河南省三级甲等医院内分泌科护士糖尿病健康素养现状及影响因素分析

曲瑞杰; 程秋泓; 李瑞玲; 李豪; 王海播

doi:10.16766/j.cnki.issn.1674-4152.002526

河南省三级甲等医院内分泌科护士糖尿病健康素养现状及影响因素分析

doi: 10.16766/j.cnki.issn.1674-4152.002526

1.
河南省人民医院护理部，河南郑州 450003
2.
河南大学护理与健康学院，河南开封 475004
3.
河南省人民医院呼吸重症监护室

基金项目:

河南省医学教育研究课题 wjlx2019089

详细信息

通讯作者:
王海播, E-mail: haiboqwzx815815@163.com

中图分类号: R587.1 R192.6
计量
- 文章访问数: 118
- HTML全文浏览量: 40
- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2020-11-02
- 网络出版日期: 2022-09-21

Diabetes health literacy and influencing factors of nurses in the Endocrinology Department of a tertiary hospital in Henan Province

1.
Nursing Department of Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China

摘要

摘要: 目的探讨河南省三甲医院内分泌科护士糖尿病健康素养的现况，分析其影响因素，为提高内分泌科护士糖尿病症状管理能力提供参考依据。方法本研究采取整群抽样法，于2020年6—7月选取河南省6所省级三级甲等综合教学医院的400名内分泌科护士作为研究对象，运用一般资料调查表、护士糖尿病健康素养量表、组织支持感量表进行问卷调查。使用SPSS 21.0统计学软件进行数据分析，采用成组t检验或单因素方差分析研究不同人口学特征与内分泌科护士糖尿病健康素养的关系，通过多元线性回归分析研究内分泌科护士糖尿病健康素养的影响因素。结果共回收问卷400份，有效问卷387份。内分泌科护士糖尿病健康素养总分为(98.83±22.00)分。问卷分3个维度共28个条目，3个维度得分从高到低依次是批判性素养[(3.74±0.72)分]、功能性素养[(3.46±0.85)分]、互动性素养[(3.43±0.88)分]。单因素分析显示，不同年龄、学历、性格特征、健康素养相关培训内分泌科护士糖尿病健康素养差异有统计学意义(均P＜0.05)；多元线性回归分析显示，学历、性格特征、健康素养相关培训、组织支持感是内分泌科护士糖尿病健康素养的影响因素(均P＜0.05)。结论内分泌科护士糖尿病健康素养处于中等水平，护理管理者要针对性开展相关培训，增强护士感知组织支持的积极情感体验，从而提高内分泌科护士的糖尿病健康素养水平。
- 护士 /
- 糖尿病 /
- 健康素养 /
- 影响因素
Abstract: Objective To explore the current status of diabetes health literacy amongst nurses in the Department of Endocrinology in Henan Province's top three hospitals, analyse its influencing factors and provide reference basis for improving nurses' ability to manage diabetes symptoms. Methods The cluster sampling method was adopted to select 400 endocrinology nurses from 6 provincial-level tertiary general teaching hospitals in Henan Province from June to July 2020 as the research objects, and the questionnaire survey was conducted using the general information questionnaire, nurses' diabetes health literacy scale, and organisation support scale. SPSS 21.0 statistical software was used for data analysis. T-test or one-way analysis of variance was used to study the relationship between different demographic characteristics and diabetes health literacy amongst nurses in the Endocrinology Department, and its influencing factors were analysed through multiple linear regression. Results A total of 400 questionnaires were returned, and 387 valid questionnaires were collected. The total score for diabetes health literacy amongst nurses in the Endocrinology Department was (98.83±22.00) points. The questionnaire was divided into three dimensions with a total of 28 items. The scores of the three dimensions from high to low were critical literacy [(3.74±0.72) points], functional literacy [(3.46±0.85) points] and interactive literacy [(3.43±0.88) points]. Single-factor analysis showed that diabetes health literacy was statistically significant in terms of age, educational background, personality characteristics and health literacy-related training (all P < 0.05). Multiple linear regression analysis showed that educational background, personality characteristics, health literacy-related training and sense of organisational support were the influencing factors of diabetes health literacy amongst nurses in the endocrinology department (all P < 0.05). Conclusion The diabetes health literacy amongst nurses in the Endocrinology Department is at an intermediate level. Nursing managers should carry out relevant training to enhance the positive emotional experience of nurses' perception of organisational support, so as to improve the diabetes health literacy of nurses in the endocrinology department.
- Nurse /
- Diabetes /
- Health literacy /
- Influencing factors

HTML全文

表 1 387名内分泌科护士一般人口学资料

Table 1. General demographic data of 387 endocrinology nurses

项目	分类	人(%)
年龄(岁)	≤25	149(38.50)
	26~30	116(29.97)
	≥30	122(31.53)
性别	男性	16(4.13)
	女性	371(95.87)
婚姻状况	已婚	242(62.53)
	未婚	145(37.47)
工作年限(年)	1~5	100(25.84)
	6~10	191(49.35)
	≥11	96(24.81)
职称	护士	59(15.25)
	护师	141(36.43)
	主管护师及以上	187(48.32)
学历	本科	329(85.01)
	硕士及以上	58(14.99)
人事关系	合同聘任	252(65.12)
	人事代理	117(30.23)
	正式编制	18(4.65)
性格特征	内向	92(23.77)
	中间	210(54.26)
	外向	85(21.96)
健康素养相关培训	无	238(61.50)
	有	149(38.50)
糖尿病专科护士	是	122(31.52)
	否	265(68.48)

下载: 导出CSV

表 2 387名内分泌科护士糖尿病健康素养得分情况(x±s, 分)

Table 2. Diabetes health literacy scores of 387 nurses in endocrinology department (x±s, points)

项目	得分范围	实际得分	条目均分
功能性素养	12~60	41.50±10.16	3.46±0.85
知识技能	9~45	31.24±7.57	3.47±0.84
患者疾病信息	3~15	10.27±3.78	3.42±0.93
互动性素养	8~40	27.40±7.05	3.43±0.88
健康教育	5~25	16.91±4.50	3.38±0.90
沟通策略	3~15	10.49±2.69	3.49±0.90
批判性素养	8~40	29.93±5.76	3.74±0.72
信息准确性与适用性	4~20	14.01±3.53	3.50±0.88
态度与认知	4~20	15.92±2.77	3.98±0.69
糖尿病健康素养总分	28~140	98.83±22.00	3.53±0.79

下载: 导出CSV

表 3 不同人口学特征内分泌科护士糖尿病健康素养得分比较(x±s, 分)

Table 3. Comparison of scores of diabetes health literacy among endocrinology nurses with different demographic characteristics (x±s, points)

项目	健康素养得分	统计量	P值
年龄(岁)		3.447^a	0.033
≤25	95.25±22.85
26~30	100.19±20.23
≥30	101.93±22.12
性别		1.241^b	0.266
男性	96.81±26.01
女性	98.92±21.84
婚姻状况		0.210^b	0.647
已婚	99.23±22.17
未婚	98.17±21.78
工作年限(年)		1.410^a	0.245
1~5	97.21±23.43
6~10	98.07±20.76
≥11	102.04±22.78
职称		0.374^a	0.707
护士	96.91±25.34
护师	99.75±19.75
主管护师及以上	98.75±22.56
学历		12.316^b	0.001
本科	89.62±22.98
硕士及以上	100.46±21.45
人事关系		0.278^a	0.757
合同聘任	98.86±20.95
人事代理	98.23±24.36
正式编制	102.39±21.10
性格特征		14.700^a	＜0.001
内向	92.09±21.01
中间	97.66±20.45
外向	109.02±23.40
健康素养相关培训		26.747^b	＜0.001
无	94.40±21.25
有	105.91±21.38
糖尿病专科护士		0.186^b	0.667
是	110.07±21.18
否	93.66±20.42
注：^a为F值，^b为t值。

下载: 导出CSV

表 4 自变量赋值说明

Table 4. Argument assignment description

自变量	赋值方法
年龄	≤25岁=1，26~30岁=2，＞30岁=3
学历	本科=1, 硕士及以上=2
性格特征	外向=(0, 0)，内向=(1, 0)，中间=(0, 1)，以外向为参照
健康素养相关培训	无=0，有=1
组织支持感	以实际得分值赋值

下载: 导出CSV

表 5 内分泌科护士糖尿病健康素养影响因素的多元线性回归分析

Table 5. Multiple linear regression analysis of influencing factors of diabetes health literacy among nurses in endocrinology department

项目	B	SE	β	t值	P值
年龄	2.153	1.114	0.082	1.932	0.054
最高学历	8.179	2.583	0.133	3.167	0.002
性格特征
内向	-11.799	2.713	-0.229	-4.349	＜0.001
中间	-8.404	2.310	-0.191	-3.638	＜0.001
健康素养相关培训	6.094	1.912	0.135	3.187	0.002
组织支持感	1.051	0.095	0.467	11.078	＜0.001

下载: 导出CSV

参考文献(22)

[1]	郭立新. 糖尿病的流行势态和应对策略[J]. 中国临床保健杂志, 2020, 23(4): 433-436. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202004003.htm GUO L X. The epidemic situation and intervention strategies of diabetes mellitus[J]. Chinese Journal of Clinical Healthcare, 2020, 23(4): 433-436. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202004003.htm
[2]	侯进, 蔡利强, 康建忠. 糖尿病患者选择家庭医生作为慢病管理服务供方的决策影响因素[J]. 中华全科医学, 2020, 18(8): 1331-1336. doi: 10.16766/j.cnki.issn.1674-4152.001500 HOU J, CAI L Q, KANG J Z. Influencing factors of decision-making for diabetic patients to choose family doctors as providers of chronic disease management services[J]. Chinese Journal of General Practice, 2020, 18(8): 1331-1336. doi: 10.16766/j.cnki.issn.1674-4152.001500
[3]	LOAN L A, PARNELL T A, STICHLER J F, et al. Call for action: Nurses must play a critical role to enhance health literacy[J]. Nurs Outlook, 2018, 66(1): 97-100. doi: 10.1016/j.outlook.2017.11.003
[4]	石亚男. 护士的糖尿病健康素养量表的研制[D]. 沈阳: 辽宁中医药大学, 2019. SHI Y N. Development of the diabetes health literacy scale for nurses[D]. Shenyang: Liaoning University of Traditional Chinese Medicine, 2019.
[5]	王立宁, 王春华, 孙黎明, 等. 糖尿病专科护士培训效果评价指标的初步构建[J]. 河北医学, 2017, 23(10): 1751-1757. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX201710050.htm WANG L N, WANG C H, SUN L M, et al. The Preliminary construction of evaluation indicators for diabetic nurse training[J]. Hebei Medicine, 2017, 23(10): 1751-1757. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX201710050.htm
[6]	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. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201004044.htm NI P, CHEN J L, LIU N. The sample size estimation for quantitative studies in nursing research[J]. Chinese Journal of Nursing, 2010, 45(4): 378-380. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201004044.htm
[7]	左红梅. 护士组织支持感与组织承诺的关系研究[D]. 太原: 山西医科大学, 2009. ZUO H M. A study on relationship between organizational support emotion and organizational commitment of nurses[D]. Taiyuan: Shanxi Medical University, 2009.
[8]	GUNER M D, EKMEKCI P E. A survey study evaluating and comparing the health literacy knowledge and communication skills used by nurses and physicians[J]. Inquiry, 2019. DOI: 10.1177/0046958019865831.
[9]	RAJAH R, HASSALI M A, LIM C J. Health literacy-related knowledge, attitude, and perceived barriers: A cross-sectional study among physicians, pharmacists, and nurses in public hospitals of penang, malaysia[J]. Front Public Health, 2017, 19(5): 281.
[10]	ALLENBAUGH J, SPAGNOLETTI C L, RACK L, et al. Health literacy and clear bedside communication: A curricular intervention for internal medicine physicians and medicine nurses[J]. MedEdPORTAL, 2019, 18(15): 10795.
[11]	HARRINGTON M, ENGELKE M K. Health literacy: Perceptions and experiences of pediatric nephrology interprofessional team members[J]. Nephrol Nurs J, 2016, 43(1): 15-25.
[12]	王丽敏, 万巧琴, 谷水, 等. 临床护士感知的工作负荷水平及其对工作投入的影响[J]. 护理学杂志, 2020, 35(17): 57-61. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202017018.htm WANG L M, WAN Q Q, GU S, et al. The level of selfrated work load among clinical nurses and its impact on work engagement[J]. Journal of Nursing Science, 2020, 35(17): 57-61. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202017018.htm
[13]	张洪君, 王文秀, 苏春燕. 发挥护士在健康科普工作中的专业作用[J]. 中国护理管理, 2015, 15(5): 513-516. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL201505002.htm ZHANG H J, WANG W X, SU C Y. Health scientific popularization from nurses' perspective[J]. Chinese Nursing Management, 2015, 15(5): 513-516. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL201505002.htm
[14]	KIM S H, UTZ S. Effectiveness of a social media-based, health literacy-sensitive diabetes self-management intervention: A randomized controlled trial[J]. J Nurs Scholarsh, 2019, 51(6): 661-669.
[15]	朱凌霄, 施齐芳, 马彤. 2型糖尿病病人的自我管理与心理控制源研究进展[J]. 护理研究, 2020, 34(2): 283-287. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202002021.htm ZHU L X, SHI Q F, MA T. Research progress on self-management and locus of control in patients with type 2 diabetes mellitus[J]. Chinese Nursing Research, 2020, 34(2): 283-287. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202002021.htm
[16]	IBRAHIM A F, TAWFIK F M, AKEL D T. Nurse communication in health education: Patients' perspective[J]. Clin Nurs Stud, 2015, 3(4): 94-102.
[17]	王婷婷, 易巧云, 万丽. 基于健康素养的健康教育研究现状[J]. 中华护理教育, 2018, 15(3): 227-231. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201803024.htm WANG T T, YI Q Y, WAN L. A review of status of health education based on health literacy[J]. Chinese Journal of Nursing Education, 2018, 15(3): 227-231. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201803024.htm
[18]	CHO H, HAN K, PARK B K. Associations of eHealth literacy with health-promoting behaviours among hospital nurses: A descriptive cross-sectional study[J]. J Adv Nurs, 2018, 74(7): 1618-1627.
[19]	RHOADES L, EISENBERGER R. Perceived organizational support: A review of the literature[J]. J Appl Psychol, 2002, 87(4): 698-714.
[20]	韩未来, 胡雨晴, 谭婷, 等. 202名二级甲等医院护士长教练型领导与组织支持感的相关性分析[J]. 护理学报, 2019, 26(5): 69-71. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201905019.htm HAN W L, HU Y Q, TAN T, et al. 202 head nurses in second-class hospitals Correlation analysis between leadership and organizational support[J]. Journal of Nursing, 2019, 26(5): 69-71. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201905019.htm
[21]	冯仰辉, 沈新, 张慧娟. 组织支持感在ICU护士工作压力和工作满意度间的调节效应[J]. 中国护理管理, 2019, 19(3): 409-413. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL201903029.htm FENG Y H, SHEN X, ZHANG H J. Job stress and job satisfaction of ICU nurses: The moderating effects of perceived organization support[J]. Chinese Nursing Management, 2019, 19(3): 409-413. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL201903029.htm
[22]	NESARI M, OLSON J K, NASRABADI A N, et al. Registered nurses' knowledge of and experience with health literacy[J]. Health Lit Res Pract, 2019, 3(4): e268-e279.