Obstetric Nurses' Knowledge, Attitudes, and Professional Support Related to Actual Care Practices About Urinary Incontinence
Obstetric Nurses' Knowledge, Attitudes, and Professional Support Related to Actual Care Practices About Urinary Incontinence
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产科护士与尿失禁实际护理实践相关的知识、态度和专业支持
DOI：
10.1097/spv.0000000000000941
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发表时间：
2021-02-01
影响因子：
1.6
通讯作者：
Cai, Wenzhi
中科院分区：
文献类型：
--
作者：
Li, Tiantian;Wang, Jia;Cai, Wenzhi
目的本研究的目的是评估产科护士对妊娠期尿失禁（UI）的知识、态度和实践（KAP），并确定与其实际具体护理实践相关的因素，以推荐盆底肌肉训练（PFMT）。方法对参加中国围产期护理学术会议的产科护士进行横断面研究。通过自填问卷收集数据，包括人口统计和专业信息，专业支持包括临床方案和学习经验、知识、态度和 UI 实践。结果407名产科护士完成了调查（回应率为89.8%）。绝大多数知识题的正确回答率都在80%以上。大多数参与者强烈同意产前 PFMT 对 UI 治疗和预防有效（分别为 69.5% 和 69.0%）。尽管只有不到 30% 的参与者始终向失禁或失禁孕妇推荐 PFMT（分别为 29.5% 和 25.3%），但具有临床方案、学习经验和积极态度的产科护士更有可能推荐 PFMT 治疗 UI（比值比 [OR], 2.165，P < 0.001；OR，1.759；P = 0.014；OR， 2.326；P < 0.001，分别）。具有临床协议和积极态度的产科护士更有可能推荐 PFMT 来预防 UI（OR，2.252；P < 0.001；OR，1.693；P = 0.005）。结论大多数产科护士对孕期UI有良好的认知和积极的态度，但未能对其进行护理。临床方案、学习经验和积极态度是他们推荐 PFMT 的实际具体护理实践的促进因素。这一发现表明需要制定有关妊娠期间 UI 的临床方案和教育计划。
ObjectivesThe objective of this study was to evaluate obstetric nurses' knowledge, attitudes, and practices (KAP) toward urinary incontinence (UI) during pregnancy and identify factors associated with their actual specific care practices for recommending pelvic floor muscle training (PFMT). MethodsA cross-sectional study was conducted among obstetric nurses attending an academic conference about perinatal care in China. Data were collected through a self-administered questionnaire, including demographic and professional information, professional supports included clinical protocol and learning experience, knowledge, attitudes, and practices of UI. ResultsFour hundred and seven obstetric nurses completed the survey (89.8% response rate). The correct answer rates of the vast majority of knowledge items was more than 80%. The majority of participants strongly agreed that antenatal PFMT is effective in UI treatment and prevention (69.5% and 69.0% respectively). Although only less than 30% of participants always recommended PFMT to incontinent or continent pregnant women (29.5% and 25.3%, respectively), obstetric nurses with clinical protocol, learning experience, and positive attitudes were more likely to recommend PFMT for treating UI (odds ratio [OR], 2.165, P < 0.001; OR, 1.759; P = 0.014; OR, 2.326; P < 0.001, respectively). Obstetric nurses with clinical protocol and positive attitudes were more likely to recommend PFMT for preventing UI (OR, 2.252; P < 0.001; OR, 1.693; P = 0.005, respectively). ConclusionsMost obstetric nurses have good knowledge and positive attitudes toward UI during pregnancy, but fail to deliver care for it. Clinical protocol, learning experience, and positive attitudes are facilitators of their actual specific care practices for recommending PFMT. This finding suggests the need for developing clinical protocols and education programs regarding UI during pregnancy.