基于患者视野的护理人文关怀需求调查与对策

Requirement survey and countermeasures of nursing humanistic care based on the vision of patients

目的调查基于患者视野的护理人文关怀需求，为提高护理人文关怀行为与患者实际关怀期望的匹配度提供参考依据。方法参考国内外相关研究结果及有关量表制订调查问卷，内容包括6个一级指标．41个二级指标；采用便利抽样法选取沈阳军区总医院300例患者进行问卷调查，资料收集主要包括患者基本信息和患者对护理人文关怀行为需求的各级指标。结果问卷回收率为100％，问卷有效率为97％。患者对护理人文关怀需求程度由高到低依次为职业行为需求（4．245±0．615）分、人道主义需求（4．207±0．612）分、参与决策需求（4．203±0．667）分、学习应对需求（4．165±0．528）分、住院环境需求（4．111±0．577）分以及心理社会支持需求（4．052±0．646）分。结论本研究对住院患者人文关怀需求进行了较为全面的调查．研究结果能够辅助确定临床护理人文关怀实践的重点方向，在降低护理资源投入量的同时，提高护患双方对人文关怀的供需匹配度，实现患者一护士一医院一社会的共赢。

Objective To investigate the requirement of nursing humanistic care that based on the vision of patients, and provide references for enhancing the match between humanistic care behavior and the expectations of patients in humanistic care.Methods Referred to the related research results and relevant scale at home and abroad, we designed the questionnaire, and it contained 6 first-level indicators and 41 second-level indicators. 300 patients in the General Hospital of Shenyang Military were selected as the research object by convenience sampling method, and those collected information included patients＇ basic information and patients＇ demand for nursing humanistic care behavior with various indicators. Results The collecting rate was 100%,and the effective rate was 97%. Patients＇ demand degree for nursing humanistic care from high to low were as the following： demand for professional behavior （ 4.245 ± 0.615 ） points, demand for humanism （ 4.207 ± 0. 612） points, demand for participation in decision （ 4. 203 ±0.667 ） points, demand for leaning and response （4.165±0.528） points, demand for hospitalization environment （4.111±0.577） points and demand for psychological and social support （4. 052 ±0. 646） points. Conclusions This study conducts a comprehensive survey about the hospitalized patients＇ requirements for nursing humanistic care, and the research results can help to determine the important direction of clinical nursing practice of humanistic care ; reduce the inputs of nursing resources ; improve the match between supply and demand of nurses and patients in humanistic care at the same time; and realize the win-win of patients, nurses, hospitals and society.