烧伤住院患者护理需求调查分析及相关影响因素研究

Investigation and Analysis of Nursing Needs of Burn Inpatients and Research on Related Influencing Factors

目的:调查分析烧伤住院患者护理需求情况,并探究影响其护理需求的相关因素,以便临床因需施护。方法:回顾性分析2020年11月—2022年11月联勤保障部队第九九〇医院收治的156例烧伤住院患者的临床资料,采用住院患者护理需求调查表分析烧伤住院患者护理需求,并将临床资料进行收集与整理,具体包括性别、烧伤原因、治疗方式、家庭人均月收入、健康状况自评、烧伤严重程度等,以logistic回归分析影响烧伤住院患者护理需求的相关因素。结果:156例烧伤住院患者中,患者的护理需求各维度评分从高到低依次为生理需求、安全需求、自尊需求、自我实现需求、爱与归属需求;单因素分析结果显示,年龄、家庭人均月收入、自理情况、健康状况自评、烧伤严重程度与烧伤住院患者护理需求有关,差异有统计学意义(P<0.05);logistic回归分析结果显示,年龄≥60岁、家庭人均月收入≥5000元、无法自理、健康状况自评为差、烧伤严重程度为重度/特重度是影响烧伤住院患者护理需求的主要因素(OR=3.964、5.749、4.241、4.631、7.462,P<0.05)。结论:烧伤住院患者的护理需求较高,且影响其护理需求的因素以年龄≥60岁、家庭人均月收入≥5000元、无法自理、健康状况自评为差、烧伤严重程度为主,临床需充分考虑患者实际护理需求,因需施护,以增强护理质量。

Objective:To investigate and analyze the nursing needs of burn inpatients,and explore the relevant factors that affect their nursing needs,so as to provide timely nursing care for clinical needs.Methods:The clinical data of 156 burn inpatients admitted to the hospital from November 2020 to November 2022 were retrospectively analyzed.The nursing needs of burn inpatients were analyzed with the inpatient nursing needs questionnaire.The clinical data of 156 burn inpatients were collected and sorted out,including gender,cause of burn,treatment method,family per capita monthly income,self-assessment of health status and burn severity,etc.The related factors affecting the nursing needs of burn inpatients were analyzed by multivariate logistic regression analysis model.Results:From high to low,the nursing needs of 156 hospitalized burn patients were physiological needs,safety needs,self-esteem needs,self-actualization needs,love and belonging needs.Univariate analysis showed that age,family per capita monthly income,self-care status,self-rated health status and burn severity were related to the nursing needs of hospitalized burn patients,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age≥60 years old,per capita family income≥5000 yuan,inability to take care of themselves,poor health status,and severe/extremely severe burn severity were the main factors affecting the nursing needs of hospitalized burn patients(OR=3.964,5.749,4.241,4.631,7.462;P<0.05).Conclusion:The nursing needs of burn inpatients are high,and the factors that affect their nursing needs are age≥60 years old,family per capita monthly income≥5000 yuan,inability to take care of themselves,poor health status self-evaluation,and burn severity.It is necessary to fully consider the actual nursing needs of the patients,and provide care as needed to enhance the quality of nursing.