138例全膝关节置换患者术前护患信任度现状及影响因素分析

Analysisof preoperative trust status and influencing factors in 138 patients with total knee replacement

目的旨在调查全膝关节置换患者术前护患信任度现状,并对其影响因素进行分析。方法采用便利抽样法,选取2020年10月—2021年9月期间在我科在行全膝关节置换术的138例患者为研究对象,采用一般资料调查量表、焦虑自评量表、膝关节美国特种外科评分表、护患关系信任度量表对患者进行调查,并进行多元线性回归分析,探讨全膝关节置换患者术前护信任度现状及其影响因素。结果本组患者术前护患信任度总分为(136.75±7.93)分;Pearson相关性分析结果显示,本组全膝关节置换患者术前1 d护患信任度总分与其焦虑评分总分呈负相关(r=-0.419,P<0.01),与膝关节功能评分无相关性(r=0.063,P>0.05)。多元线性回归分析结果显示,既往有无住院经历、文化程度及术前焦虑评分进入回归方程(P<0.05),共解释总变异的66.9%。结论本组全膝关节置换患者术前护患信任度处于中等偏上水平,且受文化程度、既往有无住院经历、术前焦虑程度的影响,护理人员应重点关注文化水平低、无既往住院经历、焦虑程度高的患者,针对性的对以上患者进行干预,以减少患者术后焦虑及改善术后功能,促进医患关系,减少医疗纠纷,帮助患者尽早康复。

Objective To investigate the current situation of preoperative nursing trust in total knee replacement patients and analyze the influencing factors.Methods Using convenience sampling method,138 patients who underwent total knee arthroplasty in our department from October 2020 to September 2021 were selected as the research objects.The patients were investigated by general information questionnaire,nurse-patient relationship trust scale(NPTs),self-rating Anxiety Scale(SAS)and knee American Special Surgery scale(HSS),to explore the current situation and influencing factors of patient-nurse trust in patients undergoing total knee arthroplasty.Results The total score of preoperative trust of patients(136.75±7.93);Pearson correlation analysis showed a negative correlation with total anxiety score(r=-0.419,P<0.01)and no correlation with knee function score(r=0.063,P>0.05).The results of the multiple linear regression analysis showed that the educational level,previous experience of hospitalization,and preoperative anxiety entered the regression equation(P<0.05)explained 66.9%of the total variation.Conclusion In this group,the trust between nurses and patients in patients undergoing total knee arthroplasty is at the upper middle level,and is affected by education level,previous hospitalization experience and preoperative anxiety.Nurses should focus on patients with low education level,no previous hospitalization experience and high anxiety level,and carry out targeted intervention for theme,so as to reduce postoperative anxiety and improve postoperative function,Promote doctor-patient relationship,reduce medical disputes and help patients recover as soon as possible.