多次住院化疗肿瘤患者护理需求与护理人员认知差异的调查

Investigation of the differences between readmission chemotherapy patients＇ requirement and nursing staffs＇ cognition

目的探讨多次住院的多疗程化疗患者护理需求与护士认知之间的差异，以调整护理服务行为和程序，提高护理质量。方法2013年10月—2014年4月，采用自行设计问卷，对380例多次住院患者和160名护理人员进行了调查，比较多次住院患者护理需求和护士认知需求的差异。结果多次住院患者的护理需求总分为（8．25±1．20）分，护士认知的患者需求总分为（7．02±1．35）分，差异有统计学意义（t=16．556，P〈0．01）。患者和护士在入院护理、按期化疗、服务态度、技术水平、专科护理、药物介绍、健康教育、心理护理8项需求方面的差异均有统计学意义（P〈0．01）。多次住院患者得分较高的4项需求分别为快速便捷的人院检查、按期化疗、服务态度、技术水平；而护士认知的得分较高的4项需求为入院护理、服务态度、技术水平、专科护理。结论多次住院多疗程化疗患者实际的护理需求与护士认知的患者需求之间存在多种差异。护理人员应以患者的护理需求为基础，不断改进服务方式，调整服务供给，提高护理服务满意度。

Objective To explore the differences between readmission chemotherapy patients＇ requirement and nursing staffs＇ cognition, so as to adjust nursing service and procedure for quality of care improvement. Methods Totals of 380 chemotherapy patients and 160 nursing staffs had been investigated by self-designed questionnaire to compared the gap between readmission patients＇ requirement and nursing staffs＇ cognition from October 2013 to April 2014. Results The total requirement score of readmission patients was （8.25 ＋ 1.20） comparing the patients＇ requirement of nursing staffs＇ cognition （7.02 _＋ 1.35 ） （ t = 16. 556, P 〈0. 01）. The differences existed at the aspects of readmission nursing, accepted chemo-therapy on time, service attitudes, technique level, specific nursing, medicine introduction, health education, metal health between patients＇ requirement and nursing staffs＇ cognition （ P 〈 0. 01 ）. The 4 top requirement aspects of readmission patients included fast and convenient admission examination, chemo-therapy on time, service attitudes and technique level, while 4 top patients requirement in nursing staffs＇ cognition contained admission nursing, service attitudes, technique level and specific nursing. Conclusions The differences exist between readmission multiple courses of chemotherapy patients and nursing staffs cognition. Nursing staffs should improve service methods and adjust service supplement according to patients＇ requirement, so as to promote the satisfaction of nursing service.