ICU护理人员关怀能力的调查分析

Investigation of caring capacity of ICU nurses

目的：调查ICU护理人员的关怀能力现状及影响因素，为ICU临床一线护士和护理管理者提供人文关怀策略。方法对吉林省某市三甲医院99名符合纳入标准的护士采用中文版关怀能力评价量表进行问卷调查。结果 ICU护士关怀能力整体偏低，总量表得分为（181．83±21．48）分，其中认知维度（70．38±10．17）分，勇气维度（55．71±10．50）分，耐心维度（56．05±7．74）分。不同工作年限的ICU护理人员比较，差异无统计学意义（t＝1．591，P＞0．05）；不同聘用形式及是否独生子女的ICU护理人员比较，差异有统计学意义（t值分别为2．512，2．475；P＜0．05）；不同学历的ICU护理人员比较，差异有统计学意义（F＝8．289，P＜0．01）；不同职称的ICU护理人员比较，差异无统计学意义（F＝1．323，P＞0．05）。结论 ICU护理人员关怀能力整体偏低，对患者实施关怀不够主动。建议护理人员尤其是低学历者积极参加人文知识和跨学科培训，护理管理者可通过提供更多的职称晋升及进修机会、增加在编比例提高护士待遇、优化排班模式，提升护理人员关怀能力水平。

Objective The aim of the study is to investigate the ability of caring status and influence factors for ICU nurses and to provide humane care strategy to nursing managers. Methods Totals of 99 nurses met the inclusion criteria in ICU of four hospitals in Jilin, were surveyed with the Chinese Version Caring Ability Inventory scale questionnaire. Results The overall caring capacity of ICU nurses was low, with a total score of （181.83±21.48 ）, within which the dimensions of cognitive, courage, patience were （70.38±10. 17 ）, （ 55.71±10.50 ） and （ 56.05±7.74）, respectively. For different working years of ICU nurses, the difference was not statistically significant （ t = 1. 591, P 〉 0.05 ） ; For different form of employment and whether the ICU nurses was single-child, the differences were statistically significant （t = 2. 512,2. 475, respectively; P 〈 0.05 ） ; For different educational degree of ICU nurses, the difference was statistically significant （ F = 8. 289, P 〈0.01 ） ; For different titles of ICU nurses, the difference was not statistically significant （ F = 1. 323, P 〉 0.05 ）. Conclusions ICU nurses＇ caring capacity is low in general, and caring for patients is insufficient. We recommend the interdisciplinary humanities knowledge training, especially for the lower educated nurses. Nursing administrators can provide more education and promotion opportunities, increase the proportion of permanent staff, and optimize scheduling model to enhance the caring capacity.