石家庄地区医护人员预防跌倒知信行水平及影响因素分析

doi:10.12183/j.scjpm.2024.0926

摘要/Abstract

摘要： 目的调查石家庄地区医护人员预防跌倒的知信行水平,并分析影响因素。方法纳入2023年6月至2023年8月石家庄市3家医院2 438名医护人员,收集其一般资料,采用医护人员预防跌倒知信行水平调查问卷评估知信行水平。比较不同特征医护人员预防跌倒的知信行得分,多重线性回归模型分析其预防跌倒的知信行评分影响因素。结果石家庄地区医护人员预防跌倒知识平均得分为（47.63±5.28）分,信念平均得分为（31.54±3.62）分,行为平均得分为（33.40±4.29）分。多重线性回归分析结果显示,学历水平（β′=0.617）、是否接受预防跌倒相关培训（β′=0.505）、有无患者跌倒经历（β′=0.389）、预防跌倒是否纳入绩效考评（β′=0.476）是医护人员预防跌倒知识得分的影响因素（均P<0.05）;是否接受预防跌倒相关培训（β′=0.251）、有无患者跌倒经历（β′=0.382）、预防跌倒是否纳入绩效考评（β′=0.842）是医护人员预防跌倒信念得分的影响因素（均P<0.05）,工作年限（β′=0.276）、是否接受预防跌倒相关培训（β′=0.360）、有无患者跌倒经历（β′=0.189）、预防跌倒是否纳入绩效考评（β′=0.586）是医护人员预防跌倒行为得分的影响因素（均P<0.05）。结论石家庄地区医护人员预防跌倒知信行水平处于中等水平,其影响因素较多,如工作年限、是否接受预防跌倒相关培训等,仍需重视医护人员防跌倒的知信行水平提升,减少工作中患者跌倒行为发生。

关键词: 预防跌倒, 知识, 态度, 行为, 医护人员

Abstract: Objective To investigate the level of knowledge, attitude, and practice (KAP) of medical staff in preventing falls in Shijiazhuang, and analyze the influencing factors. Methods A total of 2 438 medical staff from 3 hospitals in Shijiazhuang during the period from June 2023 to August 2023 were included. Their general data were collected, and their KAP level regarding fall prevention was assessed by employing the questionnaire on the KAP level of fall prevention among medical staff. The KAP scores of medical staff with diverse characteristics were compared, and the factors influencing the scores were analyzed through the multiple linear regression model. Results The average score of knowledge, attitude, and practice for fall prevention among medical staff were (47.63±5.28), (31.54±3.62), and (33.40±4.29), respectively. The results of the multiple linear regression analysis indicated that several factors significantly influence the fall prevention knowledge score of medical staff (all P<0.05), including educational level (β′=0.617), receipt of fall prevention training (β′=0.505), patient history of falls (β′=0.389), and the inclusion of fall prevention in performance evaluations (β′=0.476). Additionally, the fall prevention attitude score of medical staff was significantly influenced by receipt of fall prevention training (β′=0.251), patient history of falls (β′=0.382), and the inclusion of fall prevention in performance evaluations (β′=0.842) (all P<0.05). The fall prevention practice score was significantly associated with working years (β′=0.276), receipt of fall prevention training (β′=0.360), patient history of falls (β′=0.189), and the inclusion of fall prevention in performance evaluations (β′=0.586) (all P<0.05). Conclusions The KAP level of fall prevention among medical staff in Shijiazhuang is at a medium level, which is influenced by many factors, such as working years and whether they have received relevant fall prevention training, etc. It is still necessary to pay attention to improving the KAP level of medical staff to prevent falls and reduce the occurrence of patients' fall at work.

Key words: Fall prevention, Knowledge, attitude, and practice, Medical staff

中图分类号:

R192

张小丽, 焦永波, 姚煦, 张琳. 石家庄地区医护人员预防跌倒知信行水平及影响因素分析[J]. 华南预防医学, 2024, 50(10): 926-930.

ZHANG Xiaoli, JIAO Yongbo, YAO Xu, ZHANG Lin. Knowledge, attitude, and practice levels of medical staff in preventing falls and their influencing factors in Shijiazhuang[J]. South China Journal of Preventive Medicine, 2024, 50(10): 926-930.

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