神经内科护士对脑卒中吞咽障碍护理知识和行为掌握情况的调查

目的调查神经内科护士对脑卒中吞咽障碍护理知识和行为的掌握情况,为临床开展吞咽障碍相关知识培训和提升临床护理质量提供依据。方法采用广西医科大学第一附属医院自行编制的《神经内科护士脑卒中吞咽障碍护理知识和行为调查表》对385名神经内科护士进行调查,统计护理知识和行为得分;比较不同特征护士的护理知识和行为得分。结果神经内科护士脑卒中吞咽障碍护理知识和行为总得分分别为(54.52±15.51)分和(40.07±6.41)分;不同医院等级、年龄、职称的护士脑卒中吞咽障碍护理知识得分比较,差异有统计学意义(P<0.05);吞咽专科护士和非吞咽专科护士知识和行为得分比较,差异均有统计学意义(P<0.05)。结论神经内科护士脑卒中吞咽障碍护理行为较积极,但护理知识欠缺。有关部门应重视对护士进行相关知识培训,提高护士的吞咽障碍护理知识水平,重点落实护理措施,降低脑卒中吞咽障碍并发症的发生率。

Investigation of management knowledge and behavior on stroke dysphagia in neurology nurses

Objective To investigate the management knowledge and behavior of dysphagia stroke patients in neurology nurses,and to provide evidence for clinical knowledge training and to improve the clinical nursing quality.Methods A self-designed questionnaire about neurology management knowledge and behavior on stroke dysphagia was used to investigate 385 neurology nurses.Scores of nursing knowledge and behavior were analyzed and compared in the different group of nurses.Results The overall average scores of knowledge and behavior were 54.52±15.51 and 40.07±6.41,respectively.There were significant differences in the knowledge score of nurses from different hospital level,ages and titles(P<0.05).There was significant difference in the knowledge and behavioral scores of swallowing specialist nurses and non-swallowing nurses(P<0.05).Conclusion Neurology nurses are more active in the behavior,but lack of nursing knowledge.Relevant departments should pay attention to the training of nurses to improve the nursing knowledge level of dysphagia and focus on implementing nursing measures to reduce the complications of dysphagia in stroke.