患者关怀感知现状与护患关系信任度的相关性研究
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摘要
目的调查住院患者对护士关怀行为的感知现状,并分析其与护患关系信任度的相关性。方法采用一般资料调查表、护士关怀行为量表(CBI)、护患关系信任度量表,对天津市某三甲医院的226名住院患者进行问卷调查。结果关怀行为感知总分(96.92±15.68)分,四个维度中,患者对护士的知识与技能关怀感知最深,对联系患者感知最差;护患信任感量表总分(124.75±19.13)分。患者关怀感知总分与护患关系信任度总分之间呈正相关(r=0.554);多元线性逐步回归分析显示,尊重患者、支持和保证是影响护患关系信任度的主要因素。结论患者对护士关怀行为的感知与护患信任度之间联系密切,护士应对不同特征患者实施有针对性的关怀照护,以增加患者对护士的信任感,构建良好的护患关系。
Objective: To investigate the perception status of inpatients to nurses' caring behavior,and analyze the correlation between them and nurse-patient relationship trust degree. Methods: Adopting general information questionnaire,Caring Behaviors Inventory( CBI),nurse-patient relationship trust scale,a questionnaire survey was conducted among 226 inpatients in a third class A tertiary hospital in Tianjin. Results: The total score of caring behavior perception was( 96. 92 ± 15. 68),and among the four dimensions,the perception of patients to nurses' knowledge and skills was deepest,the perception to nurse's contact with patients was worst; total score of nurse-patient trust scale was( 124. 75 ± 19. 13). There was a positive correlation between the total score of patients' caring perception and nurse-patient relationship trust degree( r = 0. 554); multiple linear stepwise regression analysis showed respect for patients,support and assurance were the main factors influencing the nurse-patient relationship trust degree. Conclusion: The patients' perception on nurses' caring behavior and nurse-patient relationship trust degree is closely related. Nurses should carry out targeted care to patients with different characteristics to improve patients' trust to nurses and construct a harmonious nurse-patient relationship.
Objective: To investigate the perception status of inpatients to nurses' caring behavior,and analyze the correlation between them and nurse-patient relationship trust degree. Methods: Adopting general information questionnaire,Caring Behaviors Inventory( CBI),nurse-patient relationship trust scale,a questionnaire survey was conducted among 226 inpatients in a third class A tertiary hospital in Tianjin. Results: The total score of caring behavior perception was( 96. 92 ± 15. 68),and among the four dimensions,the perception of patients to nurses' knowledge and skills was deepest,the perception to nurse's contact with patients was worst; total score of nurse-patient trust scale was( 124. 75 ± 19. 13). There was a positive correlation between the total score of patients' caring perception and nurse-patient relationship trust degree( r = 0. 554); multiple linear stepwise regression analysis showed respect for patients,support and assurance were the main factors influencing the nurse-patient relationship trust degree. Conclusion: The patients' perception on nurses' caring behavior and nurse-patient relationship trust degree is closely related. Nurses should carry out targeted care to patients with different characteristics to improve patients' trust to nurses and construct a harmonious nurse-patient relationship.
引文
[1]王妍,李晓旭,林征,等.护理人文关怀研究热点的共词聚类分析[J].中华护理杂志,2017,52(5):627-631.
[2]SIMMS.Nursing:The Philosophy and Science of Caring,Revised Edition[M].Colorado:University Press of Colorado,2008.
[3]董恩宏.基于医疗质量管理的患者信任度评价指标体系构建及相关研究[D].上海:上海交通大学,2012.
[4]Culi W.The Power of Words[J].Journal of Christian Nursing A Quarterly Publication of Nurses Christian Fellowship,2016,33(2):122.
[5]Boot M.Exploring the district nurse role in facilitating individualised advance care planning[J].Br J Community Nurs,2016,21(3):144-147.
[6]Pearson S D,Raeke L H.Patients'trust in physicians:many theories,few measures,and little data[J].Journal of General Internal Medicine,2000,15(7):509-513.
[7]Din L,Gastmans C.Trust in nurse-patient relationships:a literature review[J].Nursing Ethics,2013,20(5):501.
[8]Cossette S,Cara C,Ricard N,et al.Assessing nurse-patient interactions from a caring perspective:report of the development and preliminary psychometric testing of the Caring Nurse-Patient Interactions Scale[J].International Journal of Nursing Studies,2005,42(6):673.
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[10]冈谷惠子.看护妇-患者关系における信赖さ测定す质问纸の开发[J].看护研究,1995,28(4):29-39.
[11]黄哲梅,洪婉媚,曹丽红,等.护患关系信任度量表的信效度分析[J].护理管理杂志,2010,10(10):700-701.
[12]张韶红.生殖科患者对护理人员人文关怀能力感知的调查分析[J].世界最新医学信息文摘,2016,16(70):256,268.
[13]Von E L,Sj dén P O.The importance of nurse caring behaviors as perceived by Swedish hospital patients and nursing staff[J].International Journal of Nursing Studies,1991,28(3):267-281.
[14]黄翠,陈瑜.111名实习护生关怀能力及影响因素调查分析[J].护理学报,2013(2):21-25.
[15]Baldursdottir G,Jonsdottir H.The importance of nurse caring behaviors as perceived by patients receiving care at an emergency department[J].Heart&Lung the Journal of Critical Care,2002,31(1):67-75.
[16]杨红瑞,陈瑜.48例乳腺癌患者对护理行为关怀性评价的调查[J].护理学报,2015(4):18-21.
[17]董秀丽,高小雁.对骨科住院患者关怀性护理行为评价的调查[J].中华现代护理杂志,2011,17(17):2031-2033.
[18]中华人民共和国国家卫生和计划生育委员会.全国护理事业发展规划(2016-2020年)[J].中国护理管理,2017,24(1):1-5.
[19]刘义兰,王桂兰.住院病人对护理行为关怀性评价的调查研究[J].中华护理杂志,2002,37(4):245-248.
[20]唐烟萍.开展优质护理服务对护患关系信任度的影响[J].全科护理,2012,10(29):2760-2761.
[21]马占芹,张慧杰,张海波.优质护理服务对护患关系信任度的影响[J].吉林医药学院学报,2015(5):353-354.
[22]Hall M A,Camacho F,Dugan E,et al.Trust in the medical profession:conceptual and measurement issues[J].Health Services Research,2002,37(5):1419-1439.
[23]Din L,Gastmans C.Trust and trustworthiness in nursing:an argument-based literature review[J].Nursing Inquiry,2012,19(3):223-237.
[24]RGN,RNT,Pask M J,et al.Trust:an essential component of nursing practice—implications for nurse education[J].Nurse Educ Today,1995,15(3):190-195.
[2]SIMMS.Nursing:The Philosophy and Science of Caring,Revised Edition[M].Colorado:University Press of Colorado,2008.
[3]董恩宏.基于医疗质量管理的患者信任度评价指标体系构建及相关研究[D].上海:上海交通大学,2012.
[4]Culi W.The Power of Words[J].Journal of Christian Nursing A Quarterly Publication of Nurses Christian Fellowship,2016,33(2):122.
[5]Boot M.Exploring the district nurse role in facilitating individualised advance care planning[J].Br J Community Nurs,2016,21(3):144-147.
[6]Pearson S D,Raeke L H.Patients'trust in physicians:many theories,few measures,and little data[J].Journal of General Internal Medicine,2000,15(7):509-513.
[7]Din L,Gastmans C.Trust in nurse-patient relationships:a literature review[J].Nursing Ethics,2013,20(5):501.
[8]Cossette S,Cara C,Ricard N,et al.Assessing nurse-patient interactions from a caring perspective:report of the development and preliminary psychometric testing of the Caring Nurse-Patient Interactions Scale[J].International Journal of Nursing Studies,2005,42(6):673.
[9]达朝锦.关怀行为量表的汉化及其中文版的信度、效度研究[D].兰州:兰州大学,2016.
[10]冈谷惠子.看护妇-患者关系における信赖さ测定す质问纸の开发[J].看护研究,1995,28(4):29-39.
[11]黄哲梅,洪婉媚,曹丽红,等.护患关系信任度量表的信效度分析[J].护理管理杂志,2010,10(10):700-701.
[12]张韶红.生殖科患者对护理人员人文关怀能力感知的调查分析[J].世界最新医学信息文摘,2016,16(70):256,268.
[13]Von E L,Sj dén P O.The importance of nurse caring behaviors as perceived by Swedish hospital patients and nursing staff[J].International Journal of Nursing Studies,1991,28(3):267-281.
[14]黄翠,陈瑜.111名实习护生关怀能力及影响因素调查分析[J].护理学报,2013(2):21-25.
[15]Baldursdottir G,Jonsdottir H.The importance of nurse caring behaviors as perceived by patients receiving care at an emergency department[J].Heart&Lung the Journal of Critical Care,2002,31(1):67-75.
[16]杨红瑞,陈瑜.48例乳腺癌患者对护理行为关怀性评价的调查[J].护理学报,2015(4):18-21.
[17]董秀丽,高小雁.对骨科住院患者关怀性护理行为评价的调查[J].中华现代护理杂志,2011,17(17):2031-2033.
[18]中华人民共和国国家卫生和计划生育委员会.全国护理事业发展规划(2016-2020年)[J].中国护理管理,2017,24(1):1-5.
[19]刘义兰,王桂兰.住院病人对护理行为关怀性评价的调查研究[J].中华护理杂志,2002,37(4):245-248.
[20]唐烟萍.开展优质护理服务对护患关系信任度的影响[J].全科护理,2012,10(29):2760-2761.
[21]马占芹,张慧杰,张海波.优质护理服务对护患关系信任度的影响[J].吉林医药学院学报,2015(5):353-354.
[22]Hall M A,Camacho F,Dugan E,et al.Trust in the medical profession:conceptual and measurement issues[J].Health Services Research,2002,37(5):1419-1439.
[23]Din L,Gastmans C.Trust and trustworthiness in nursing:an argument-based literature review[J].Nursing Inquiry,2012,19(3):223-237.
[24]RGN,RNT,Pask M J,et al.Trust:an essential component of nursing practice—implications for nurse education[J].Nurse Educ Today,1995,15(3):190-195.