医护患三方对基础护理认知的调查分析

Awareness of fundamental nursing care among physicians,nurses and patients

目的了解医生、护士和患者对基础护理的认知现状,探讨三方观点的异同,并提出相应对策。方法采用自行设计的问卷,分层抽样调查483名医生和1 740例患者、普查1 226名护士对基础护理的认识现状。结果分别有67.3%医生和59.1%护士认为为患者做生活护理会树立护士形象;医、护、患三方多数认为应由护士与家人共同来照顾患者;对于需要陪护的原因和对完成基础护理的护士级别选择,三方差异有统计学意义(均P<0.01)。结论医、护、患三方对基础护理的认识存在差异,三方应转变对实施基础护理的观念。建议合理配置人力资源,各级护理人员共同参与基础护理,切实夯实基础护理,提高护理服务质量。

Objective To investigate awareness of fundamental nursing care among physicians,nurses and patients,to analyze the similarities and differences in their views,and to put forward countermeasures.Methods A total of 483 physicians and 1,740 patients chosen by using stratified sampling,and 1,226 nurses recruited by clustering sampling were surveyed by self-designed questionnaires in terms of their views about fundamental nursing care.Results Strictly,67.3% of physicians and 59.1% of nurses convinced that nurses providing patients with life-assisting care fostered positive image;the majority of physicians,nurses and patients believed patients should be cared both by nurses and their family members;statistical significant differences were found in reasons for needing caregivers and in selection of nurses based on ranks for conducting fundamental nursing care among physicians,nurses and patients（P0.01 for both）.Conclusion Awareness of fundamental nursing care demonstrates differences among physicians,nurses and patients;all of them should change their concepts of fundamental nursing care.It is recommended to rationally allocate human resource,encourage nurses to participate in providing fundamental nursing care,so as to strengthen implementation of fundamental nursing care and improve nursing quality.