임상간호사의 당뇨병 간호지식 확산에 관한 연구
(A) Study on the Diffusion of Knowledge for Nursing care of Diabetes mellitus among Clinical Nurses
임상간호사 당뇨병 간호지식 간호학;
- 원문 URL
The study was conducted to investigate the level of diffusion of knowledge for nursing care of diabetes among clinical nurses. The subjects were 144 nurses who had experiences on nursing diabetes patients or had been working as a practical area at the G-University Hospital in J-Province and P-University Hospital in Busan-City. Data were collected from February through March in 2004. The data were analyzed by using descriptive statistics, t-test, and ANOVA. The overall results of study were summarized as follows: 1) The average score of clinical nurses' knowledgewas as low as 0.67(67% correctness). On comparison of the knowledge levels among seven Diabetes mellitus knowledge dimensions, the higher average scores were 0.85 for foot care dimensions, 0.74 for hyperglycemia and hypoglycemia management dimensions, and 0.72 for insulin injection. The lower average-score were 0.61 for diet therapy dimensions and 0.64 for oral hypoglycemic agent dimensions. 2) The level of persuasion of knowledge for nursing care of diabetes mellitus were averaged 0.66. In terms of dimensions score, hyperglycemia and hypoglycemia management dimensions had the higher point, 0.77. Insulin injection dimensions had the second higher point, 0.70. Oral hypoglycemic agent and diet therapy dimensionss had the lower score, 0.61 and 0.51 respectively. 3) The level of practical application of knowledge for nursing care ofdiabetes mellitus was averaged 1.0 out of 2.0. This means that they applied their knowledge 'sometimes' in practical application. In terms of dimensions, the highest point was 1.42 in foot care dimensions. The second highest point was 1.28 in hyperglycemia and hypoglycemia management dimensions. The lowest points were 0.67 in diet therapy dimensions and 0.83 in oral hypoglycemic agent dimensions. 4) The level of diffusion of knowledge for nursing care of diabetes mellitus was pointed as 2.28 out of 4.0 and this was estimated as a stage of 'persuation'. In terms of dimensions, hyperglycemia and hypoglycemia management dimensions was 2.48 point and insulin injection dimensions was 2.52 point which means a level of 'sometimes applicability'. 2.37 point in exercise therapy, 2.29 point in diagnosis and overall management dimensions, 2.29 point in foot care dimensions, 2.08 point in oral hypoglycemic agent dimensions, and 1.83 point in diet therapy means a level of 'persuation'. 5) The study showed that there were significant differences in nursing knowledge about diabetes patients, the level of perception, and practical application according to age, education level, position, years of nurse experience of nurses. In conclusion, the study showed that the extent of diffusion of nursing knowledge about diabetes' patients in clinical nurses was low. There need a strategy of raising the level of nursing knowledge, first of all, to increase the extent of diffusion of nursing knowledge about diabetes' patients in nurses. Accordingly, supplimentary educations and practical trainings fornursing knowledge shall be periodically needed. To achieve this purpose, the role of educational nurses for diabetes is requested.