ICU清醒病人关怀满意度与关怀性关系的相关性

Correlation between care satisfaction and caring relationship of conscious patients in ICU

目的:探讨重症监护室(ICU)清醒病人护理关怀满意度与关怀性关系的相关性,为构建和谐护患关系提供对策依据。方法:采用便利抽样法,选取2022年11月—12月湖北省、河南省、黑龙江省、贵州省三级甲等医院的728例ICU清醒病人为研究对象,采用一般资料调查表、卫生保健系统护理关怀工具、关怀性关系量表进行横断面调查。采用Pearson相关分析、多元线性分层回归分析法分析ICU清醒病人关怀性关系与关怀满意度的相关性。结果:ICU清醒病人卫生保健系统护理关怀工具得分为(105.16±17.80)分,条目均分为(5.26±0.89)分,ICU清醒病人的年龄、文化程度、家庭人均月收入和住院付费方式影响护理关怀满意度(P<0.05);ICU清醒病人护理关怀满意度与关怀性关系呈正相关;分层回归分析显示,ICU清醒病人的关怀性关系可以独立解释关怀满意度35.6%的变异(P<0.001),其中关怀维度、信任维度对关怀满意度具有正向预测作用(P<0.05)。结论:ICU清醒病人与护士构建关怀性关系可以影响关怀满意度,建议在ICU临床工作中,要重视与病人建立具有关怀性护患关系,根据病人不同特征采取针对性干预措施,以期和谐护患关系,提高病人的关怀满意度。

Objective:To explore the correlation between care satisfaction and caring relationship of conscious patients in ICU,and to provide basis for formulating targeted humanistic care strategies.Methods:A total of 728 conscious patients in ICU from tertiary A hospitals in Hubei province,Henan province,Heilongjiang province,Guizhou province,from Nov.to Dec.2022 were selected as the study subjects by convenience sampling method,using general data questionnaire,Methodist Health Care System Nursing Caring Instrument,Relational Caring Questionnaire-Patient Form.The correlation between caring relationship and caring satisfaction was analyzed by hierarchical regression.The correlation between caring relationship and caring satisfaction was analyzed by hierarchical regression.Results:The total score of patients'care satisfaction in ICU was(105.16±17.80),and the average score was(5.26±0.89).The patients'age,education level,family income per month and the way of hospitalization payment affected the care satisfaction(P<0.05).Pearson correlation analysis showed that there was a positive correlation between the nursing care satisfaction of ICU patients and the dimensions of relational care.Hierarchical regression analysis showed that the explanatory rate of caring relationship affecting caring satisfaction of ICU patients was 35.6%(P<0.001),among which caring dimension and trust dimension positively predicted caring satisfaction(P<0.05).Conclusion:The score of ICU patients'care satisfaction is above the average level.The construction of caring relationship between conscious patients in ICU and nurse can affect care satisfaction.It is suggested that we should pay attention to establishing caring nurse-patient relationship with patients in ICU clinical work,and take targeted measures according to different care needs of patients,so as to meet the care needs of ICU patients and improve their care satisfaction.