构建护理人员人文关怀传递链的研究

Study on construction of humanistic care delivery chain for nursing personnel

[目的]探讨人文关怀链中各层级护理人员人文关怀程度及影响因素。[方法]采用方便抽样的方法选取某院内科、外科8个病房作为研究对象,随机分为观察组和对照组。观察组在对病人实施人文关怀的基础上,对护理管理人员、护理人员、护生也实施人文关怀。对照组仅对病人实施人文关怀,实施半年后对两组护理人员、护生及病人发放相应问卷进行调查。[结果]观察组护理管理者关怀特征量表总分为(98.19±9.08)分,护理人员关怀行为自评量表总分为(108.01±12.52)分,护生人文关怀量表总分为(179.74±11.52)分,病人人文关怀满意度总分为(77.57±9.52)分;对照组分别为(90.36±12.27)分、(101.02±14.62)分、(171.19±18.48)分、(74.40±11.50)分,两组比较差异有统计学意义(P<0.05);观察组护士长尊重他人的需求维度与护理人员对他人的尊重维度呈正相关(r=0.27),护士护理专业知识及技术得分与病人对提供良好技术得分呈正相关(r=0.30)。[结论]通过对护理管理人员、护理人员、护生实施人文关怀提高了病人满意度。

Objective：To probe into the nursing personnel in every level in humanistic care chain and its influen‐cing factors .Methods：A total of 8 wards in department of internal medicine and surgery department in a hospital were selected by convenient sampling method as the research objects ,and they were randomly divided into ob‐servation group and control group .In observation group ,the humanistic care was implemented for patients ,but also the implementation of humanistic care for nursing managers ,nurses and nursing students .In control group , humanistic care was implemented only for patients .After half a year ,the survey was conducted for two groups of nurses ,nursing students and patients by providing corresponding questionnaire .Results：In observation group , total score of nursing managers caring attributes scale was （98 .19 ± 9 .08） ,nursing personnel care behavior self rating scale score was （108 .01 ± 12 .52） ,the total score of nursing students’ humanity care scale was （179 .74 ± 11 .52） ,patients’ satisfaction score of humanistic care was （77 .57 ± 9 .52）;in control group those were respec‐tively （90 .36 ± 12 .27）（101 .02 ± 14 .62）（171 .19 ± 18 .48） and （74 .4 ± 11 .50） ,there was statistically significant difference between two groups （P〈0 .05） .The demand dimension of head nurses to respecting others in obser‐vation group was positively related to dimension of nursing personnel respecting others （r=0 .27） ,the score of nurses’ nursing special knowledge and technology was positively related to score of patients providing good technical scores （r= 0 .30） .Conclusion：Implementation of humanistic care for nursing managers ,nurses and nursing students has improved patients’ satisfaction .