目的 调查消化系统恶性肿瘤患者营养风险、营养知识-态度-行为(知信行)水平的现状,探究各因素是否对患者的营养风险、营养知信行水平具有影响,并分析两者之间的相关性。方法 选取中山大学附属第八医院(深圳福田)2024年2月—10月的244例消化系统恶性肿瘤患者为研究对象,采用一般资料调查表、营养风险筛查NRS2002量表以及消化系统肿瘤患者营养知信行问卷进行调查,数据收集后进行统计分析,从而研究消化系统恶性肿瘤患者营养筛查风险与营养知信行水平的现状、影响因素及两者间的相关性。结果 69.3%的消化系统恶性肿瘤患者存在营养风险,营养风险评分为(2.72±1.42)分。消化系统恶性肿瘤患者营养知识水平得分为(12.30±5.26)分、营养态度水平得分为(14.80±2.68)分、营养行为水平得分为(22.82±4.55)分、营养知信行水平总分为(49.96±9.50)分。家庭经济收入是患者营养风险水平的核心影响因素(P<0.05),学历水平是患者营养知信行水平的核心影响因素(P<0.05)。消化系统恶性肿瘤患者营养风险水平与营养知信行的总体水平呈负相关(r=-0.143,P<0.05)。结论 消化系统恶性肿瘤患者的营养知信行水平总体处于中等水平,但普遍存在营养风险较高的情况。在患者治疗期间实施个性化营养健康宣教至关重要,这将有助于提升患者的营养知识水平,从而整体性改善其营养知信行素养并降低其营养风险,但在进行营养宣教和制定个性化营养方案时应充分考虑患者的家庭经济收入及学历水平。
Objective To explore the nutritional risk and nutritional knowledge-attitude-behavior status of patients with digestive system malignant tumors,to analyze the influencing factors of nutritional risk,nutritional knowledge-attitude-behavior,and explore the correlation between them.Methods From February 2024 to October 2024,244 patients with digestive system malignant tumors at the Eighth Affiliated Hospital of Sun Yat-sen University were selected as the research subjects.A general information questionnaire,Nutritional Risk Screening 2002,and digestive system tumor patient nutrition knowledge-attitude-behavior questionnaire were used to study the influencing factors and correlations between the nutritional screening risk and nutritional knowledge-attitude-behavior in patients with digestive system malignant tumors.Results There were 69.3% of the patients with digestive system malignant tumors had nutritional risk score ≥3,and the overall score was(2.72±1.42).The scores of nutritional knowledge,attitude,behavior and total score of digestive system malignant tumors patients were(12.30±5.26),(14.80±2.68),(22.82±4.55)and(49.96±9.50),respectively.Family economic income was the core influencing factors of nutritional risk in patients with digestive system malignant tumors,while educational level was the core influencing factor of nutritional knowledge-attitude-behavior in patients with digestive system malignant tumors.The nutritional risk level of patients with malignant tumors of the digestive system was significantly negatively correlated with the overall level of nutritional knowledge-attitude-behavior.Conclusions The nutritional knowledge-attitude-behavior level of patients with malignant tumors of the digestive system is generally at a medium level,but there is a widespread situation of relatively high nutritional risk.It is extremely important and necessary to conduct personalized nutrition knowledge education for patients during their treatment period,which will help enhance patients’ nutritional knowledge level,thereby comprehensively improving their nutritional knowledge-attitude-behavior literacy and reducing their nutritional risks.However,when conducting nutrition education and formulating personalized nutrition plans,the patient’s family economic income,medical payment methods and educational level should be fully considered.
目的 探讨养老机构老年人死亡态度及其影响因素。方法 选取2018年1月—2022年12月广州市养老机构的593名老年人进行问卷调查,统计养老机构老年群体对死亡的态度,并分析其死亡态度发生的影响因素。结果 经过研究发现,对死亡的态度呈自然接受的老年人数量最少,为42例,占比为7.1%,其次从高到低依次为逃离接受老年人308例,占比为51.9%;死亡恐惧老年人83例,占比为14.0%;死亡逃避老年人81例,占比为13.7%;趋近接受老年人79例,占比为13.3%。患者的死亡态度与患者所患的疾病病种有关,影响死亡态度的因素包括:生理心理因素、文化思想因素、社会环境因素,其中发生概率最高的是生理心理因素,占比为50.9,其次从高到低依次为文化思想因素,占比为26.5%;社会环境因素,占比为22.6%。死亡态度中趋近接受维度的分值相对更高,其次依次为死亡恐惧、自然接受、死亡逃避以及逃离接受。单因素分析显示差异有统计学意义的项目包含家庭内讨论死亡、性别、健康自评状况、年龄、患病种数、经济结构。结论 在养老机构中,大多数老年人对死亡是无法自然接受的,大部分老年群体对死亡的态度是逃离接受,部分群体对死亡的态度是恐惧、逃避;而影响老年群体死亡态度的因素主要是生理心理因素。
Objective To explore the death attitudes and its influencing factors among the elderly in nursing institutions. Methods A questionnaire survey on death attitudes was conducted among 593 elderly individuals in nursing institutions in Guangzhou from January 2018 to December 2022,and their possible influencing factors were analyzed. Results There were 51.9% of the elderly individuals whose death attitudes were characterized by escape acceptance,while 7.1% demonstrated natural acceptance.However,the numbers of the elderly individuals with approaching acceptance,fear of death and escape from death showed no significant statistical difference,all being lower than the number of the elderly individuals with escape acceptance.The influencing factors of death attitude included physiological and psychological factors,cultural and ideological factors,and social environment factors.The probability of physiological and psychological factors influencing death attitudes was higher than that of other factors(P<0.05).The score for the dimension of approaching acceptance in death attitudes was higher than that for other dimensions(P<0.05). Conclusions In nursing institutions,the majority of elderly individuals cannot naturally accept death.Most elderly individuals exhibit an attitude of escape acceptance towards death,while some exhibit an attitude of fear and escape.However,the factors influencing the elderly's attitudes towards death are mainly physiological and psychological factors.
目的 调查非重症监护室护士对住院卧床老年患者肺康复的知信行现状,探讨其影响因素。方法 采用自行设计的卧床老年患者肺康复知信行现状调查问卷,对广州市第一人民医院的555 名非重症监护室护理人员进行调查。结果 共回收有效问卷513份。调查对象肺康复知信行总分为(76.01±12.27)分,知识维度、态度维度、行为维度得分分别为(14.09±3.25)、(21.89±3.38)、(40.03±9.87)分。多元回归分析显示,主要影响护士对住院老年卧床患者实施肺康复知信行的因素为护龄、是否参加过肺康复相关培训及科室是否已开展肺康复(P<0.05)。结论 非重症监护室护士对卧床老年患者肺康复的态度积极,行为良好,但知识有待提升。建议开展卧床老年人相关肺康复培训,激励护士主动学习肺康复新理念的积极性和主动性,强化理论联系临床实践,从而提高临床护理质量。
Objective To investigate the knowledge,attitude and practice of non-intensive care unit(ICU)nurses about pulmonary rehabilitation of hospitalized bedridden elderly patients,and to explore the influencing factors.Methods A self-designed questionnaire on the status of knowledge,attitude and practice about pulmonary rehabilitation of bedridden elderly patients was used to investigate 555 non-ICU nurses in our hospital.Results A total of 513 valid questionnaires were collected.The total score of pulmonary rehabilitation was(76.01±12.27),and the scores of knowledge,attitude and practice were(14.09±3.25),(21.89±3.38)and(40.03±9.87),respectively.Multiple regression analysis showed that the main factors affecting nurses' knowledge,attitude and practice in implementing pulmonary rehabilitation for hospitalized elderly bedridden patients were nursing age,whether they had participated in training related to pulmonary rehabilitation and whether pulmonary rehabilitation had been carried out in the unit(P<0.05).Conclusions Non-ICU nurses have positive attitudes and good practice toward pulmonary rehabilitation for bedridden elderly patients,but their knowledge needs to be improved.It is recommended that training on pulmonary rehabilitation for the bedridden elderly be carried out to motivate nurses to learn new concepts of pulmonary rehabilitation,strengthen the link between theory and clinical practice,and improve the quality of clinical care.
目的 调查临床护士对新型冠状病毒肺炎的知信行现状,为制定相关培训策略提供依据。方法 采用便利抽样法,2020年3月选取我院的1 007名临床护士作为研究对象,采用一般资料及临床护士对新型冠状病毒肺炎知信行问卷对其进行调查。结果 1 007名临床护士对新型冠状病毒肺炎的知识、态度、行为得分分别为(28.82±9.22)分、(52.04±5.52)分、(55.38±7.93)分,新型冠状病毒肺炎知信行总分为(136.24±14.52)分。不同年龄、职称、职务、工作年限、何时参加过穿脱防护服操作培训及考核新型冠状病毒肺炎知识得分比较,差异均有统计学意义(P<0.05);工作年限、何时参加过穿脱防护服操作培训及考核,其新型冠状病毒肺炎态度得分比较,差异均有统计学意义(P<0.05);是否参加过穿脱防护服操作的培训及考核、何时参加过穿脱防护服操作培训及考核、是否参加过咽拭子采集的培训及考核的新型冠状病毒肺炎行为得分比较,差异均有统计学意义(P<0.05)。结论 临床护士对新型冠状病毒肺炎的知识得分处于较低水平,态度和行为得分较好,建议护理管理者需加强临床护士对新型冠状病毒肺炎的知识学习及相关培训,以提高护士知识及技能水平。
Objective To investigate the current status of nurses' knowledge, attitude and behavior to new coronavirus pneumonia, to provide the basis for formulating relevant training strategies. Methods In March 2020, 1 007 clinical nurses in our hospital were selected as the research object. The general information and questionnaire about the new coronavirus pneumonia were investigated in these nurses. Results Scores of 1 007 nurses answered the knowledge, attitude and behavior to new coronavirus pneumonia were(28.82±9.22),(52.04±5.52), and(55.38±7.93), respectively. The total score of knowledge, attitude, and behavior to the new coronavirus pneumonia was(136.24±14.52). The differences of scores of knowledge about new coronavirus pneumonia between different ages, job titles, duties, working years, and when they participated in the training and evaluation of wearing and taking off protective clothing were statistically significant (P<0.05). There was a statistically significant difference in the attitude scores of the new coronavirus pneumonia between different working years and when they participated in training and evaluation of wearing protective clothing (P<0.05). There were statistically significant differences in the behavior scores to new coronavirus pneumonia between whether and when they have participated in the training and evaluation of wearing and taking off protective clothing, and whether they had participated in the training and evaluation of pharyngeal swab collection (P<0.05). Conclusion Nurses' knowledge scores for new coronavirus pneumonia are at a low level, but their attitude and behavior scores are higher. It is recommended that new coronavirus pneumonia knowledge and related training should be strengthened for nurses to improve nurses' knowledge and skills.
目的 了解某市不同性别在职高级干部营养“知识-态度-行为”(KAP)现状及其健康状况,为开展健康教育工作提供理论依据。方法 采用整群抽样方法抽取228名在职高级干部作为调查对象,采用自行设计的问卷调查营养KAP,根据统一健康体检数据,分析两者之间的相关性。结果 某市在职高级干部男性干部与女性干部在营养知识、营养行为得分两者间有显著差异P<0.05。营养态度得分两组间无差异P>0.01。体检结果男性干部总体异常及脂肪肝、高脂血症和高尿酸血症发病率均显著高于女性干部,差异有统计学意义(P<0.05)。健康状况得分8.27±1.57分(满分10分),与营养KAP得分有明显正相关关系(r=0.481,P<0.01)。结论 某市不同性别在职高级干部营养知识水平有待提高,营养态度良好,饮食行为不够合理,应采用多种方式进行营养健康指导,增强自我保健意识,提高整体健康水平。
目的 了解广州市海珠区在校学生结核病核心知识知晓率现状、对结核病态度及相关行为,为进一步加强学校结核病健康教育工作提供依据。方法 采用分层整群随机抽样的方法随机选取海珠区内6所学校268名学生进行问卷调查,采用描述性分析、卡方检验。结果 学生结核病知识总知晓率为76.4%,女生结核病知识知晓率比男生高,高中生比大学生和初中生高,市内学生比市外学生知晓率高;户籍是市内的学生更愿意去了解结核病,女生比男生高,市内比市外的学生更加愿意成为志愿者;对于出现结核病疑似症状,大学生更为主动地寻求医生帮助,女学生在自己得了肺结核后会更加主动提醒周围人去检查。结论 学生对结核病的总知晓率仍偏低,以后的结核病健康教育应进一步针对学生的不同特征采取更合适的方式进行宣传,提高学生对结核病的知晓率,促使其形成正确的态度和行为。
Objective To understand the status of the awareness rate of tuberculosis knowledge,attitude and behavior among students in Haizhu district, Guangzhou, and to provide evidence for further strengthening the work of tuberculosis health education in schools. Methods Applying stratified random sampling method to choose 268 students from 6 schools for questionnaire investigation and used descriptive statistical analysis method, Chi-square test to assess related indicators. Results The awareness rate of TB knowledge was 76.4%, female students' was higher than male students', high school students' was the highest, Guangzhou household registers was higher than that no householder in Guangzhou; the students of householder in Guangzhou were more willing to learn about TB, female students' and the students of householder in Guangzhou were more willing to become a volunteer; College students were more active to seek medical help, female students after they had pulmonary tuberculosis would more active to remind the people around to have a check. Conclusion The level of knowledge about tuberculosis among students in the district was still lower than the standard. The health education of tuberculosis knowledge should further make publicity according to the different features of the students, to improve the students the awareness of TB and to promote the formation of correct confidence and behavior
目的 调查药学本科大学三年级学生在毕业实习前对实习的整体观念及心态。方法 采用问卷表方式调查,将回收问卷表进行数据统计并分析结果。结果 占总比63.2%学生对未来实习方向较模糊,并期望获得相关指导;72.8%学生认为药学专业知识对实习有帮助;90.0%学生认为实习是为即将就业打基础;对于寻找实习单位的方式,三分之一以上学生比较倾向于药学专业老师介绍推荐,大约三分之一的学生有意自己联系实习单位。结论 该调查结果较为真实反映某高校药学本科生实习前的心态及其对实习整体观念,为高校实习管理及学生工作部门了解学生的实习想法提供可靠数据依据,也为教务部门制定“以人为本”实习计划提供了科学依据。
Objective To investigate the overall concept and state of mind of the undergraduates in the grade three undergraduate students before internship. Methods The questionnaire was used to investigate the form of the questionnaire, and the data were collected and analyzed. Results 63.2% of the students for the future practice direction was fuzzy, and hope to get the guidance;72.8% of the students thought pharmacy specialized knowledge is helpful to practice; 90.0% students thought practice was foundation for employment; To find the internship units, more than one third of the students tend to get recommend by pharmacy professional teachers. About one third of students wished to contact their internships by themselves. Conclusion The survey results showed mentality and the overall concept in practice of pharmacy students in our school. It can provided reliable data basis for the practice of management to understand the students practice idea, and also for the educational administration department to develop the “people-oriented” internship program.
目的 调查广州市在校大学生AIDS相关知识及对HIV感染者态度现状,为学校更有效地开展大学生AIDS健康教育提供依据。方法 采用目的抽样方法,对广州市某高校 1200名在校大学生进行关于AIDS相关知识、态度的问卷调查。结果 不同年级、生源地,AIDS相关知识差异均有统计学意义(P值均<0.01);多数学生对HIV感染者持积极态度,但仅5.73%的学生愿意与HIV感染者共餐;2.70%愿意与感染HIV的同学同住一个寝室。网络是大学生获取AIDS相关知识的最主要途径。结论 大学生AIDS相关知识知晓率水平较高,但缺乏系统性和全面性;多数学生对HIV感染者持积极态度,但是一旦与自我卷入较深,即表现出对HIV感染者的回避甚至歧视。高校应加强对大学生AIDS健康教育的系统性、全面性和深刻性,以消除对AIDS的心理恐惧,达到对HIV感染者的零歧视。
Objective To investigate the AIDS related knowledge of the Guangzhou undergraduates and the attitudes on HIV infection status, for the school to provide basis for AIDS health education and to carry out AIDS health education during college students more effectively. Methods 1200 college students in a university in Guangzhou were surveyed by a questionnaire on HIV/AIDS related knowledge and attitudes, using the way of purposive of sampling. Results There was statistical significant difference on the AIDS-related knowledge in the different grades and origin of students (P<0.01). The majority of students has a positive attitude to the HIV-infected, but only 5.73% of them wer willing to share a meal with HIV-infected persons, and 2.70% of them were willing to live with HIV-infected. The network is the most important way to access to HIV/AIDS related knowledge for college students. Conclusion The level awareness during college student on AIDS-related knowledge is high, but lack of systematic and comprehensive. The majority of students had a positive attitude towards the HIV-infetected, however once self-involved, they may avoid even discriminate the HIV-infected individuals. Therefore, the universities should strengthen AIDS health education of college students comprehensively and profoundly, in order to eliminate fear of AIDS, and reached zero discrimination HIV-infected persons in the future.
目的 分析护生死亡态度的潜在类别及其影响因素,为开设符合我国国情的死亡教育课程提供参考。方法 采用便利抽样法,选取唐山市高校护生为调查对象。采用一般资料调查表、死亡态度描绘量表进行调查,基于潜在剖面分析护生死亡态度的类别及不同类别的影响因素。结果 共发放问卷520份,回收问卷516份,回收率为99.23%,剔除无效问卷11份,有效回收率为97.87%。护生死亡态度描绘量表得分为(96.91±13.20)分,经过剖面分析可划分为死亡态度积极-自然接受型(63.60%)和死亡态度消极-恐惧死亡型(36.40%)2个潜在类别。Logistic回归分析结果显示,陪伴临终亲友、未接触过死亡相关场所、半年内有亲友离世的护生属于死亡态度消极-恐惧死亡型的概率较大,自身性格偏外向、研究生学历的护生属于死亡态度积极-自然接受型的概率较大(均P<0.05)。结论 护生死亡态度存在明显的分类特征,可分为死亡态度积极-自然接受型和死亡态度消极-恐惧死亡型2个潜在类别;相关院校可针对不同类别特征的护生开设死亡教育相关课程,以期帮助护生更深刻地认识死亡,树立科学死亡观。
Objective To analyze the potential categories and influencing factors of nursing students’ death attitude,to provide reference for setting up death education courses in line with China’s situation.Methods Convenient sampling method was used to select nursing students in Tangshan.General data questionnaire and death attitude description scale were used to investigate the categories of nursing students’ death attitude and their influencing factors based on latent profiles.Results A total of 520 questionnaires were sent out and 516 were collected with a rate of 99.23%.Eleven invalid questionnaires were excluded with an effective rate of 97.87%.The score of the death attitude description scale of nursing students was(96.91±13.20),which could be divided into two potential categories:positive death attitude - natural acceptance type(51.49%)and negative death attitude - fear type(48.51%)after profile analysis.Logistic regression analysis showed that nursing students who accompanied their dying relatives and friends,had no visit to death-related places,and had relatives and friends who died within six months had a higher probability of negative death attitude - fear of death,while nursing students with extrovert personality and graduate degree had a higher probability of positive death attitude - natural acceptance(all P<0.05).Conclusions There were obvious classification characteristics of nursing students’ attitude towards death,which can be divided into two latent categories:positive attitude towards death - natural acceptance type and negative attitude towards death - fear type.Relevant colleges and universities can set up death education courses for nursing students with different characteristics,in order to help nursing students have a deeper understanding of death and establish a scientific view of death.