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已发表论文
安徽省护士为慢性肾脏病患者提供饮食指导的能力及其影响因素
Authors Wang XZ, Cheng GM, Yu LL, Zhao M
Received 19 August 2025
Accepted for publication 24 December 2025
Published 2 February 2026 Volume 2026:19 557178
DOI https://doi.org/10.2147/JMDH.S557178
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Pavani Rangachari
Xiu-Zhi Wang,1 Guang-Min Cheng,1 Ling-Ling Yu,2 Mei Zhao3
1Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, 230022, People’s Republic of China; 2Ma’anshan College, Ma’anshan, Anhui Province, 243100, People’s Republic of China; 3School of Nursing, Anhui Medical University, Hefei, Anhui Province, 230032, People’s Republic of China
Correspondence: Mei Zhao, School of Nursing, Anhui Medical University, Hefei, Anhui Province, 230032, People’s Republic of China, Tel +86 13966681076, Email zhaomei@ahmu.edu.cn
Objective: This study aimed to assess the competency of clinical nurses in providing dietary guidance to patients with chronic kidney disease (CKD) and to examine factors influencing this competency.
Methods: A cross-sectional study was conducted across 36 secondary and tertiary hospitals in 11 prefecture-level cities in China between April and May 2024. Data were collected using validated questionnaires clinical nurse assessment tool for chronic kidney disease (CKD) dietary guidance that assessed three domains knowledge, attitudes/beliefs, and practices related to dietary guidance for CKD.
Results: Out of 393 valid responses, the overall mean score for dietary guidance competency was 214.46 ± 25.94. Domain-specific mean scores for knowledge, attitude, and practice components were 3.95 ± 0.61, 4.08 ± 0.41, and 3.72 ± 0.69 respectively. Multiple linear regression analysis identified four significant predictors of competency: departmental affiliation, dedicated learning time, prior nutrition training, and leadership support for dietary education initiatives (p < 0.05).
Conclusion: To enhance the competency of nurses in providing dietary guidance to individuals with CKD, healthcare systems should implement standardized nutrition training programs and integrate these with specialized clinical practice to optimize training outcomes.
Keywords: attitude, chronic kidney disease, clinical nurse, dietary guidance ability, influencing factor, knowledge, practice
1Department of Nephrology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, 230022, People’s Republic of China; 2Ma’anshan College, Ma’anshan, Anhui Province, 243100, People’s Republic of China; 3School of Nursing, Anhui Medical University, Hefei, Anhui Province, 230032, People’s Republic of China
Correspondence: Mei Zhao, School of Nursing, Anhui Medical University, Hefei, Anhui Province, 230032, People’s Republic of China, Tel +86 13966681076, Email zhaomei@ahmu.edu.cn
Objective: This study aimed to assess the competency of clinical nurses in providing dietary guidance to patients with chronic kidney disease (CKD) and to examine factors influencing this competency.
Methods: A cross-sectional study was conducted across 36 secondary and tertiary hospitals in 11 prefecture-level cities in China between April and May 2024. Data were collected using validated questionnaires clinical nurse assessment tool for chronic kidney disease (CKD) dietary guidance that assessed three domains knowledge, attitudes/beliefs, and practices related to dietary guidance for CKD.
Results: Out of 393 valid responses, the overall mean score for dietary guidance competency was 214.46 ± 25.94. Domain-specific mean scores for knowledge, attitude, and practice components were 3.95 ± 0.61, 4.08 ± 0.41, and 3.72 ± 0.69 respectively. Multiple linear regression analysis identified four significant predictors of competency: departmental affiliation, dedicated learning time, prior nutrition training, and leadership support for dietary education initiatives (p < 0.05).
Conclusion: To enhance the competency of nurses in providing dietary guidance to individuals with CKD, healthcare systems should implement standardized nutrition training programs and integrate these with specialized clinical practice to optimize training outcomes.
Keywords: attitude, chronic kidney disease, clinical nurse, dietary guidance ability, influencing factor, knowledge, practice