Objective:To develop a rating scale on the knowledge, attitude and practice of stroke-dysphagia for nurses, and to test the reliability and validity.Methods:Based on theoretical framework of the Knowledge, Attitude, Practice (KAP), the scale items were determined through literature review, expert consultation, pre-investigation, and qualitative interviews. 633 nurses in the department of stroke that from 18 hospitals in Hubei Province were selected for the survey, to further screen the items and test reliability and validity of the scale.Results:The positive coefficient of the two-round expert consultation were both 100%; the expert authority coefficient was 0.930; the level of coordination of experts ′ opinions was good. Exploratory factor analysis extracted 4 factors, the accumulative variance contribution rate was 44.278%, Content validity index S-CVI was 0.984, I-CVI was 0.857-1.000; the Cronbach α coefficient of scale was 0.855, test-retest reliability was 0.909. Eventually, the scale was consisted of 3 dimensions, 32 items. Conclusion:The scale has good reliability and validity, and can be used as a survey tool to test the current knowledge, attitude, practice of clinical nurses about patient with stroke-dysphagia.
慢性肾脏病已成为全球面临的严峻公共卫生问题[1] ,其中每年约有2％的患者进展为终末期肾病( end-stage renal dis-ease,ESRD) [2].血液透析作为ESRD主要治疗方式,在临床上广泛应用.治疗依从性,指的是个体用药、饮食及执行生活方式等方面,在多大程度上符合卫生保健者的建议[3].治疗依从性差与较差的健康结果相关[4].健康素养被定义为个体获取、理解并运用健康相关信息促进自身健康的能力[5].研究显示,低健康素养与 ESRD 患者较差的疾病结局及死亡率密切相关[6].因此,采用有效的健康教育策略,提高MHD患者治疗依从性及健康素养水平尤为必要.回授法( teach-back method)指提供者指导患者(用自己的语言)复述所学到的知识,指导者根据所得结果,进而纠正并重新解释患者未理解或理解歧义的信息,直至患者能够理解及掌握相关知识[7,8].国内在维持性血液透析( maintenance hemodialysis,MHD)患者健康教育中应用回授法的研究较少.本研究对MHD患者采用回授法进行干预,现将结果报告如下.
目的 探讨在神经外科的护理带教过程中采取目标管理方法的应用效果.方法 择取于2018年1月—2019年1月到本院进行实习的72名护生进行分组比较,按照双盲法将所有护生分为两组,具体分为研究组和传统组,各组分别为36名护生.研究组采取目标管理的方法,参照组采取传统的管理方法,对比两组护生带教完成后的综合考核成绩以及对于带教老师的满意程度.结果 研究组的理论知识、操作实践以及处理能力等综合考核成绩均高于参照组,P<0.05.研究组对于课堂教学评价、职业素质培养以及认识认知评价的满意程度均高于参照组,P<0.05.结论 在神经外科护理带教中行目标管理法,带教效果良好.
