住院患者对病房环境的评价及其影响因素
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摘要
目的分析住院患者对病房整洁和安静情况评价的影响因素,为相关管理政策提供依据和建议。方法 2014年7月至2015年5月,分层整群抽样法选取全国77所医院的8238例住院患者为研究对象。采用人口学特征调查表、医院组织相关因素调查表、住院患者对病房环境评价调查表、欧洲五维健康量表、中文版压力知觉量表等工具对其进行调查。结果患者对病房安静程度评价"较好/很好"的比例为57.2%,对病房整洁程度评价"较好/很好"的比例为68.8%。Logistic回归分析结果显示,组织相关因素(医院级别、性质)、个人相关因素(患者的年龄、婚姻状况和最近3年住院次数)对病房整洁程度评价的影响均有统计学意义(均P<0.05);个人相关因素(患者的文化程度、自感压力、焦虑/抑郁状况)对病房安静程度评价的影响均有统计学意义(均P<0.05)。结论病房整洁程度可能更多地受组织相关因素的影响,病房安静程度则更多地受个人相关因素的影响。
Objective To analyze the influencing factors for inpatients' evaluation of the cleanliness and quietness of the ward environment,in order to provide evidence and suggestions for related management policy.Methods By stratified cluster sampling method,8238 cases from 77 hospitals across the country were selected and investigated by using demographic scale,hospital organization related factors questionnaire,ward environment evaluation scale,EQ-5 Dand Chinese version of perceived stress scale.Results The percentage of respondents who rated the ward's quietness as"good/perfect"was 57.2%,and the percentage of respondents who rated the ward's cleanliness as"good/perfect"was 68.8%.Logistic regression analysis result showed that the organization-related factors(levels and categories of the hospitals)and personal factors(age,marital status andfrequency of hospitalization in the past three years)had significant effect on the inpatients' evaluation of cleanliness(all P<0.05).Personal factors(educational background,stress,and anxiety/depression)has significant effect on the evaluation of quietness(all P<0.05).Conclusions Ward's cleanliness might be influenced by organization-related factors more;and its quietness is influenced more by personal factors.
Objective To analyze the influencing factors for inpatients' evaluation of the cleanliness and quietness of the ward environment,in order to provide evidence and suggestions for related management policy.Methods By stratified cluster sampling method,8238 cases from 77 hospitals across the country were selected and investigated by using demographic scale,hospital organization related factors questionnaire,ward environment evaluation scale,EQ-5 Dand Chinese version of perceived stress scale.Results The percentage of respondents who rated the ward's quietness as"good/perfect"was 57.2%,and the percentage of respondents who rated the ward's cleanliness as"good/perfect"was 68.8%.Logistic regression analysis result showed that the organization-related factors(levels and categories of the hospitals)and personal factors(age,marital status andfrequency of hospitalization in the past three years)had significant effect on the inpatients' evaluation of cleanliness(all P<0.05).Personal factors(educational background,stress,and anxiety/depression)has significant effect on the evaluation of quietness(all P<0.05).Conclusions Ward's cleanliness might be influenced by organization-related factors more;and its quietness is influenced more by personal factors.
引文
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[16]王艳红,郭玉萍,杨叔禹,等.住院患者对护士关怀行为评价的研究[J].解放军护理杂志,2017,34(11):13-17.
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[18]刘婉琳,蒋运兰,刘一弦,等.中医医院与综合性西医医院护士幸福感与压力源比较及相关性分析[J].中国卫生事业管理,2016,33(10):782-786.
[19]王庆东,李丽娟,潘丽歆.中医院医院感染横断面调查分析[J].中国当代医药,2015,22(17):158-160.
[20]万欢,张娟,秦月兰.马太效应与品管圈结合对提升病房安静度的影响[J].齐鲁护理杂志,2016,22(7):107-108,109.
[21]Li J,Wang P,Kong X,et al.Patient satisfaction between primary care providers and hospitals:A cross-sectional survey in Jilin province,China[J].Int J Qual Health Care,2016,28(3):346-354.
[22]Shan L,Li Y,Ding D,et al.Patient satisfaction with hospital inpatient care:Effects of trust,medical insurance and perceived quality of care[J].Plos One,2016,11(10):e0164366.
[23]Hu R,Liao Y,Du Z,et al.Types of health care facilities and the quality of primary care:A study of characteristics and experiences of Chinese patients in Guangdong Province,China[J].BMC Health Serv Res,2016,16(a):335.
[24]Jha A K,Orav E J,Zheng J,et al.Patients’perception of hospital care in the United States[J].N Engl J Med,2008,359(18):1921-1931.
[2]邱国栋,王丽华,姜林.以病人为中心的医院服务组织体系构建[J].中国软科学,2011(10):73-83.
[3]周丹,王宇扬,胡晓,等.基于马斯洛层次理论的生殖中心注射室不孕症病人需求调查研究[J].全科护理,2017,15(20):2543-2544.
[4]Alidina S,Rosenthal M B,Schneider E C,et al.Practice environments and job satisfaction in patient-centered medical homes[J].Ann Fam Med,2014,12(4):331-337.
[5]舒莉,吴建平.噪声与人的身心健康[J].中国健康心理学杂志,2007,15(7):664-666.
[6]韩静,李新辉,杨琴.住院患者对病房物理环境舒适感的评价[J].解放军护理杂志,2012,29(21):13-15,19.
[7]赵纯武,翁剑平,舒永珍.住院患者对病房环境的适度感评价[J].中国医院管理,2007,27(11):33-35.
[8]戈志强,田侃,赵琨.EQ-5D量表评估临床路径前后COPD患者生存质量研究[J].中国医院管理,2016,36(4):35-37.
[9]曹洋,刘建江,许海涛,等.常见慢性病对农村中老年人群生命质量的影响研究[J].中国全科医学,2011,14(22):2537-2540.
[10]周忠良,周志英,厉旦,等.陕西省城乡居民健康相关生命质量研究:基于EQ-5D量表效用值的测算[J].中国卫生经济,2015,34(2):13-16.
[11]杨廷忠,黄汉腾.社会转型中城市居民心理压力的流行病学研究[J].中华流行病学杂志,2003,24(9):760-764.
[12]Elliott M N,Lehrman W G,Beckett M K,et al.Gender differences in patients’perceptions of inpatient care[J].Health Serv Res,2012,47(4):1482-1501.
[13]Ferri P,Muzzalupo J,Di Lorenzo R.Patients’perception of dignity in an Italian general hospital:A cross-sectional analysis[J].BMC Health Serv Res,2015(15):41.
[14]Woo J C,Lin Y L.Kids’perceptions toward children’s ward healing environments:A case study of Taiwan University Children’s Hospital[EB/OL].[2016-08-10].https://www.hindawi.com/journals/jhe/2016/8184653/.
[15]张萍,叶贝珠,王玙璠,等.公立医院医生正向执业环境现状与分析[J].中国卫生政策研究,2017,10(6):38-42.
[16]王艳红,郭玉萍,杨叔禹,等.住院患者对护士关怀行为评价的研究[J].解放军护理杂志,2017,34(11):13-17.
[17]郭佳莹,徐燕,欧秀娟,等.中西医医院急诊护士职业倦怠的调查分析[J].现代临床护理,2013(7):5-7.
[18]刘婉琳,蒋运兰,刘一弦,等.中医医院与综合性西医医院护士幸福感与压力源比较及相关性分析[J].中国卫生事业管理,2016,33(10):782-786.
[19]王庆东,李丽娟,潘丽歆.中医院医院感染横断面调查分析[J].中国当代医药,2015,22(17):158-160.
[20]万欢,张娟,秦月兰.马太效应与品管圈结合对提升病房安静度的影响[J].齐鲁护理杂志,2016,22(7):107-108,109.
[21]Li J,Wang P,Kong X,et al.Patient satisfaction between primary care providers and hospitals:A cross-sectional survey in Jilin province,China[J].Int J Qual Health Care,2016,28(3):346-354.
[22]Shan L,Li Y,Ding D,et al.Patient satisfaction with hospital inpatient care:Effects of trust,medical insurance and perceived quality of care[J].Plos One,2016,11(10):e0164366.
[23]Hu R,Liao Y,Du Z,et al.Types of health care facilities and the quality of primary care:A study of characteristics and experiences of Chinese patients in Guangdong Province,China[J].BMC Health Serv Res,2016,16(a):335.
[24]Jha A K,Orav E J,Zheng J,et al.Patients’perception of hospital care in the United States[J].N Engl J Med,2008,359(18):1921-1931.