妇科住院患者对护理专业实习学生认同度及影响因素的研究

Investigation of the status and influencing factors of identification on nursing students among gynecological patients

目的 探讨妇科住院患者对护理专业实习学生的认同情况及相关影响因素,以提高实习质量和效果.方法 采用自行设计的学生认同度调查表对某三级甲等妇女儿童专科医院妇科284名住院患者进行调查.对调查结果采用均数、标准差进行统计描述,采用多元线性逐步回归分析和方差分析进行数据分析.结果 某三级甲等妇女儿童专科医院妇科患者对实习学生认同度较高为（4.08±0.42）分,其中,认知维度单项均分最高（4.32±0.81）分,信任维度单项均分最低（3.82±0.51）分.单因素分析显示不同年龄、不同疾病、不同文化程度、不同家庭月收入、不同职业的患者对实习学生认同度的差异均具有统计学意义（均P 〈0.05）;多元逐步回归分析表明,年龄、疾病、文化程度是实习学生认同度的影响因素（均P〈0.05）.结论 为了提高患者对实习学生的认同度,应加强对学生的培训,不断提高其理论知识和操作技能,同时还要加强对其护患沟通技巧的培训,以建立良好的护患关系.带教教师也要针对患者不同年龄、不同疾病、不同文化程度等,与患者积极沟通,既尊重患者应有的权利又帮助其了解应尽的义务,确保学生圆满完成实习任务.

Objective To explore the status and influencing factors of identification on nursing students among gynecological patients.Methods Questionnaire which was self-designed were utilized to collect data from 284 patients in Gynecology Department,West China Second University Hospital.Results The score of identification of patients was above the average（4.08 ±0.42）.Specifically,subscale of cognition obtained the highest average score （4.32 ± 0.81） and subscale of trust obtained the lowest average score （3.82 ± 0.51）.Single factor analysis showed that different age,diagnose,educational level,income,career of nurses would lead to different identification on nursing students,the results have statistical significance （P 〈 0.05）.The results of multiple regression revealed that different age,diagnose and educational level were related factors of identification on nursing students among gynecological patients （P 〈 0.05）.Conclusions In order to improve the trust level of patients,it is very important for nursing teacher to strengthen the skill training and nurse-patient communication training on nursing students,and also to have positive communication with patients according to their individual differences at the aspects of age,career and income.