考文献/References:

[1]国家统计局.第七次全国人口普查公报（第五号）[EB/OL].(2021-05-11)[2023-12-15].http://www.stats.gov.cn/ztjc/zdtjgz/zgrkpc/dqcrkpc/ggl/202105/t20210519_1817698.html.[2]绵阳市统计局.绵阳市第七次全国人口普查公报（第三号）[EB/OL].(2021-05-28)[2023-11-24].http://tjj.my.gov.cn/tjgb/26607801.html.[3]Zeng Y,Hu X,Li Y,et al.The Quality of Caregivers for the Elderly in Long-Term Care Institutions in Zhejiang Province, China[J].Int J Environ Res Public Health,2019,16(12):2164.[4]Hirooka K,Fukahori H,Ninomiya A,et al.Impact of family involvement and an advance directive to not hospitalize on hospital transfers of residents in long-term care facilities[J].Arch Gerontol Geriatr,2024,117:105183.[5]Davies LW,Air T,Jorissen RN,et al.Historical Trends and Future Projections of Demand for Permanent Residential Aged Care for Older People in Australia, 2008-2052[J].J Am Med Dir Assoc,2024,25(2):252-258.[6]Casanova G,Lillini R,Moreno C,et al.Long-term care needs and the risk of household poverty across Europe: a comparative secondary data study[J].BMC Geriatr,2024,24(1):101.[7]曾金艳,陆琦,刘娟,等.医养结合机构养老护理员职业素养评估量表编制及信效度分析[J].中国初级卫生保健,2023,37(12):43-47.[8]叶艳,杨海明,赵宇涵,等.我国医养结合机构养老护理员照护能力调查分析——以东北、华东、西北地区为例[J].卫生职业教育,2023,41(22):120-126.[9]中华人民共和国人力资源和社会保障部.《养老护理员国家职业技能标准（2019年版）》[EB/OL].(2019-10-16)[2023-12-22].http://www.mohrss.gov.cn/SYrlzyhshbzb/dongtaixinwen/buneiyaowen/201910/t20191016_337083.html.[10]Cui K,Yang F,Qian R,et al.Influencing factors of the treatment level of elderly care workers and their career development prospects[J].BMC Geriatr,2023,23(1):359.[11]Burgdorf JG,Arbaje AI,Wolff JL.Training Needs Among Family Caregivers Assisting During Home Health, as Identified by Home Health Clinicians[J].J Am Med Dir Assoc,2020,21(12):1914-1919.[12]李姮,石美霞,郭倩楠.山西省1546名养老护理员培训认同感现状及影响因素分析[J].护理学报,2020,27(14):9-12.[13]李志华.延安市养老机构养老护理员培训现状及影响因素分析[D].延安:延安大学,2020.[14]姜旭,王芳华,黄卫东.长春市养老机构护理人员预立医疗照护计划知信行现状[J].中国老年学杂志,2022,42(6):1479-1483.[15]孙丽欣.长春市养老机构护理人员安宁疗护知信行现状及影响因素分析[D].长春:长春中医药大学,2022.[16]Rostami K,Maryami M,Rambod M.The effect of telephone counseling based on Orem’s model on adherence to treatment and resilience of patients with coronary angioplasty: a randomized clinical trial[J].BMC Cardiovasc Disord,2023,23(1):489.[17]姜安丽.护理理论[M].北京:人民卫生出版社,2009.[18]姜博,钮美娥,吴振云,等.不同等级医院呼吸科护士吸入治疗指导能力的调查分析[J].护士进修杂志,2023,38(15):1435-1439.[19]倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.[20]刘贵珍.石河子城区养老服务人员培训需求研究[D].石河子:石河子大学,2020.[21]Wang J,Liu W,Wang H,et al.Difference of Physical Restraint Knowledge, Attitudes and Practice Between Nurses and Nursing Assistants in Long-Term Care Facilities: A Cross-Sectional Study[J].Risk Manag Healthc Policy,2022,15:243-255.[22]Kirkevold M.Teaching nursing homes: the Norwegian experience 20 years on[J].J Res Nurs,2018,23(2-3):254-264.[23]Kirkevold M.The Norwegian teaching home program: developing a model for systematic practice development in the nursing home sector[J].Int J Older People Nurs,2008,3(4):282-286.[24]Cici R,?魻zkan M.Effects on Anxiety and Vital Signs of the Emotional Freedom Technique and Music Before Surgery for Lumbar Disc Hernia[J].Altern Ther Health Med,2022,28(5):20-27.[25]Ferr?觓o S,Bleijlevens M,Nogueira PJ,et al.A cross-sectional study on nurses’ attitudes towards physical restraints use in nursing homes in Portugal[J].Nurs Open,2021,8(4):1571-1577.[26]Zhang H,Sun H.Knowledge, attitude and self-efficacy of elderly caregivers in Chinese nursing homes: a cross-sectional study in Liaoning Province[J].BMJ Open,2019,9(11):e29869.[27]陈杨.养老护理员对老年人实施身体约束知信行现状及心理体验研究[D].长沙:湖南中医药大学,2020.[28]钟宇星,朱倩茹,陈浩,等.中国东中西部养老机构有形资源配置及运营[J].中国老年学杂志,2019,39(10):2514-2517.[29]熊梓琪.B医院医生激励机制优化策略研究[D].大连:大连理工大学,2021.[30]Yang L,Peng H,Yang Y,et al.Situation and Countermeasures of the Management Team of the Elderly Care Institutions from the Perspective of the Combination of Medical and Health Care:A Cross-Sectional Study[J].J Healthc Eng,2020,2020:8826007.[31]Kor PP,Kwan R,Liu JY,et al.Knowledge, Practice, and Attitude of Nursing Home Staff Toward the Use of Physical Restraint: Have They Changed Over Time?[J].J Nurs Scholarsh,2018,50(5):502-512.

相似文献/References:

[1]蒋彩琼,孔繁荣,王新涛,等.平衡干预对加强老年人关节控制及预防跌倒效果的护理研究[J].医学信息,2018,31(14):172.[doi:10.3969/j.issn.1006-1959.2018.14.054]
　JIANG Cai-qiong,KONG Fan-rong,WANG Xin-tao,et al.Nursing Research on the Effect of Balanced Intervention on strengthen Elderly Joint Control and Prevention of Falls[J].Journal of Medical Information,2018,31(23):172.[doi:10.3969/j.issn.1006-1959.2018.14.054]
[2]徐海红,李灵艳,邢 燕.老年多病共存住院患者护理特点分析[J].医学信息,2018,31(14):176.[doi:10.3969/j.issn.1006-1959.2018.14.056]
　XU Hai-hong,LI Ling-yan,XING Yan.Analysis of Nursing Characteristics of Elderly Patients with Multiple Diseases Coexisting Inpatients[J].Journal of Medical Information,2018,31(23):176.[doi:10.3969/j.issn.1006-1959.2018.14.056]
[3]蒋俊良.老年股骨转子间骨折的手术治疗方法[J].医学信息,2018,31(23):58.[doi:10.3969/j.issn.1006-1959.2018.23.017]
　JIANG Jun-liang.Research Progress of Intertrochanteric Fractures of Femurin the Elderly[J].Journal of Medical Information,2018,31(23):58.[doi:10.3969/j.issn.1006-1959.2018.23.017]
[4]刘 杰.静脉注射利福平治疗老年肺结核的疗效[J].医学信息,2019,32(18):142.[doi:10.3969/j.issn.1006-1959.2019.18.048]
　LIU Jie.Efficacy of Intravenous Rifampicin in the Treatment of Senile Pulmonary Tuberculosis[J].Journal of Medical Information,2019,32(23):142.[doi:10.3969/j.issn.1006-1959.2019.18.048]
[5]晏建国,胡 飞,郭 瑛,等.中剂量阿糖胞苷巩固强化治疗老年AML患者疗效和安全性[J].医学信息,2019,32(24):63.[doi:10.3969/j.issn.1006-1959.2019.24.020]
　YAN Jian-guo,HU Fei,GUO Ying,et al.Efficacy and Safety of Medium-dose Cytarabine Intensive Treatment in Elderly Patients with AML[J].Journal of Medical Information,2019,32(23):63.[doi:10.3969/j.issn.1006-1959.2019.24.020]
[6]杨 漪,章晓君.老年患者多重用药的伦理问题及对策[J].医学信息,2020,33(06):5.[doi:10.3969/j.issn.1006-1959.2020.06.002]
　YANG Yi,ZHANG Xiao-jun.Ethical Issues and Countermeasures of Multiple Medications in Elderly Patients[J].Journal of Medical Information,2020,33(23):5.[doi:10.3969/j.issn.1006-1959.2020.06.002]
[7]汤 龙,陈雪婷,郑 拯,等.我国老年人照护现状及其常见疾病分析[J].医学信息,2020,33(11):21.[doi:10.3969/j.issn.1006-1959.2020.11.009]
　TANG Long,CHEN Xue-ting,ZHENG Zheng,et al.Analysis on the Current Situation of Nursing Care for the Elderly in China and Common Diseases[J].Journal of Medical Information,2020,33(23):21.[doi:10.3969/j.issn.1006-1959.2020.11.009]
[8]郜晓雯,杨傲立,陈 曼,等.十堰市社区老年人睡眠障碍现状及影响因素的调查分析[J].医学信息,2020,33(20):115.[doi:10.3969/j.issn.1006-1959.2020.20.035]
　GAO Xiao-wen,YANG Ao-li,CHEN Man,et al.Investigation and Analysis of the Status Quo and Influencing Factors of the Elderly Sleep Disorders in the Community of Shiyan City[J].Journal of Medical Information,2020,33(23):115.[doi:10.3969/j.issn.1006-1959.2020.20.035]
[9]吴 培,高靖雯,胡雅静,等.社区老年糖尿病患者合并衰弱现况及其影响因素[J].医学信息,2021,34(04):153.[doi:10.3969/j.issn.1006-1959.2021.04.042]
　WU Pei,GAO Jing-wen,HU Ya-jing,et al.Current Status and Influencing Factors of Elderly Diabetic Patients in Community with Frailty[J].Journal of Medical Information,2021,34(23):153.[doi:10.3969/j.issn.1006-1959.2021.04.042]
[10]周 旭,黄玲玲,唐 凤,等.养老护理员院前急救能力现状调查[J].医学信息,2021,34(05):154.[doi:10.3969/j.issn.1006-1959.2021.05.044]
　ZHOU Xu,HUANG Ling-ling,TANG Feng,et al.Survey on the Status Quo of the Prehospital First Aid Ability of Nursing Staff[J].Journal of Medical Information,2021,34(23):154.[doi:10.3969/j.issn.1006-1959.2021.05.044]

更新日期/Last Update: 1900-01-01