湖北省三甲医院老年病房护士关怀行为现状及影响因素分析

Current Situation and Influencing Factors of Nursing Care Behavior in Geriatric Ward of Level A Tertiary Hospitals in Hubei Province

目的通过观察湖北省三甲医院老年病房护士关怀行为现状,分析其影响因素。方法应用中文版护士关怀行为评价量表,采用护士自评和患者他评的方式对湖北省12所三甲医院的580名护士和620名老年住院患者进行调查。结果护士和患者对人文关怀行为的评价总分均较高,多因素分析结果显示是否清楚人文关怀的定义、与患者交流时间、医院对人文关怀的相关制度、家人及同事的关心程度是影响护士关怀行为总分的主要因素,自我照顾能力及患者的疼痛程度则是影响患者对护士关怀行为评价得分的主要因素。结论老年病房护士及患者在关怀行为的给予及需求方面还存在较大差异,医院应从患者及护士方面提高老年病房护士的关怀行为,以满足越来越多的老年住院患者的需求。

Objective To understand the current status and influencing factors of nurses'caring behavior in geriatric wards of level A tertiary hospital in Hubei Province.Methods The Chinese version of the Nursing Care Behavior Evaluation Scale was used to survey 580 nurses and 620 elderly hospitalized patients in 12 level A tertiary hospitals in Hubei Province by means of self-evaluation by nurses and patients.Results The total scores of nurses and patients'evaluation of humanistic care behavior were high.The results of multi-factor analysis showed the understanding level on the definition of human care,the time of communication with patients,the related system of hospital care for humanities,the concern of family and colleagues were the main factors for the total score of care behavior from nurses.Self-care ability and the degree of pain of patients were the main factors affecting the score of patients'evaluation of nurse care behavior.Conclusion There is still a big difference in the care and demand of caring behavior between nurses and patients in the geriatric wards.The hospital should improve the caring behavior of the nurses in the elderly wards from the perspective of patients and nurses to meet the needs of more and more elderly hospitalized patients.