与荷兰社区护士提供的健康饮食支持相关的护士相关的行为决定因素:一个横截面研究
Gerlinde Den Hamer-Jordaan1,2, Geertruida J Groenendijk-van Woudenbergh3, Willemieke Kroeze3
1Department of Nursing, Christian University of Applied Sciences (CHE), PO box 80, Ede, 6710 BB, The Netherlands. gerlinde.den.hamer@outlook.com.
BMC nursing
|October 21, 2024
概括
社区护士可以通过提高他们的态度,自我效能,动机和能力来改善患者的健康饮食支持. 解决特定饮食和行为改变技术的知识差距对于有效的患者护理至关重要.
科学领域:
- 护理实践 护理实践
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 社区护士 (CNs) 对于促进健康的生活方式至关重要,但在支持患者健康饮食行为方面,他们往往没有充分发挥作用.
- 本研究探讨了影响荷兰CN参与健康饮食支持的因素及其感知到的知识需求.
研究的目的:
- 检查荷兰CN中护士相关的行为决定因素与自我报告的健康饮食支持实践之间的关联.
- 确定CN需要额外知识的特定领域,以加强他们对患者健康饮食行为的支持.
主要方法:
- 在2021年10月至11月期间,对244个荷兰CN进行了横截面在线调查.
- 收集了关于CN特征,行为决定因素,健康饮食支持实践 (观察,交谈,激励,目标设定) 和知识需求的数据,使用5分利克尔特尺度.
- 调整后的波桑回归与可靠的差异估计被用于分析决定因素和实践之间的关联.
主要成果:
- 虽然观察问题 (75%) 和对话 (70%) 是常见的,但激励 (45%) 和目标设定 (28%) 是较少的CN实践.
- 积极的态度 (PR_调整1.8),自我效能 (PR_调整1.3),动机 (PR_调整1.5) 和能力 (PR_调整1.4) 与增加健康饮食支持有显著的关联.
- 国家医疗机构表达了对与癌症,胃肠道疾病,严重精神疾病和痴呆症有关的饮食知识的强烈需求,以及行为改变技术和患者自主权.
结论:
- 改善CN的健康饮食支持需要专注于提高他们的态度,自我效能,动机和能力.
- 未来的培训应优先考虑基于证据的行为改变技术,管理患者的自主权,以及针对复杂健康状况的专门饮食知识.
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