内、外科住院患者对护士护理行为的安心感及影响因素

The sense of peace of in-patient to nurse’s nursing behavior and its influencing factors

目的探讨住院患者对护士护理行为的安心感及其影响因素,为增强护患信任度、优化护理行为提供依据。方法采用"护患关系信任度量表"对某三甲医院住院患者的安心感和影响因素进行调查和分析。结果患者"安心感"得分为3.34±0.42,各条目中,"我在护士面前比较自然"(3.63±0.55)得分最高;"即使做了不该做的事,护士也不怪"(2.84±0.98)和"我在护士面前很勉强能当一名好患者"(2.85±1.08)得分最低。患者所住科室、职业和家庭人均月收入是患者安心感的影响因素。结论患者安心感在构建患者对护士信任关系的过程中,发挥的作用低于对护士技术和行为的信赖以及对未来的信心;外科患者、非公职人员和中等收入者对护理行为的安心感较低,护士在护理工作中应重视这一部分患者,以更积极的态度和行为提升他们的安心感。

Objective To explore the sense of peace of in-patients to nurses’ nursing behavior and its influencing factors so as to provide a basis for strengthening nurses’ trust and optimizing nursing behavior. Methods "Nurse-patient relationship trust scale" was used to investigate and analyze the sense of peace and influencing factors of in-patients in grade IIIA hospitals. Results Patients’ scores of "sense of peace" were 3.34 ± 0.42,"I am more natural in front of the nurse"(3.63 ± 0.55) scored highest on the item that made the patient feel comfortable."Nurses don’t blame them for doing things they shouldn’t"(2.84 ±0.98) and "I barely manage to be a good patient in front of nurses"(2.85 ±1.08) scored the lowest. Different patients in internal medicine or surgery, the occupation and family income of the patients are the influencing factors of their sense of peace ofmind. Conclusion Patients’ sense of security plays a lower role than their trust in nurses’ skills and behaviors and confidence in the future in the process of building patients’ trust in nurses. Surgical non-public officials and middle-income patients feel less comfortable about nursing behavior,nurses should pay more attention to this part of patients in nursing work,and promote their sense of peace of mind with more positive attitude and behavior.