摘要
目的调查卧床患者对护理工作满意度现况，并分析其影响因素，为改进护理服务提供依据。方法采用横断面调查的方法，根据地域分布，选取我国东部、中部和西部共6个省市25所医院（6所三级医院、11所二级医院和8所一级医院），2015年11月-2016年3月连续调查在医院重症监护病房、神经内外科、骨科等科室住院的患者23985例患者，采用项目组自行设计的卧床患者对护理工作满意度调查问卷对患者进行调查，其中21171例患者填写满意度调查问卷。采用SAS9．4进行统计分析，单因素分析采用￡检验和方差分析，采用进入法建立多元回归模型，识别卧床患者对护理工作满意度的影响因素。结果调查对象对护理工作满意度的整体得分为（38．04±3．40）分，98．14％的卧床患者对护理工作满意或非常满意。单因素分析结果显示，不同年龄、性别、教育程度、付费方式、医院级别、有无卧床并发症、卧床天数和住院天数患者满意度得分，差异均有统计学意义护〈0．001），多因素分析结果显示，患者对护理工作的满意度影响因素包括年龄、性别、教育程度、住院天数、卧床天数、医院级别（P〈0．001）。结论我国卧床患者对护理工作满意度整体较高，但护理人员应进一步关注对卧床患者的基础护理及健康教育，满足他们的护理需求，提升自我健康管理能力。
Objective To investigate the status and analyze its influencing factors of nursing care satisfaction among bedridden patients and provide basis for improving nursing service strategy. Methods By means of cross-sectional survey, a total of 25 hospitals （6 Class Ⅲ hospitals, Ⅱ Class Ⅱ hospitals and 8 Class Ⅰ hospitals） in 6 provinces and cities of eastern, central and western China were selected according to the regional distribution. A total of 23 985 patients hospitalized in the Intensive Care Unit, Neurnsurgery Department, Department of Orthopedics and other departments in the hospital from November 2015 to March 2016 were continuously investigated. A self-designed questionnaire was used to investigate the satisfaction degree of bedridden patients. A total of 21 171 patients completed the investigation. SAS 9.4 was used for statistical analysis. The single factor analysis used t test and variance analysis, and the multiple regression model was established by entry method to identify the factors affecting nursing care satisfaction among bedridden patients. Results The overall score of nursing satisfaction was （38.04 ± 3.40）, and 98.14% bedridden patients were satisfied with nursing care. The results of single factor analysis showed that the difference of age, gender, education degree, payment way, hospital ranking, with or without complications, bed resting duration and hospitalization duration were statistically significant （P 〈 0.001）. The results of multi factor analysis showed that the factors affecting the satisfaction of the patients were age, gender, education degree, hospitalization duration, bed resting duration and hospital ranking （P 〈 0.001）. Conclusions The nursing care satisfaction of bedridden patients is relatively good in the whole of China. Basic nursing care and health education should be further strengthened in order to meet patient＇s nursing needs and improve the ability of self health management.
作者
焦静
李真
刘晓燕
刘戈
刘莹
曹晶
李佳倩
李芳芳
万霞
张晓静
吴欣娟
Jiao Jing;Li Zhen;Liu Xiaoyan;Liu Ge;Liu Ying;Cao Jing;Li Jiaqtan;Li Fangfang;Wan Xia;Zhang Xiaojing;Wu Xinjuan(Department of Nursing, Peking Union Medical College Hospital, Beijing 100730, China)
出处
《中华现代护理杂志》
2018年第17期2026-2030,共5页
Chinese Journal of Modern Nursing
基金
2015年公益性行业科研专项项目（201502017）
关键词
护理工作
数据收集
卧床患者
满意度
Nursing services
Data collection
Bedridden patients
Satisfaction
