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目的 探讨老年人“互联网+护理服务”护士风险感知的潜在类别，并分析其影响因素。方法 于2023年1-5月，采用方便抽样选取太原市22所医院(8所三级医院、3所二级医院、10所一级医院和1所网约服务平台)中参与过老年人“互联网+护理服务”的492名护理人员为研究对象，应用一般资料调查表、老年人“互联网+护理服务”护士风险因素及风险结局评估量表进行调查。对护士风险感知结局进行潜在类别分类，并运用单因素方差分析、χ2检验和无序多分类logistic回归分析护士风险感知的影响因素。结果 护士风险感知潜在类别为4类，分为：高生理-低执业经济风险感知组(20.3%)、低生理-高执业经济风险感知组(41.0%)、高风险感知组(14.3%)、低风险感知组(24.4%)。无序多分类logistic回归分析结果显示，外部环境风险评估、护士服务相关经验评估、护士临床核心能力评估、医疗机构等级(三级医院)、出行时段(20:00-24:00)是护士风险感知的影响因素(P<0.05)。结论 老年人“互联网+护理服务”护士风险结局感知存在显著的类别特征。护理管理者应根据不同潜在类别的风险结局及其影响因素制定针对性的应对策略，以降低护理人员服务风险和风险感知水平。
Abstract：Objective To explore nurses' potential categories of "Internet + Nursing Service" in the elderly and analyze its influencing factors. Methods A total of 492 nursing staffs who participated in the "Internet + Nursing Service" for the elderly in 22 tertiary, secondary, primary hospitals and online service platforms in Taiyuan from January to May 2023 were selected by objective sampling, and were investigated by using the general information questionnaire and the nurses' risk factors and risk outcome assessment scale of "Internet + Nursing Service" for the elderly. Nurses' risk perception outcomes were classified by potential category, and the factors influencing nurses' risk perception were analyzed using one-way analyse of variance, chi-square test, and unordered multi-classification logistic regression. Results The analysis of nurses' risk perception potential category was divided intio 4 categories, respectively high physiology-low practice economic risk perception group(20.3%), low physiology-high practice economic risk perception group(41.0%), high risk perception group(14.3%), and low risk perception group(24.4%).The results of the disordered multi-classification logistic regression analysis was showed that external environmental risk assessment, nurse service-related experience assessment, nurse clinical core competence assessment, grade of medical institution(tertiary hospital), and travel period(20:00-24:00) were the influencing factors of nurses' risk perception(P<0.05). Conclusion There are significant category characteristics in nurses' risk outcome perception of "Internet + Nursing Service" for the elderly. Nursing managers should develop the targeted coping strategies based on different potential categories of risk outcomes and their influencing factors to reduce the service risk and the risk perception level of caregivers.
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基本信息:
DOI：10.16821/j.cnki.hsjx.2024.15.001
中图分类号:R47
引用信息:
[1]石宇平,许佳佳,张耀等.老年人“互联网+护理服务”护士风险感知的潜在类别分析[J].护士进修杂志,2024,39(15):1569-1576.DOI:10.16821/j.cnki.hsjx.2024.15.001.
基金信息:
山西白求恩医院院级科研项目(编号：2022YJ01); 中华医学会杂志社护理学科研究项目(编号：CMAPH-NRI2022048); 山西省科技战略重点研究项目(编号：202204031401029)