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| Status quo of knowledge, attitude and behavior of insulin injection among nurses of non-endocrinology department and analysis of structural equation model |
| LI Shucen1 FU Rong2 ZHANG Hongmei3 ZHANG Ning3 GU Tianwei3 |
1.School of Nursing, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210023, China;
2.Department of Internal Medicine, Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210000, China;
3.Department of Endocrinology, Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210000, China |
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Abstract Objective To analyze the current status of insulin injection knowledge, attitude and behavior among non-endocrinology nurses, and explore the mechanism of action of knowledge, attitude, and behavior. Methods A total of 1233 non-endocrine nurses in a class three grades hospital in Nanjing Province from June to July 2019 were selected by convenience sampling method. The general information questionnaire and insulin injection technology knowledge, attitude and behavior questionnaire were used, and SPSS 23.0 and Amos 23.0 software were applied to analyze the status quo and construct the structural equation model. Results In this study, a total of 1235 questionnaires were collected, 1233 valid questionnaires, and the effective response rate was 99.8%. The scores of non-endocrinology nurses′ insulin injection knowledge and attitude, knowledge and behavior, attitude and behavior were positively correlated (r = 0.13, 0.10, 0.39, P = 0.000). The differences in comparison of insulin injection knowledge scores among non-endocrinology nurses with different genders, working years, education background, job title, marital status, whether they were members of the diabetes team, and the number of times of training in the past one year were statistically significant (P ＜ 0.05). There were statistically significant differences in the score of insulin injection knowledge among non-endocrine nurses of whether it was a member of the diabetes group and received relevant training for different times in the past one year (P ＜ 0.05). There was a statistically significant difference in the scores of insulin injection behavior at different times of training in the past one year (P ＜ 0.05). The structural equation model fits well, knowledge had a direct effect on attitude, and the effect coefficient was 0.14; attitude had a direct effect on behavior, and the effect coefficient was 0.56; the total effect coefficient of knowledge on behavior was 0.15, of which the direct effect coefficient was 0.07, and the indirect influence coefficient through attitude on behavior was 0.08. Conclusion Non-endocrinology nurses need to improve their knowledge of insulin injection, and their attitudes and behaviors are good. The guidance of a positive attitude is the key to improving nurses′ knowledge, attitude, and behavior of insulin injection.
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