Change in knowledge and self-efficacy of patients with rheumatoid arthritis: A six-month follow-up study

The purpose of this study was to examine rheumatoid arthritis (RA) patients' knowledge of the disease and its treatments and their self-efficacy changed in a 6-month period. The data were collected from 223 RA patients during August 2004–March 2005 using self-administered questionnaires. The main finding was that the patients' knowledge of exercise, joint protection and energy conservation increased and their self-efficacy strengthened over the 6-month period. However, the RA patients' general knowledge of the disease (e.g. of its aetiology) decreased significantly. Weak relationships exist between the patients' self-efficacy and their knowledge of exercise, joint protection and energy conservation. The patients who had follow-up visits during the 6-month period had slightly better knowledge levels, but their pain and other symptoms self-efficacy was weaker. It is important that nurses encourage patients to seek clarification of any unclear issues concerning their disease, and concentrate on supporting those patients whose self-efficacy is weak.     

临床医生对病人安全的认知现状调查与分析

目的调查临床医生对病人安全的认识现状及重视度,分析存在的问题,推测可能的原因,为开展病人安全教育提供可靠依据。方法随机抽取以四川大学华西医院为主的四川省三甲医院的临床医生进行问卷调查。以匿名问卷,采取调查员指导下,被调查者自填调查表的方式收集资料。结果发放调查问卷300份,收回有效问卷258份,回收率86％。调查结果显示,临床医生对病人安全知识的理解度较低,但门诊部医生理解度优于住院部医生。95．00％以上的医生愿意主动学习病人安全知识。结论针对临床医生对病人安全认知度偏低但愿意主动学习相关知识的趋向,有必要对临床医生和医学生开展病人安全知识教育。     

病人参与循证医学现状调查分析

目的：了解病人及病人家属对健康信息的需求，获得基线资料，进而制定病人参与循证医学的对策，促进医患之间的交流，提高医疗服务的质量。方法：采用随机整群抽样方法，抽取2001年11月至2002年1月在四川大学华西医院4个科室的住院病人208例以及四川大学附属第二医院儿科住院病人的家属46例，进行问卷调查。用Excel建立数据库，采用SPASS10．0对数据进行统计学分析处理。结果：调查对象均未听说过循证医学；多数调查对象对自身疾病或健康信息了解不多，但渴望了解更多信息。医疗信息获取的途径依次是：医护人员、报刊杂志、亲朋好友、英特网。结论：本次调查发现，医疗卫生服务过程中，“医疗费用”和“治疗措施是否有效”仍是病人及其家属关注的重点，但是病人及其家属获取健康信息的途径非常有限。     

社区居民中药基本知识掌握情况的调查与分析

目的 调查社区居民对中药知识的掌握情况,为制订健康教育方案、在居民中普及中药知识提供理论依据.方法 采用便利抽样法,选择80名社区居民采用自设问卷进行调查.调查内容包括居民的一般情况、中药相关知识的掌握情况、获取中药知识的途径及需求.结果 社区居民对中药的药性认识存在误区,在送服中药的溶液、服药期间饮食禁忌、中药保存要...     

实习护生对艾滋病相关知识掌握情况的调查分析

目的 了解实习护生对艾滋病相关知识掌握情况及影响因素,为有针对性开展健康教育提供依据.方法 用整群抽样法,以班级为单位抽取共计544例实习护生,采取不记名独立填写的方式进行艾滋病认知、态度问卷调查.结果 实习护生对艾滋病知识处于中等水平,平均得分(9.49±3.16)分,对主要传播途径认识正确率为81.40%;对高危行为和安全套等知识掌握仅有42.28%.实习护生对待艾滋病的态度呈中等水平,平均得分(172.11±14.37)分.艾滋病知识水平、态度水平的影响因素为学历、民族以及知识得分.结论 实习护生对艾滋病知识掌握不够,态度有待提高.对实习护生开展健康教育不仅要注重提高知识水平,更要加大对艾滋病的态度及高危行为的教育力度.     

102例孕晚期妇女母乳喂养知识状况的调查

目的 了解目前孕晚期妇女母乳喂养知识的掌握情况以及需求情况.方法 采用问卷调查法对102例孕妇进行母乳喂养知识及需求进行调查.结果 孕晚期妇女母乳喂养知识得分偏低,为(64.26±16.91)分,母乳喂养知识得分与孕妇的文化程度有关(P<0.01).孕妇对母乳喂养姿势及时间、促进乳汁分泌、母乳喂养常见问题的预防和处理方面的知识需求程度比较高.结论 医务工作者应该在围产保健过程中通过多种途径加强对孕妇的母乳喂养知识宣教,以提高母乳喂养率.     

育龄妇女对优生知识需求的调查分析

目的了解育龄妇女对优生知识的需求,为出生缺陷干预工作及宣教方式提供建议与措施。方法以妇、产科门诊就诊者及妇、产科住院的育龄妇女为调查对象,采用自制问卷,向被调查者发放调查表,现场填写,即时收回。结果不同文化程度对是否知道有些因素可能导致胎儿畸形均有显著差异(P<0.001),获取知识以孕期用药最多,占59.6%,获取途径以与医务人员交谈咨询比率最高,占53.1%,不同文化程度妇女所需求的优生知识内容随文化程度的上升而增加。结论育龄妇女对出生缺陷知识普遍缺乏,针对不同优生知识内容、不同对象,开展多元化的健康教育,使人们知道出生缺陷的危害,从而主动参与出生缺陷干预工程。     

Translation,cross-cultural adaptation,and psychometric properties of the Brazilian Portuguese version of the DiAbeTes Education Questionnaire (DATE-Q)

BackgroundThe DiAbeTes Education Questionnaire (DATE-Q) is a self-administered tool developed to evaluate disease-related knowledge and to assess knowledge of five core components of rehabilitation programs: physical exercise, diet, psychosocial well-being, disease self-management, and complications.ObjectiveTo translate and cross-culturally adapt into Brazilian Portuguese, and to test the psychometric properties of the DATE-Q for its use in Brazil.MethodsThe process of translation and cross-cultural adaptation consisted of five steps: translation into Brazilian Portuguese, synthesis of translation, back translation, expert committee, and pilot test of pre-final version. The pre-final version was applied to a sample of 30 patients with diabetes. Psychometric properties (internal consistency, reliability, construct validity, and ceiling and floor effects) of the final version of the Brazilian Portuguese version of the DATE-Q were tested in a sample of 200 adults with diabetes.ResultsThere was no conceptual divergence between the original and the translated versions. Ten (50%) items of the DATE-Q were culturally adapted. Internal consistency (Cronbach’s alpha coefficient = 0.6), reliability (intraclass correlation coefficient = 0.5), and construct validity (correlation between Diabetes Knowledge Scales and DATE-Q total scores: ρ = 0.7; P < 0.001) were confirmed. Ceiling or floor effects were not identified. The highest scoring item was about healthy eating. The average time for completion of the DATE-Q was 5 min and 51 s, and the completion rate was 100% for all items.ConclusionThe Brazilian Portuguese version of the DATE-Q showed adequate psychometric properties, and results suggested that the tool can be used to assess disease-related knowledge in adults with diabetes in Brazil.     

The beginning of the second decade of the era of patient safety: Implications and roles for the clinical laboratory and laboratory professionals

Providing high quality, effective laboratory services is not new to the laboratory profession. The laboratory began examining its analytical quality in the 1920s when the American Society of Clinical Pathologists (ASCP) began a voluntary proficiency testing (PT) program with that was the predecessor of the College of American Pathologist's current PT program. The program focuses primarily on analytic quality, 1 of the 3 phases of what has become known as the “total testing process,” a cyclical process conceptualized by the Centers for Disease Control (CDC) that provides a framework for assessing quality of laboratory services. Laboratory testing is particularly essential in the practice of medical genetics. The translation of human genomic research into clinical practice has resulted in a rapidly expanding portfolio of DNA-based tests for heritable conditions and markers of drug metabolism. This creates an opportunity for laboratory professionals with genetic training but also brings with it a threat to the quality of care that might result from inappropriate use of unfamiliar, costly and inappropriate testing. As for conventional laboratory tests, there is the need to identify and control all phases of the “total genetic testing process.” An agenda for the second decade of the era of patient safety must be developed and here we offer a few key areas for practice improvement in laboratory medicine.     

丽水地区助产士对新生儿隐睾知识掌握现状的调查与分析

目的对丽水地区助产士掌握新生儿隐睾知识的现状进行调查分析。方法自行设计助产士隐睾相关知识调查问卷,采用整群抽样法,对丽水地区18家县级及以上医院150名注册助产士进行调查。结果 150名助产士隐睾相关知识总分平均(13.53±4.25)分(最高分24分),及格率42.67%;助产士的新生儿隐睾相关知识得分与年龄、护龄、职称、学历、有无参加培训和医院级别无相关性(P>0.05)。结论丽水地区助产士对新生儿隐睾知识掌握较差,有必要对助产士进行新生儿隐睾知识的专业实践培训。     

某三级甲等医院护士肺结核相关知识及态度的调查

目的了解临床护士肺结核相关知识及态度状况,为开展有针对性的肺结核专题培训提供参考依据。方法采用便利抽样方法选取长沙市某三级甲等综合医院400名临床护士进行肺结核问卷调查。数据采用SPSS13．0软件进行处理。结果375名护士肺结核相关知识总平均分为（18．71±3．45）分,为中等水平,其中防护措施及药物控制方面得分较低,分别为（3．88±1．25）分、（4．15±1．11）分;态度总平均分为（40．08±6．01）分,对护理肺结核患者的态度呈中等水平。肺结核知识得分的主要影响因素依次为肺结核护理经验、职称及态度（P〈0．05）;肺结核态度与知识、培训情况呈正相关（r分别为0．187,0．122;P〈0．05）。结论临床护士肺结核相关知识掌握不够全面,应加强肺结核知识的培训,改善护理肺结核患者的态度,充分发挥护士在肺结核病防治工作中的作用。     

儿科护士静脉输液治疗知识掌握情况的调查研究

目的调查儿科护士对静脉输液治疗相关知识掌握情况,从而发现问题,为管理者进行针对性的培训提供参考依据。方法本研究为多中心横断面调查,2018年7月24—31日,采用方便抽样的方法,选择北京儿童医院医联体范围内43家医院当日在岗的护士进行调查。本研究应用自制问卷,调查形式为通过问卷星进行线上数据收集。问卷由4名资深的静脉输液治疗专家基于2016版《静脉输液治疗指南》以及原国家卫生和计划生育委员会2014年发布的《静脉治疗护理技术操作规范》制定,问卷内容主要包括三部分,第一部分是调查对象以及调查医院的基本信息;第二部分为调查对象对国内静脉输液治疗行业标准及INS指南相关知识的掌握情况;第三部分为调查对象静脉输液治疗操作与维护知识掌握情况及所在科室静脉输液治疗现状。采用SPSS 17.0软件进行统计学分析。结果本研究共调查8405名儿科护士,其静脉输液治疗相关知识平均分为(11.72±2.41)分,及格率54.8%。调查显示,护士对需要根据药物性质选择输液工具及穿刺部位、静脉治疗操作前应进行患儿和治疗方案的评估、外周静脉留置针封管方法及遇到阻力或抽吸无回血时的处理方式掌握较好。单因素分析结果显示,医院级别、医院是否有配液中心及静脉输液治疗小组,护士学历、职称、工作年限、职务、是否带教均会影响护士对静脉输液治疗知识的掌握情况(P<0.05)。多因素Logistic回归分析结果显示,医院是否有配液中心及静脉输液治疗小组,护士学历、职称、工作年限、职务、是否带教是护士静脉输液治疗知识掌握情况的主要影响因素(P<0.05)。结论儿科护士对静脉输液治疗相关知识掌握不足,需要对其加强静脉输液治疗基础知识的培训,特别是输液工具的正确运用、穿刺部位的合理选择以及导管维护相关知识的培训。     

临床护士对静脉输液治疗相关知识知晓度的调查分析

目的调查临床护士对静脉输液治疗相关知识的知晓度,分析存在的问题,以便有针对性地进行专业指导和培训。方法2011年8月,自制静脉输液治疗相关知识知晓度的调查问卷,利用护士参加医院集体培训的机会对158名临床护士进行问卷调查。结果①70．3％的护士静脉输液治疗知识主要来源于医院培训,护士对静脉输液治疗知识的内涵认识欠全面。②44．2％护士对留置针的规范化固定及冲、封管方法了解不充分,仅约1／3的护士了解留置针A-c-L维护法,规范维护管理知识掌握不充分。③护士对静脉输液常见并发症认识欠深入,认为常见并发症发生的主要原因与患者的血管有关（静脉炎占78．5％,渗出占83．5％,导管堵塞占81．0％）。④9％的护士发生针刺伤后不能正确处理,护士对针刺伤原因认识清晰,处理方法还需加强培训。结论临床护士对静脉输液治疗相关知识的掌握欠全面性、系统性和专业性,需要对护士采取多种形式、多种途径的专业指导和培训,才能使临床护士全面掌握静脉输液治疗相关知识,促进静脉输液治疗规范化和专业化,有效保障护理质量和安全。     

广西青年居民肺结核病知识知晓率调查

目的：调查广西青年居民对肺结核病防治知识的知晓率情况,为开展健康教育,提高公民防治肺结核病的意识提供依据。方法采用结核病防治知识知晓率调查问卷对735名广西城乡青年居民进行调查。结果本次调查的735名广西青年中听说过肺结核病的占96．2％（707／735）,知道肺结核病能传播的占78．6％（556／707）,知道肺结核病有免费治疗政策的占57．4％（406／707）,知道结核病能治好的占43．3％（306／707）;对“肺结核能传播”“肺结核治疗有无免费政策”方面的认知乡村组均高于城镇组,两组比较差异有统计学意义（χ2值分别为4．992,5．786;P＜0．05）。结论广西青年居民对结核病的核心知识知晓程度较低,结核病的疾病宣传与防治的力度仍需要加强。     

Effect of educational intervention on nurses knowledge about palliative care: Quasi-experimental study

The aim of the study was to determine the level of knowledge of registered nurses about palliative care and to determine the effect of educational intervention on this level of knowledge in Turkey. The study was a quasi-experimental study and consists of 136 nurses. The study was conducted between April and June 2019 in a university hospital in Malatya, Turkey. Nurse are educated on the definition, history, and philosophy of palliative care, the responsibilities of palliative care nurses, symptom management, and end of life care. The education was applied in five sessions. Each session took approximately 40 min and sessions were conducted once a week. Data were collected before and after the education via nurse identification form developed by the research team and the Palliative Care Knowledge Test. It was determined that the nurses received 8.9 ± 1.1 out of 20 points before and 17.5 ± 1.9 points after the education. There was a statistically significant difference between the mean scores of nurses before and after training (p < 0.001). It was found that educational intervention has a large effect (Cohen's d = 5.540) on nurses' knowledge about palliative care. It was determined that educational intervention was an effective way to improve nurses' knowledge about palliative care.     

妇产科医院新入职护士母乳喂养知识态度现况调查

目的:了解新入职护士母乳喂养知识与态度情况及对母乳喂养的临床教学需求,为后期构建母乳喂养临床教学方案提供依据.方法:2020年8月至10月,采用方便抽样法选取上海市3所妇产科医院新入职护士作为研究对象,采用母乳喂养知识与态度问卷及培训需求问卷对其进行调查.结果:101名新入职护士对母乳喂养知识和态度总分分别为(13.8...     

护生骨质疏松症知识和健康信念的调查分析

目的 调查护生骨质疏松症知识和健康信念现状及特点,为护理院校进行骨质疏松症的教育提供依据.方法 采用方便抽样的方法,在2016年4~5月在苏州某卫生学院的护理专业学生中,从每个年级随机选取4个班级进行调查.使用骨质疏松症知识和健康信念问卷,对619名护生进行调查.结果 619名护生骨质疏松症知识及危险因素、运动、摄钙知识的知晓率分别为56.40%、51.31%、58.70%、61.39%;不同性别和年级护生之间的知识得分比较,差异均有统计学意义(P<0.05),女性高于男性,三年级>二年级>一年级.护生对骨质疏松症严重性、运动益处、摄钙益处、运动障碍、摄钙障碍的认知均分分别为(2.82±0.78)分、(3.80±0.80)分、(3.43±0.66)分、(3.48±0.75)分、(3.34±0.67)分;不同性别和年级护生在部分维度的健康信念得分上比较差异有统计学意义(P<0.05),如女护生的摄钙阻碍感得分比男护生高,三年级护生对骨质疏松症严重性的认知得分和运动阻碍感得分均比一、二年级护生高.结论 护生的骨质疏松知识及健康信念有待改善,护理院校可结合具体情况有针对性地开展骨质疏松症知识和信念的教育.     

天津市哮喘患儿家长哮喘知识及行为调查

目的 调查天津市哮喘患儿家长对哮喘知识的了解程度及其对治疗的依从性.方法 随机抽取2009年6月1日至7月31日期间哮喘专科门诊就诊的93名哮喘患儿家长(患儿均在我哮喘专科门诊规范治疗半年以上)进行问卷调查.结果 接受调查的家长中,72.04%知晓哮喘本质是气道慢性炎症性疾病;100%患儿遵医嘱规律使用吸入激素55.91%或吸入激素与长效β2受体激动荆联合制剂44.09%作为长期维持治疗药物;74.68%认为患儿病情控制后可以正常参加各项运动.＞5岁患儿中分别有93.55%及97.85%未使用过峰流速仪及"儿童哮喘控制测试(CACT)"监测病情;哮喘急性发作时,25.81%首选吸入速效β2受体激动剂作为自我紧急处理措施,19.35%及11.83%仍分别选择加用抗生素及束手无措;43.01%认为即使遵从医嘱规律使用吸入激素,对孩子生长发育仍有影响.结论 经规范治疗的天津市哮喘患儿家长对哮喘的认知普遍较好,但仍存在薄弱环节.哮喘知识的宣传教育可帮助患儿及其家长了解哮喘知识,树立对疾病及其防治的正确认识,增加治疗依从性,应长期坚持进行.     

西藏地区护士静脉血栓栓塞症知识现状的多中心调查

目的:了解西藏地区医院护士静脉血栓栓塞症（VTE）知识的掌握情况及其影响因素,旨在为西藏地区VTE防治的护理工作提供指导。方法:采用便利抽样的方法,于2019年11—12月对西藏自治区7个市（地区）59所医院的1 117名护士采用临床护士VTE知识问卷进行VTE知识调查。采用二项Logistic回归分析探讨护士VTE知...