摘要
目的:了解结核科护士叙事护理知识、态度、行为现状并探讨其影响因素。方法:采用多阶段抽样法选取全国17个省市41所医院共1 791名结核科护士作为调查对象，采用一般资料问卷、临床护士叙事护理知识、态度、行为问卷进行横断面调查。结果:结核科护士叙事护理知识、态度、行为得分分别为（24.78±5.04）分、（32.86±5.05）分、（31.37±5.44）分。不同学历、职称、职务以及家庭关怀、同事关怀、领导关怀程度其叙事护理得分比较，差异有统计学意义（P<0.05）。多元线性回归分析结果显示，职务（t=3.081，P=0.002）、家庭关怀程度（t=-2.519，P=0.012）、领导关怀程度（t=-5.039，P<0.001）是影响结核科护士叙事护理知信行的重要因素。结论:结核科护士叙事护理知识掌握较好，叙事护理态度较积极，但叙事护理行为相对欠缺，护理管理者应针对性开展多种形式教育及培训，创造良好的关怀环境，提升护士叙事护理能力。
Abstract
Objective:To investigate the knowledge, attitude, and practice towards narrative nursing among tuberculosis department nurses and explore the influencing factors.Methods:A total of 1 791 tuberculosis department nurses from 41 hospitals in 17 provinces and cities across China were selected by multi-stage sampling as the survey subjects. A cross-sectional survey was conducted with a general data questionnaire and the Knowledge-Attitude-Practice Survey of Clinical Nurses on Narrative Nursing.Results:The scores of narrative nursing knowledge, attitude, and practice of tuberculosis department nurses were (24.78±5.04), (32.86±5.05), and (31.37±5.44), respectively. There were statistically significant differences in the scores of narrative nursing among different educational backgrounds, professional titles, positions, and levels of family care, colleague care, and leader care (P<0.05). The results of multiple linear regression analysis showed that position (t=3.081, P=0.002), family care level (t=-2.519, P=0.012), and leadership care level (t=-5.039, P<0.001) were the main factors affecting the narrative nursing knowledge, attitude, and practice of tuberculosis department nurses.Conclusion:Tuberculosis department nurses have a good grasp of narrative nursing knowledge and a positive attitude towards narrative nursing, but they have a lack of narrative nursing practice. Nursing managers should carry out various forms of education and training to create a good caring environment and improve nurses' narrative ability.
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