Analysis of the current status of nursing assistants’ attitudes toward the elderly and the factors influencing_West China Medical Journal

Authors：

CHUN Xueli ¹ , XU Wenjie ² , LI Qian ¹ , LIAO Zaibo ¹ , Lü Juan ¹ , PAN Jie ² ,  WANG Ying ¹

1. Center of Gerontology and Geriatrics, West China Hospital of Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. West China Med Co.Ltd, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

WANG Ying, Email: ddw1972@163.com

Keywords：

Nursing assistants; elderly; attitude; knowledge of aging; influencing factors

DOI：

10.7507/1002-0179.202508199

Video：

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Objective To investigate the current status of nursing assistants’ attitudes and aging knowledge toward the elderly and to analyze their influencing factors. Methods Nursing assistants from West China Hospital of Sichuan University were selected by convenience sampling method between November and December 2021. A questionnaires were administered using the General Information Questionnaire, the Chinese version of the Attitude toward the Elderly Scale, and the Aging Knowledge Scale. Results A total of 391 nursing assistants were included. Nursing assistants’ attitudes toward older adults scored (126.26±19.79) and knowledge of aging scored (13.59±5.30). The results of multiple linear regression analysis showed that whether or not they had cared for older adults, whether or not they had received relevant training, whether or not they were willing to receive training, having worked as a caregiver for at least 5 years, and knowledge of aging were the main influencing factors on nursing assistants’ attitudes toward older adults (P<0.05). Conclusions The attitudes of nursing assistants toward the elderly in this group were on the positive level, yet their knowledge of aging requires improvement. Intrinsic learning motivation was identified as the strongest predictor of these attitudes. Therefore, systematic training should be designed to foster professional identity, integrate aging-related knowledge, and employ methods such as aging simulation experiences. This integrated approach can effectively promote the internalization of positive attitudes and enhance the quality of care.

Citation： CHUN Xueli, XU Wenjie, LI Qian, LIAO Zaibo, Lü Juan, PAN Jie, WANG Ying. Analysis of the current status of nursing assistants’ attitudes toward the elderly and the factors influencing. West China Medical Journal, 2026, 41(1): 90-95. doi: 10.7507/1002-0179.202508199 Copy

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2.	關于促進護理服務業改革與發展的指導意見. 中國護理管理, 2018, 18(7): 865-867.
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8.	Lambrinou E, Sourtzi P, Kalokerinou A, et al. Attitudes and knowledge of the Greek nursing students towards older people. Nurse Education Today, 2009, 29(6): 617-622.
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10.	王路, 李青青, 閆曉英, 等. 臨床護士對老年人態度現狀及其影響因素. 河南醫學研究, 2025, 34(3): 416-420.
11.	Kogan N. Attitudes toward old people: the development of a scale and an examination of correlates. J Abnorm Soc Psychol, 1961, 62: 44-54.
12.	趙思宇, 張會君, 劉濤, 等. 科根對老年人態度量表的信效度研究. 中華護理雜志, 2012, 47(9): 831-833.
13.	López-Hernández L, Martínez-Arnau FM, Castellano-Rioja E, et al. Factors affecting attitudes towards older people in undergraduate nursing students. Healthcare (Basel), 2021, 9(9): 1231.
14.	Palmore E. Facts on aging: a short quiz. Gerontologist, 1977, 17(4): 315-320.
15.	劉云娥, 馬艷林, 楊文麗, 等. Palmore 老年知識量表的引進及驗證研究. 護理學報, 2015, 22(5): 40-42.
16.	周倩, 黃婧琳, 李惠菊. 養老護理員對老年人態度的現狀及干預研究進展. 職業與健康, 2023, 39(11): 1554-1558.
17.	劉鳳, 潘婉玉, 鄭鈞譯, 等. 荊州市養老護理員對老年人態度與老化知識現狀調查研究. 重慶醫學, 2019, 48(3): 492-496.
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19.	袁群, 曹伏明, 陳燕, 等. 長沙市養老護理員對老年人的態度及其影響因素分析. 護理研究, 2015, 29(34): 4264-4266.
20.	Yu CY, Chen KM. Experiencing simulated aging improves knowledge of and attitudes toward aging. J Am Geriatr Soc, 2012, 60(5): 957-961.
21.	Mattos MK, Jiang Y, Seaman JB, et al. Baccalaureate nursing students’ knowledge of and attitudes toward older adults. J Gerontol Nurs, 2015, 41(7): 46-56.
22.	徐佳慧, 李歡, 何秀芝. 自我決定理論下臨床低年資護士心理彈性管理. 解放軍醫院管理雜志, 2021, 28(2): 182-186.
23.	方欣, 黃弋冰, 蔡逗逗, 等. 高職護生老化知識及對老年人態度的相關性分析. 衛生職業教育, 2021, 39(17): 138-140.
24.	Lin YC, Wang CJ, Wang JJ. Effects of a gerotranscendence educational program on gerotranscendence recognition, attitude toward aging and behavioral intention toward the elderly in long-term care facilities: a quasi-experimental study. Nurse Educ Today, 2016, 36: 324-329.
25.	李麗媚, 黃冬娣, 朱玉. 護生對老年人態度、自我效能感與老年知識水平相關性研究. 廣西醫學, 2020, 42(18): 2467-2470, 2475.
26.	王秀秀, 呂靜, 于雪微, 等. 社區護士對老年人態度、情緒勞動與職業倦怠的相關性分析. 職業與健康, 2021, 37(7): 931-935.
27.	張梅, 黃伶智, 尹淙禹, 等. 基層養老機構護理員認知障礙癥照護勝任感現狀及影響因素. 護理研究, 2024, 38(15): 2782-2786.
28.	劉立珍, 唐鳳平, 李雅, 等. 湖南省醫養結合機構養老護理員職業倦怠影響因素與干預策略. 職業與健康, 2021, 37(18): 2453-2457.

1. 國務院第七次全國人口普查領導小組辦公室. 2020 年第七次全國人口普查主要數據. 中國統計出版社, 2021.
2. 關于促進護理服務業改革與發展的指導意見. 中國護理管理, 2018, 18(7): 865-867.
3. 國家衛生健康委, 財政部, 人力資源和社會保障部, 等. 關于加強醫療護理員培訓和規范管理工作的通知. 中華人民共和國國家衛生健康委員會公報, 2019(7): 30-35.
4. 張丹丹, 鄭楠, 宋安平, 等. 三甲醫院醫療護理員崗位培訓與考核體驗的質性研究. 齊魯護理雜志, 2024, 30(15): 43-47.
5. 朱新青, 黃江杰, 黃遠球. 醫療護理員規范化管理模式探索與實踐. 中國衛生質量管理, 2025, 32(6): 51-55.
6. 李鳳丹, 丁炎明, 都繼微. 44 所三級醫院醫療護理員使用與管理現狀調查. 中華護理雜志, 2022, 57(21): 2629-2634.
7. 賈錕, 季紅, 于潔, 等. 養老機構護理員對老年人態度的研究進展. 護理研究, 2020, 34(23): 4191-4194.
8. Lambrinou E, Sourtzi P, Kalokerinou A, et al. Attitudes and knowledge of the Greek nursing students towards older people. Nurse Education Today, 2009, 29(6): 617-622.
9. Flood MT, Clark RB. Exploring knowledge and attitudes toward aging among nursing and nonnursing students. Educ Gerontol, 2009, 35(7): 587-595.
10. 王路, 李青青, 閆曉英, 等. 臨床護士對老年人態度現狀及其影響因素. 河南醫學研究, 2025, 34(3): 416-420.
11. Kogan N. Attitudes toward old people: the development of a scale and an examination of correlates. J Abnorm Soc Psychol, 1961, 62: 44-54.
12. 趙思宇, 張會君, 劉濤, 等. 科根對老年人態度量表的信效度研究. 中華護理雜志, 2012, 47(9): 831-833.
13. López-Hernández L, Martínez-Arnau FM, Castellano-Rioja E, et al. Factors affecting attitudes towards older people in undergraduate nursing students. Healthcare (Basel), 2021, 9(9): 1231.
14. Palmore E. Facts on aging: a short quiz. Gerontologist, 1977, 17(4): 315-320.
15. 劉云娥, 馬艷林, 楊文麗, 等. Palmore 老年知識量表的引進及驗證研究. 護理學報, 2015, 22(5): 40-42.
16. 周倩, 黃婧琳, 李惠菊. 養老護理員對老年人態度的現狀及干預研究進展. 職業與健康, 2023, 39(11): 1554-1558.
17. 劉鳳, 潘婉玉, 鄭鈞譯, 等. 荊州市養老護理員對老年人態度與老化知識現狀調查研究. 重慶醫學, 2019, 48(3): 492-496.
18. 王秀秀. 長春市社區護士對老年人態度及老化知識認知的現狀調查. 長春: 長春中醫藥大學, 2021.
19. 袁群, 曹伏明, 陳燕, 等. 長沙市養老護理員對老年人的態度及其影響因素分析. 護理研究, 2015, 29(34): 4264-4266.
20. Yu CY, Chen KM. Experiencing simulated aging improves knowledge of and attitudes toward aging. J Am Geriatr Soc, 2012, 60(5): 957-961.
21. Mattos MK, Jiang Y, Seaman JB, et al. Baccalaureate nursing students’ knowledge of and attitudes toward older adults. J Gerontol Nurs, 2015, 41(7): 46-56.
22. 徐佳慧, 李歡, 何秀芝. 自我決定理論下臨床低年資護士心理彈性管理. 解放軍醫院管理雜志, 2021, 28(2): 182-186.
23. 方欣, 黃弋冰, 蔡逗逗, 等. 高職護生老化知識及對老年人態度的相關性分析. 衛生職業教育, 2021, 39(17): 138-140.
24. Lin YC, Wang CJ, Wang JJ. Effects of a gerotranscendence educational program on gerotranscendence recognition, attitude toward aging and behavioral intention toward the elderly in long-term care facilities: a quasi-experimental study. Nurse Educ Today, 2016, 36: 324-329.
25. 李麗媚, 黃冬娣, 朱玉. 護生對老年人態度、自我效能感與老年知識水平相關性研究. 廣西醫學, 2020, 42(18): 2467-2470, 2475.
26. 王秀秀, 呂靜, 于雪微, 等. 社區護士對老年人態度、情緒勞動與職業倦怠的相關性分析. 職業與健康, 2021, 37(7): 931-935.
27. 張梅, 黃伶智, 尹淙禹, 等. 基層養老機構護理員認知障礙癥照護勝任感現狀及影響因素. 護理研究, 2024, 38(15): 2782-2786.
28. 劉立珍, 唐鳳平, 李雅, 等. 湖南省醫養結合機構養老護理員職業倦怠影響因素與干預策略. 職業與健康, 2021, 37(18): 2453-2457.

West China Medical Journal

Analysis of the current status of nursing assistants’ attitudes toward the elderly and the factors influencing

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