鼻中隔偏曲患者对围术期护理指导满意度调查分析

The research on patient satisfaction undergoing deviated nasal septum surgery

目的探讨鼻中隔偏曲手术患者对经鼻中隔手术专题护理培训的护士及未经鼻中隔手术专题培训护士的围术期护理指导满意度的差异。方法选取在我院经过鼻中隔手术并有效填写问卷的患者96例,随机分为A组和B组各48例,A组患者接受经过鼻中隔偏曲手术相关专题护理指导教育训练的护士进行围手术期护理指导及健康宣教;B组则接受未经过鼻中隔偏曲手术相关专题护理指导教育训练的护士进行常规护理指导。采用护理指导满意度问卷表收集两组患者围术期的各项满意度评分,并进行比较。结果两组患者在年龄、受教育程度、性别、手术史、术前有无了解手术相关知识方面差异均无统计学意义(均P>0.05),参与两组患者护理的护理人员在年龄、年资、职级和学历方面差异也均无统计学意义(均P>0.05)。护理指导教育培训前对A组护理人员进行知识考核的答对率为88.3%,而培训后的答对率提高至97.5%,差异有统计学意义(P<0.05)。在围术期患者满意度评分的10个项目中,两组患者对麻醉方式的知晓满意度无统计学差异(P>0.05);其余9个项目中,A组患者的满意度评分均显著高于B组,差异均有统计学意义(均P<0.05);A组的总满意度评分为(4.45±0.70)分,显著高于B组的总满意度评分[(3.68±0.43)分,P<0.05]。结论建立完整的护理指导措施有助于患者在整个手术过程中得到满意、连续的高品质护理。

Objective To explore difference of nursing instruction satisfaction between special care trained nurses and without special care trained during deviated septum surgery. Methods 96 patients were randomly divided into A and B groups. Patients in group A received related topics of nursing care and health education during surgery. Patients in group B received routine nurses care guide. Care guide satisfaction questionnaire was used to collected perioperative satisfaction scores of two groups. Results The differences of age, education, gender, surgical history, preoperative surgeryrelated knowledge without understanding of the two group were not statistically significant （P〉0. 05）. Nursing Instruction Training of group A have correct ratio of 88.3% in the assessment of knowledge, while the value of post-tralnlng assessment of their knowledge correct rate increased to 97.5% （P〈0.05）. Perioperative patient satisfaction score of 10 projects, only two groups of patients for anesthesia satisfaction of awareness was no significant difference （P〉0. 05）, the remaining nine projects, patients of group A of satisfaction scores were significantly higher than in group B （P〈0.05）. Group A of total satisfaction score was 4.45±0.70, significantly higher than that in group B of 3.68±0.43 （P〈0.05）. Conclusion Measures to establish a complete care guide helps patients get satisfactory throughout the procedure and the continuous high-quality care.