护士与患者对护患关系认知差异的现状分析

Analysis of the cognition status differences of nurse-patient relationship between nurses and patients

目的：了解护患双方对护患关系认知差异，为实施有针对性的护患教育，建立和谐护患关系提供依据。方法采用自行设计的护患关系认知调查表对某三级医院141名临床护士和同期住院患者150例进行问卷调查。结果47．33％的护士和47．52％患者认为护患纠纷的责任主体是护患双方，护患双方比较差异无统计学意义（χ^2＝3．686， P＞0．05）。60．67％的患者期望与护士成为亲人关系，58．87％的护士则期望与患者成为朋友关系；护士和患者对当前护患关系性质及期望关系认知方面差异有统计学意义（χ2值分别为101．210，59．392；P＜0．01）。护士和患者在当前护患关系和谐程度、护患关系发展趋势认知方面差异有统计学意义（P＜0．05）。结论依据护患需求制定继续教育内容，应增加对护士心理学知识、礼仪知识等软技能的培训，加强双方信息交流，消除双方信息不对称等措施，建立以和谐护患关系为导向的护理继续教育体系。

Objective To comprehend the differencesof the cognition status of nurse-patient relationship between nurses and patients and provide the evidence for targeted continuing nursing education . Methods Total of 141 nurses and 150 patients had been accepted self-design questionnaire about the cognition status of nurse-patient relationship.Results There were 47.33% of nurses and 47.52% of patients believed that both nurses and patients took the main responsibility to cause nurse-patient disputes , and there was no statistical difference between nurse and patient （χ^2 =3.686, P 〉0.05 ）.According to the results of questionnaire,60.67%of patients wanted to build up a relationship like family with nurse while 58.87% of nurses wanted to keep relationship like friend with patient （χ2 =101.210,59.392, respectively; P〈0.01）. Conclusions This study can provide evidence for continuing education according to the requirement of nurse and patient. We should enhance nurses ’ knowledge of psychology and etiquette , promote nurse-patient communication and rule out biased information from nurses and patients , and aim to build up a continuing education system leading by a harmony nurse-patient relationship for nurses .