Effect of nutrition knowledge training and teaching in obstetrics on nurses' nutrition support nursing, knowledge, belief, and behavior

doi:10.3760/cma.j.issn.1007-1245.2023.12.025

Abstract

Abstract:

Objective　To explore the influence of nutrition knowledge training and teaching in obstetrics on nurses' nutrition support nursing, knowledge, belief, and behavior. Methods　A total of 42 obstetric nurses who were trained in nutrition knowledge in Henan Provincial People's Hospital from July 2020 to June 2021 were selected as a study group, including 7 males and 35 females who (34.81±2.53) years old. A total of 39 obstetric nurses before the training in Henan Provincial People's Hospital from July 2019 to June 2020 were selected as a control group, including 4 males and 35 females who were (35.17±2.41) years old. The awareness rates of nutrition support, scores of knowledge, belief, and behavior, maternal and infant nutrition support, and satisfaction were compared between these two groups. χ² test or Fisher exact test was used for the enumeration data, and independent sample t test for the measurement data between these two groups. Results　The awareness rates of basic nutrition, obstetric nutrition, identification of nutrition-related problems, and malnutrition nursing in the study group were higher than those in the control group [97.62% (41/42) vs. 82.05% (32/39), 92.86% (39/42) vs. 76.92% (30/39), 95.24% (40/42) vs. 79.49% (31/39), and 92.86% (39/42) vs. 71.79% (28/39); all P<0.05]. The scores of nutritional support knowledge, belief, and behavior in the study group were higher than those in the control group [(4.95±0.83) vs. (4.37±0.68), (24.81±3.75) vs. (22.96±2.27), and (25.38±3.84) vs. (23.06±2.36); all P<0.05]. The incidence of macrosomia in the study group was lower than that in the control group [5.00% (5/100) vs. 16.00% (16/100); P<0.05]. The neonatal body weight of the study group was lower than that of the control group [(3 161.18±319.47) g vs. (3 508.41±348.62) g; P<0.05]. The scores of nutrition support nursing, nursing attitude, and overall satisfaction in the study group were higher than those in the control group [(9.25±1.52) vs. (8.74±1.69), (9.06±1.68) vs. (8.45±1.41), and (27.45±2.14) vs. (26.24±2.66); all P<0.05]. Conclusion　The training and teaching of nutrition knowledge in obstetrics department is helpful to improve nurses' ability of nutrition support nursing, knowledge, belief, and behavior and pregnant women's nutritional status in obstetrics department.

Key words:

Nutritional support, Obstetric nurses, Training, Knowledge, belief, and behavior

摘要：

目的　探究产科开展营养知识培训教学对护士营养支持护理和知信行的影响。方法　选择2020年7月至2021年6月河南省人民医院行营养知识培训教学的产科护士42名作为研究组，男7名，女35名，年龄（34.81±2.53）岁。另选择2019年7月至2020年6月河南省人民医院培训前的产科护士39名作为对照组，男4名，女35名，年龄（35.17±2.41）岁。比较两组营养支持知晓率、知信行评分及母婴营养支持、满意度情况。计数资料采用χ²或Fisher精确检验，计量资料组间比较采用独立样本t检验。结果　研究组产科护士基础营养、产科营养、营养相关问题识别、营养不良护理知晓率分别为97.62%（41/42）、92.86%（39/42）、95.24%（40/42）、92.86%（39/42），高于对照组的82.05%（32/39）、76.92%（30/39）、79.49%（31/39）、71.79%（28/39）（均P<0.05）。研究组营养支持知识、信念、行为评分分别为（4.95±0.83）分、（24.81±3.75）分、（25.38±3.84）分，均高于对照组的（4.37±0.68）分、（22.96±2.27）分、（23.06±2.36）分（均P<0.05）。研究组巨大儿发生率为5.00%（5/100），低于对照组的16.00%（16/100）（P<0.05）。研究组新生儿体质量为（3 161.18±319.47）g，低于对照组的（3 508.41±348.62）g（P<0.05）。研究组孕产妇营养支持护理、护理态度及总体满意度分别为（9.25±1.52）分、（9.06±1.68）分、（27.45±2.14）分，均高于对照组的（8.74±1.69）分、（8.45±1.41）分、（26.24±2.66）分（均P<0.05）。结论　产科开展营养知识培训教学有助于提高护士营养支持护理和知信行能力，改善产科孕产妇营养状况。

关键词:

营养支持, 产科护士, 培训, 知信行

Zhao Cong, Jiang Qiuhuan, Zhang Qian.

Effect of nutrition knowledge training and teaching in obstetrics on nurses' nutrition support nursing, knowledge, belief, and behavior [J]. International Medicine and Health Guidance News, 2023, 29(12): 1738-1742.

赵聪蒋秋焕张茜.

产科开展营养知识培训教学对护士营养支持护理和知信行的影响研究 [J]. 国际医药卫生导报, 2023, 29(12): 1738-1742.

References

[1] 王玉芬, 刘娟. 发育支持护理干预对早产低出生体质量儿营养状况的影响[J]. 山西医药杂志, 2020, 49(6):755-757. DOI:10.3969/j.issn.0253-9926.2020.06.053.
[2] 杨蕙宇. 积极营养支持对早产儿生长发育和营养状况的影响[J]. 国际医药卫生导报, 2020, 26(20):3077-3080. DOI:10.3760/cma.j.issn.1007-1245.2020.20.022.
[3] Keats EC, Das JK, Salam RA, et al. Effective interventions to address maternal and child malnutrition: an update of the evidence[J]. Lancet Child Adolesc Health, 2021, 5(5):367-384. DOI: 10.1016/S2352-4642(20)30274-1.
[4] 林双, 杜莉, 沈心荷,等. 上海市2013-2015年482899例妊娠妇女孕前营养不良及超重肥胖状况分析[J]. 中国计划生育学杂志, 2020, 28(11):1909-1913. DOI: 10.3969/j.issn.1004-8189.2020.11.045.
[5] Marshall NE, Abrams B, Barbour LA, et al. The importance of nutrition in pregnancy and lactation: lifelong consequences[J]. Am J Obstet Gynecol, 2022, 226(5):607-632. DOI:10.1016/j.ajog.2021.12.035.
[6] Saronga N, Burrows TL, Collins CE, et al. Contents of nutrition care services among pregnant women attending antenatal clinic: an exit interview[J]. J Hum Nutr Diet, 2022, 35(2):265-272. DOI:10.1111/jhn.12915.
[7] 朱华荣, 潘明华, 王丽洁. 个性化营养支持在改善妊娠剧吐孕妇常见并发症的疗效观察[J]. 中国药物与临床, 2019, 19(4):582-584. DOI:10.11655/zgywylc2019.04.021.
[8] 王金宁, 刘泽威, 于晓丽,等. 三级甲等综合医院护士营养知识、态度、行为现状及其影响因素分析[J]. 中国实用护理杂志, 2022, 38(14):1062-1068. DOI:10.3760/cma.j.cn211501-20210507-01320.
[9] 刘珊珊, 杨晓敏, 龚文艳,等. 产科护士支持纯母乳喂养信念的现象学研究[J]. 解放军护理杂志, 2019, 36(6):15-17. DOI: 10.3969/j.issn.1008-9993.2019.06.005.
[10] 中国医师协会. 临床诊疗指南:临床营养科分册[M]. 北京:人民军医出版社, 2011:52-93.
[11] 李尧, 王超楠, 张晓伟. 营养知识规范化培训对医护人员的营养治疗态度及行为的影响[J]. 广西医学, 2018, 40(3):360-361. DOI:10.11675/j.issn.0253-4304.2018.03.37.
[12] 许海琴, 朱雁. 肠内营养多模式培训对肿瘤科护士营养支持知信行的影响[J]. 国际护理学杂志, 2022, 41(8):1367-1370. DOI:10.3760/cma.j.cn221370-20201230- 00353.
[13] 王爱. 孕期个体化膳食营养指导对孕产妇体质量增长及新生儿状况的影响[J]. 中国妇幼保健, 2018, 33(4):793-796. DOI:10.7620/zgfybj.j.issn.1001-4411.2018.04.23.
[14] Van Scyoc S, Farris AR, Roy M, et al. Nutrition practitioner perceptions of nutrition education with pregnant clients[J]. J Nutr Educ Behav, 2021, 53(11):938-943. DOI:10.1016/j.jneb.2021.08.004.
[15] Maslin K, Dean C. Nutritional consequences and management of hyperemesis gravidarum: a narrative review[J]. Nutr Res Rev, 2022, 35(2): 308-318. DOI: 10.1017/S0954422421000305.
[16] 孙克娟, 孟亚丽, 张红真,等. 399名临床护士营养知识、态度和行为现状及影响因素研究[J]. 河北医科大学学报, 2019, 40(2): 222-225. DOI:10.3969/j.issn.1007- 3205. 2019.02.025.
[17] 李娟, 周凡, 李玉肖,等. 营养规范化诊疗培训对某院医护人员营养知识水平及营养干预行为的影响[J]. 安徽医学, 2022, 43(3):348-351. DOI:10.3969/j.issn.1000- 0399.2022.03.023.
[18] Arefi Z, Sadeghi R, Shojaeizadeh D, et al. The effect of educational intervention on nutritional behavior in pregnant women based on social cognitive theory[J]. J Matern Fetal Neonatal Med, 2022, 35(25):9724-9729. DOI: 10.1080/14767058.2022.2050901.
[19] Wit RF, Lucassen DA, Beulen YH, et al. Midwives' experiences with and perspectives on online (nutritional) counselling and mhealth applications for pregnant women; an explorative qualitative study [J]. Int J Environ Res Public Health, 2021, 18(13):6733. DOI: 10.3390/ijerph18136733.
[20] Khani Jeihooni A, Rakhshani T, Harsini PA, et al. Effect of educational program based on theory of planned behavior on promoting nutritional behaviors preventing anemia in a sample of Iranian pregnant women[J]. BMC Public Health, 2021, 21(1): 2198. DOI: 10.1186/s12889-021-12270-x.
[21] Vincze L, Rollo M, Hutchesson M, et al. Interventions including a nutrition component aimed at managing gestational weight gain or postpartum weight retention: a systematic review and meta-analysis[J]. JBI Database System Rev Implement Rep, 2019, 17(3):297-364. DOI: 10.11124/JBISRIR-2017-003593.
[22] 金超, 林兵, 李世阳,等. 妊娠期知信行营养管理模式对妊娠期糖尿病的作用分析[J]. 中国食物与营养, 2022, 28(8):83-86. DOI: 10.19870/j.cnki.11-3716/ts.2022.08.002.
[23] 刘慧松, 刘志梅, 陈鑫,等. 多模式培训对ICU护士肠内营养知信行的影响[J]. 护理学杂志, 2020, 35(7):59-61. DOI:10.3870/j.issn.1001-4152.2020.07.059.
[24] 王汇,程岚,周金花,等. 知、信、行模式在临床护士肠内营养护理培训中的应用[J]. 解放军医院管理杂志,2021,28(8):797-800. DOI:10.16770/J.cnki.1008-9985.2021.08.035.
[25] Kim H, Chang SJ. Implementing an educational program to improve critical care nurses' enteral nutritional support[J]. Aust Crit Care, 2019, 32(3):218-222. DOI: 10.1016/j.aucc.2018.04.001.
[26] 李彩霞,冯杏琳,张东红. 营养测评系统和运动干预与控制孕妇、胎儿体重,降低剖宫产的关系分析[J]. 中国优生与遗传杂志,2018,26(3):51-53.
[27] Koletzko B, Godfrey KM, Poston L, et al. Nutrition during pregnancy, lactation and early childhood and its implications for maternal and long-term child health: the early nutrition project recommendations [J]. Ann Nutr Metab, 2019, 74(2): 93-106. DOI: 10.1159/000496471.
[28] 谷文文, 张莉, 王维平,等. 孕妇孕前BMI和孕期体质量增长与分娩巨大儿的相关性[J]. 贵州医科大学学报, 2021, 46(4):492-496. DOI: 10.19367/j.cnki.2096-8388. 2021.04.022.
[29] 张婷. 孕妇体重与妊娠期糖代谢异常及巨大儿的相关性分析[J]. 贵州医药, 2022, 46(7):1087-1088. DOI:10.3969/j.issn.1000-744X.2022.07.042.
[30] 田丽槟, 徐嘉蔚, 陈莉莉,等. MDT模式的营养干预对妊娠期糖尿病糖脂代谢、妊娠结局及新生儿免疫功能的影响[J]. 中南医学科学杂志, 2021, 49(2):207-212. DOI:10.15972/j.cnki.43-1509/r.2021.02.018.
[31] 柳亚芬, 吕艳丽, 王秀云,等. 孕期规范化综合营养干预对妊娠期糖尿病孕妇妊娠结局的改善作用观察[J]. 中国医刊, 2018, 53(1): 57-60. DOI:10.3969/j.issn.1008-1070. 2018.01.017.