【摘要】：研究目的本研究對浙江省養(yǎng)老機構護理人員進行知識、態(tài)度、行為方面的調查,了解養(yǎng)老護理員在這三方面的現(xiàn)狀,分析影響護理人員知識、態(tài)度、行為三個方面的因素,為改善養(yǎng)老護理員的服務質量提供意見和建議。研究方法本研究的資料主要通過以下三種方法:一是文獻法。收集中文萬方、維普和知網(wǎng)數(shù)據(jù)庫,外文PubMed、Web of Science等數(shù)據(jù)庫了解國內(nèi)外養(yǎng)老護理人員的現(xiàn)狀、老齡化現(xiàn)狀等。二是問卷調查法。設計調查問卷,問卷的主要內(nèi)容包括一般人口學、護理知識、護理態(tài)度以及護理行為的內(nèi)容,在浙江省杭州市西湖區(qū)和金華蘭溪市共10家養(yǎng)老機構進行問卷調查收集數(shù)據(jù)。三是統(tǒng)計分析。將收集的數(shù)據(jù)運用秩相關、逐步回歸法、結構方程模式等方法分析影響護理人員知識、態(tài)度、行為的因素。研究結果本研究調查的養(yǎng)老機構護理人員年齡整體偏大,年齡最小23歲,最大72歲,平均年齡50.77歲。護理員隊伍以女性為主,在所有調查對象中一共只有6名男性,78名女性。在文化程度方面,護理員整體受教育程度不高,文化程度主要集中在初中及以下,其中沒有受過小學教育的有21人,占25%;受到小學教育的有20人,占23.8%。在月收入方面,養(yǎng)老護理員收入普遍不高,主要集中在3001—4000元,一共有45人,占總人數(shù)的53.6%。養(yǎng)老護理人員工作時間長,工作強度較大,工作內(nèi)容多。平均每天工作時間14.96±5.77小時,平均每位護理員需要照顧7.96±3.94位老人,護理員每天工作內(nèi)容主要是:維持老人生活環(huán)境整潔,幫助老人的生活起居,負責關注老人的身體健康狀況等。在所有的養(yǎng)老護理員中有55人沒有經(jīng)過崗前培訓,占總人數(shù)的65.5%。在養(yǎng)老機構工作以后,大部分的護理員能夠接受到不同類型的護理培訓,培訓次數(shù)集中在2—4次,占總人數(shù)45.2%。其次是接受5—8次的培訓,有18人,工作后一次培訓也沒有接受過的也有14人。養(yǎng)老護理人員的知識得分最大值為23,最小值為6,平均分為17.11,標準差為3.34;態(tài)度得分最大值為60,最小值為38,平均分為48.15,標準差為3.711;行為得分最大值為7,最小值為1,平均分為5.58,標準差為1.355。通過對知識、態(tài)度、行為影響因素的逐步回歸分析發(fā)現(xiàn),教育程度、工作年限、崗前培訓對知識有正向的影響;崗前培訓、月收入情況對態(tài)度有正向的影響,年齡對態(tài)度有負向的影響;培訓次數(shù)、教育程度和工作年限對行為有正向的影響。通過構建結構方程模型發(fā)現(xiàn),護理知識通過態(tài)度影響最終的護理行為。研究結論浙江省養(yǎng)老機構護理人員年齡結構偏大,整體護理知識水平不高,要改善護理人員的護理素質,需要進一步加強崗前培訓,建立完善的養(yǎng)老護理人員培訓體系,規(guī)范養(yǎng)老護理人員職業(yè)隊伍。改善護理人員的薪資福利體系,增加養(yǎng)老護理人員的收入,吸引更多的人從事養(yǎng)老護理工作。完善養(yǎng)老護理人員相關政策法規(guī),維護養(yǎng)老護理人員基本利益。
[Abstract]:Objective to investigate the knowledge, attitude and behavior of nursing staff in old-age institutions in Zhejiang Province, to understand the present situation of nursing staff in these three aspects, and to analyze the factors that affect the knowledge, attitude and behavior of nursing staff. To provide advice and suggestions for improving the service quality of old-age care workers. Research methods the data of this study are mainly through the following three methods: first, the literature method. The databases of Chinese Wanfang, Weipu and Zhiwang, and the foreign language PubMedine Web of Science were collected to find out the current situation and aging status of nursing staff at home and abroad. The second is questionnaire survey method. A questionnaire was designed, the main contents of which included general demography, nursing knowledge, nursing attitude and nursing behavior. Data were collected from 10 pension institutions in Xihu District, Hangzhou City, Zhejiang Province and Jinhua Lanxi City. Third, statistical analysis. The data collected were analyzed by rank correlation, stepwise regression, structural equation model and other methods to analyze the factors affecting the knowledge, attitude and behavior of nursing staff. Results the age of nursing staff in this study was on the high side, the minimum age was 23 years, the maximum was 72 years old, the average age was 50.77 years. There were only 6 men and 78 women in all subjects. In terms of educational level, the overall level of education of nursing officers was not high. The education level was mainly concentrated in junior middle schools and below. Among them, 21 (2525) had no primary education and 20 (23.880) received primary education. In the monthly income, the old-age care worker income is generally not high, mainly concentrated in 3001-4000 yuan, a total of 45 people, accounting for the total number of 53.6. Old-age nursing staff work long hours, work intensity is large, work content is much. The average daily working time was 14.96 鹵5.77 hours, and the average nursing staff needed to take care of 7.96 鹵3.94 old people. The main contents of the care workers' daily work were as follows: to maintain the living environment of the elderly, to help the old people to live, to be responsible for paying attention to the health condition of the old people, and so on. Of all the carers, 55 had no pre-service training, accounting for 65. 5% of the total. After working in the old-age institutions, most nurses can receive different types of nursing training, the number of training concentrated in 2-4, accounting for the total number of 45.2. The next is 5-8 training, there are 18 people, after a job training also did not receive 14 people. The maximum score of knowledge is 23, the minimum is 6, the average score is 17.11, the standard deviation is 3.34; the maximum score of attitude is 60, the minimum is 38, the average score is 48.15, and the standard deviation is 3.711; the maximum score of behavior is 7, the minimum is 1, and the average is equal. The standard deviation is 1.355. Through the stepwise regression analysis on the influencing factors of knowledge, attitude and behavior, it was found that education, working years, pre-job training had positive effects on knowledge, and monthly income had a positive effect on attitude. Age has a negative effect on attitude, training times, education and working years have positive effects on behavior. By constructing the structural equation model, it was found that nursing knowledge influenced the ultimate nursing behavior through attitude. Conclusion in order to improve nursing quality of nursing staff, it is necessary to strengthen pre-job training and establish a perfect training system for nursing staff in order to improve the nursing quality of nursing staff in Zhejiang Province, the age structure of nursing staff in pension institutions is too large and the level of nursing knowledge is not high. We will standardize the professional ranks of nursing staff for the aged. To improve the salary and welfare system of nursing staff, increase the income of nursing staff and attract more people to work in pension care. Improve the related policies and regulations of nursing staff, safeguard the basic interests of nursing staff.
【學位授予單位】：浙江大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R47

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本文編號：2120289