影响儿科住院患者护理依从性的心理因素及对策

Psychological factors and countermeasures of influencing nursing compliance in pediatric patients

目的探索儿科护理依从性的影响因素,为儿科护理提供心理学依据及方法指导。方法对30名护理人员实施访谈,并采用自行设计的问卷对儿科住院患者家属进行调查,以护理依从性差者作为观察组,护理依从性佳者作为对照组,比较两组患者在年龄、陪护者人数、家属心理因素及护患配合等方面的差异。结果 121例儿科住院患者中依从性佳者占59.5%,依从性差者占40.5%,单因素χ2分析共筛选出8个因素影响依从性,多因素Logistic回归分析筛选出家属受教育水平、家属恐惧焦虑程度、对疾病与治疗的认知程度、与护理人员的沟通、因程序太复杂未依从是依从性差的独立预测因素。结论提高护理效能,完善住院患者健康教育的内容,利用好家庭社会支持,加强护患双向沟通交流是改善护患关系,提高儿科住院患者护理依从性的有效手段。

Objective To investigate factors influencing nursing compliance of pediatric inpatient,and provide evidence for improving nursing compliance in such patients. Methods Thirty nurses were implemented the interview with self-designed questionnaire for the families of pediatric inpatients. Patients with poor compliance of nursing were selected as observation group, good compliance of nursing as control group.We compared age, the number of caregivers, their families psychological factors, nurse-patient match and other differences between the two groups. Results In 121 cases, the good compliance was59.5%, and the poor compliance was 40.5%. Univariate chi square analysis identified 8 factors influencing the compliance.Multivariate Logistic regression analysis showed that the independent predictors of poor compliance were： family education level, anxiety and fear level of families, cognitive level of the disease, treatment, communication with nurses and complex program. Conclusion The effective means to improve the nurse patient relationship and improve the nursing compliance of pediatric patients can be improve the efficiency of nursing care, improve the health education of hospitalized patients, with good social support and strengthen nurse patient communication.