综合医院临床护士对住院患者实施心理护理的认知及行为现状调查

Investigation on cognition and behavior of clinical nurses in general hospital on psychological care for inpatients

目的了解综合医院临床护士对住院患者实施心理护理的认知及行为现状,为制定护士心理护理培训方案提供依据。方法2022年2-3月采用自行设计的《护士对患者实施心理护理现状调查表》对泰安市某三甲医院所有临床在岗护士进行线上问卷调查。结果全院860名在岗护士,共收回700份问卷,回收率为81.39%。700名护士中,99.43%的护士认为对住院患者实施心理护理重要,95.00%的护士能够应用心理学知识为患者提供心理护理,但仅有52.71%的护士能够了解实施心理护理基本流程,55.57%的护士认为掌握的心理知识不能满足临床工作需要,对心理护理的常见技能如正念、催眠等均掌握较差。不同人口学资料的护士对心理护理的重要性认识、心理学相关知识或方法的应用情况及对心理护理基本流程的了解程度有差异。结论护士在临床工作中缺乏心理护理的知识和技能,心理护理能力不足。医院应积极创造条件,对不同人口学资料的护士普及心理护理教育,开展心理护理知识和技能的系统化培训,以提高护士的心理护理能力。

Objective To understand the cognitive and behavioral status of clinical nurses in general hospital implementing psychological nursing for inpatients,and to provide basis for the development of psychological nursing training program for nurses.Methods From February to March 2022,a self-designed questionnaire on nurses′psychological care for patients was made to conduct an online questionnaire survey on all clinical nurses in a 3A hospital in Tai′an.Results A total of 700 questionnaires were collected from 860 nurses in the hospital,and the recovery rate was 81.39%.Among the 700 nurses,99.43%thought it was important to implement psychological nursing for inpatients,and 95.00%could apply psychological knowledge to provide psychological nursing for patients,but only 52.71%of nurses could understand the basic process of implementing psychological nursing,55.57%of nurses think that their psychological knowledge could not meet the needs of clinical work,and they were poor in mastering common skills of psychological care such as mindfulness and hypnosis.Nurses with different demographic data had different understanding of the importance of psychological nursing,the application of psychological knowledge or methods and the understanding of the basic process of psychological nursing.Conclusion Nurses lack psychological nursing knowledge and skills in clinical work,mental nursing ability is insufficient.Hospitals should actively create conditions to popularize psychological nursing education for nurses with different demographic data,and carry out systematic training of psychological nursing knowledge and skills,so as to improve nurses′psychological nursing ability.