住院患者与护士对护理关怀行为评价的对比分析

Comparative analysis of care behaviors between inpatients and nurses

目的比较住院患者和护士对护理关怀行为评价的不同点，以期从不同角度了解护士关怀行为实施情况，为医院更好开展人文关怀提供依据。方法分别使用护士人文执业能力测评量表和关怀行为量表对南方医科大学第三附属医院160名护士和159例住院患者进行调查。结果护士对关怀行为自评总均分为（4．15±0．58）分，其中自我管理能力维度得分最低，为（3．84±0．67）分；患者对护士关怀性护理行为评价的总均分为（3．49±0．92）分，得分最低的维度是尊重和联系（3．42±0．95）分；护士和患者均感到在基础护理（如满足基本需要、提供良好环境）、心理护理（如给予支持）和专业护理方面（如健康教育）的人文关怀较好，但在提供高层次的情感需求（如多元化护理、精神寄托）、护理方案的参与制作方面，双方都认为护士的关怀性做得不够到位。结论护理关怀行为的评价处于中上水平，表明护士在临床实践中具有一定人文关怀实践能力，并且得到患者的认可，但仍有较大的提升空间，提示护理管理者从患者的角度出发的同时，也要给予护士足够的尊重和体谅，双管齐下去践行优质护理服务。

Objective To compare the evaluation of care behaviors among inpatients and nurses, in order to know the implementation of caring behavior from different perspectives, and to provide evidence for better humanistic care in hospitals. Methods The nurses＂ humanistic practice ability scale and the caring behavior scale were used to investigate 160 nurses and inpatients respectively in The Third Affiliated Hospital of Southern Medical University. Results The total score of nurses＂ self rating for caring behavior was （4.15 ~ 0.58） points, while the score of self-management ability was lowest, which was （3.84 ~ 0.67） points; and the total score of nurses＂ caring behaviors was （3.49 -＋ 0.92） points, while the lowest scoring dimensions were respect and connection （3.42 ~ 0.95） points. Nurses and patients both feel better at basic care （such as meeting basic needs, providing good environment）, psychological care （such as giving support and） and professional care （such as health education）, but both of them think that nurses did not do good enough in the provision of high-level emotional needs （such as diversified care, spiritual sustenance）and participation in nursing programmes. Conclusions The evaluation of nursing caringbehavior is in the middle and upper level, which shown that the nurses have certain humanistic care and practical ability in clinical practice, and have been recognized by patients, but there is still a lot of room for improvement, and suggested that nursing administrators should give nurses enough respect and consideration while considering patients.