耐多药肺结核患者护理工作满意度的调查分析

Investigation of satisfaction rate of nursing care among patients with multidrug resistant pulmonary tuberculosis

目的：调查耐多药肺结核患者对护理工作的满意度，为护理质量改进提供依据。方法采用自行设计的调查问卷对100例耐多药肺结核患者进行护理服务满意度问卷调查。结果患者对护士责任心评价得分为（4．87±0．11）分，对护士态度评价得分为（4．89±0．09）分，对基础护理评价得分为（4．77±0．15）分，对技术操作评价得分为（4．86±0．25）分，对健康知识宣教评价得分为（4．66±0．21）分。患者的文化程度与婚姻状况对护理满意度的影响差异无统计学意义（ F值分别为1．53，1．79；P＞0．05）；而不同家庭收入、医疗费用承担方式对总体护理满意度的影响差异有统计学意义（ F值分别为7．02，8．93；P＜0．05）。耐多药肺结核病患者的总体护理满意度与患者的人均家庭月收入和医疗费用承担方式呈正相关（r值分别为0．55，0．43；P＜0．05）。结论应加强护理人员对耐多药肺结核患者的健康教育，满足患者对医学护理知识的需求，从而提高患者对护理工作的满意度。

Objective To investigate the satisfaction rate of nursing care among patients with multidrug resistant pulmonary tuberculosis .Methods A self-designed questionnaire was conducted in 100 patients of multidrug resistant pulmonary tuberculosis to survey the satisfaction of nursing care .Results The scores of responsibility , attitude, fundamental nursing care , operation skills and health education of nurses were （4.87 ± 0.11）, （4.89 ±0.09）, （4.77 ±0.15）, （4.86 ±0.25） and （4.66 ±0.21）, respectively.There was no significant difference in the influence of the education level and marriage status on the satisfaction of nursing care （F=1.53, 1.79, respectively;P〉0.05）.However, there were differences in the influence of family income and way of medical expense on the satisfaction of overall nursing care （F=7.02, 8.93, respectively;P〈0.05）. The satisfaction of nursing care was positively related to family income and way of medical expense （ r=0.55, 0.43, respectively;P〈0.05）.Conclusions The nursing staff should strengthen their health education for the patients of multidrug resistant pulmonary tuberculosis to meet patients ’ demand for medical nursing knowledge , in order to improve patients ’ satisfaction on nursing service .