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

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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

1.	国务院第七次全国人口普查领导小组办公室. 2020 年第七次全国人口普查主要数据. 中国统计出版社, 2021.
2.	关于促进护理服务业改革与发展的指导意见. 中国护理管理, 2018, 18(7): 865-867.
3.	国家卫生健康委, 财政部, 人力资源和社会保障部, 等. 关于加强医疗护理员培训和规范管理工作的通知. 中华人民共和国国家卫生健康委员会公报, 2019(7): 30-35.
4.	张丹丹, 郑楠, 宋安平, 等. 三甲医院医疗护理员岗位培训与考核体验的质性研究. 齐鲁护理杂志, 2024, 30(15): 43-47.
5.	朱新青, 黄江杰, 黄远球. 医疗护理员规范化管理模式探索与实践. 中国卫生质量管理, 2025, 32(6): 51-55.
6.	李凤丹, 丁炎明, 都继微. 44 所三级医院医疗护理员使用与管理现状调查. 中华护理杂志, 2022, 57(21): 2629-2634.
7.	贾锟, 季红, 于洁, 等. 养老机构护理员对老年人态度的研究进展. 护理研究, 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, 闫晓英, 等. 临床护士对老年人态度现状及其影响因素. 河南医学研究, 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.	赵思宇, 张会君, 刘涛, 等. 科根对老年人态度量表的信效度研究. 中华护理杂志, 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.	刘云娥, 马艳林, 杨文丽, 等. Palmore 老年知识量表的引进及验证研究. 护理学报, 2015, 22(5): 40-42.
16.	周倩, 黄婧琳, 李惠菊. 养老护理员对老年人态度的现状及干预研究进展. 职业与健康, 2023, 39(11): 1554-1558.
17.	刘凤, 潘婉玉, 郑钧译, 等. 荆州市养老护理员对老年人态度与老化知识现状调查研究. 重庆医学, 2019, 48(3): 492-496.
18.	王秀秀. 长春市社区护士对老年人态度及老化知识认知的现状调查. 长春: 长春中医药大学, 2021.
19.	袁群, 曹伏明, 陈燕, 等. 长沙市养老护理员对老年人的态度及其影响因素分析. 护理研究, 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, 李欢, 何秀芝. 自我决定理论下临床低年资护士心理弹性管理. 解放军医院管理杂志, 2021, 28(2): 182-186.
23.	方欣, 黄弋冰, 蔡逗逗, 等. 高职护生老化知识及对老年人态度的相关性分析. 卫生职业教育, 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.	李丽媚, 黄冬娣, 朱玉. 护生对老年人态度、自我效能感与老年知识水平相关性研究. 广西医学, 2020, 42(18): 2467-2470, 2475.
26.	王秀秀, 吕静, 于雪微, 等. 社区护士对老年人态度、情绪劳动与职业倦怠的相关性分析. 职业与健康, 2021, 37(7): 931-935.
27.	张梅, 黄伶智, 尹淙禹, 等. 基层养老机构护理员认知障碍症照护胜任感现状及影响因素. 护理研究, 2024, 38(15): 2782-2786.
28.	刘立珍, 唐凤平, 李雅, 等. 湖南省医养结合机构养老护理员职业倦怠影响因素与干预策略. 职业与健康, 2021, 37(18): 2453-2457.

1. 国务院第七次全国人口普查领导小组办公室. 2020 年第七次全国人口普查主要数据. 中国统计出版社, 2021.
2. 关于促进护理服务业改革与发展的指导意见. 中国护理管理, 2018, 18(7): 865-867.
3. 国家卫生健康委, 财政部, 人力资源和社会保障部, 等. 关于加强医疗护理员培训和规范管理工作的通知. 中华人民共和国国家卫生健康委员会公报, 2019(7): 30-35.
4. 张丹丹, 郑楠, 宋安平, 等. 三甲医院医疗护理员岗位培训与考核体验的质性研究. 齐鲁护理杂志, 2024, 30(15): 43-47.
5. 朱新青, 黄江杰, 黄远球. 医疗护理员规范化管理模式探索与实践. 中国卫生质量管理, 2025, 32(6): 51-55.
6. 李凤丹, 丁炎明, 都继微. 44 所三级医院医疗护理员使用与管理现状调查. 中华护理杂志, 2022, 57(21): 2629-2634.
7. 贾锟, 季红, 于洁, 等. 养老机构护理员对老年人态度的研究进展. 护理研究, 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, 闫晓英, 等. 临床护士对老年人态度现状及其影响因素. 河南医学研究, 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. 赵思宇, 张会君, 刘涛, 等. 科根对老年人态度量表的信效度研究. 中华护理杂志, 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. 刘云娥, 马艳林, 杨文丽, 等. Palmore 老年知识量表的引进及验证研究. 护理学报, 2015, 22(5): 40-42.
16. 周倩, 黄婧琳, 李惠菊. 养老护理员对老年人态度的现状及干预研究进展. 职业与健康, 2023, 39(11): 1554-1558.
17. 刘凤, 潘婉玉, 郑钧译, 等. 荆州市养老护理员对老年人态度与老化知识现状调查研究. 重庆医学, 2019, 48(3): 492-496.
18. 王秀秀. 长春市社区护士对老年人态度及老化知识认知的现状调查. 长春: 长春中医药大学, 2021.
19. 袁群, 曹伏明, 陈燕, 等. 长沙市养老护理员对老年人的态度及其影响因素分析. 护理研究, 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, 李欢, 何秀芝. 自我决定理论下临床低年资护士心理弹性管理. 解放军医院管理杂志, 2021, 28(2): 182-186.
23. 方欣, 黄弋冰, 蔡逗逗, 等. 高职护生老化知识及对老年人态度的相关性分析. 卫生职业教育, 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. 李丽媚, 黄冬娣, 朱玉. 护生对老年人态度、自我效能感与老年知识水平相关性研究. 广西医学, 2020, 42(18): 2467-2470, 2475.
26. 王秀秀, 吕静, 于雪微, 等. 社区护士对老年人态度、情绪劳动与职业倦怠的相关性分析. 职业与健康, 2021, 37(7): 931-935.
27. 张梅, 黄伶智, 尹淙禹, 等. 基层养老机构护理员认知障碍症照护胜任感现状及影响因素. 护理研究, 2024, 38(15): 2782-2786.
28. 刘立珍, 唐凤平, 李雅, 等. 湖南省医养结合机构养老护理员职业倦怠影响因素与干预策略. 职业与健康, 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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