肿瘤专科医院护生职业认同感对人文关怀能力的影响

目的：了解肿瘤专科医院护生职业认同感对人文关怀能力的影响。方法：采用一般资料调查表、人文关怀能力评价量表（CAI）、职业认同感量表（PIS）对天津市某肿瘤专科医院的176名护生进行问卷调查。结果：肿瘤专科医院护生职业认同感得分为（39.20±6.46）分，人文关怀能力得分为（186.72±20.34）分。不同性别、是否为独生子女、如何提高关爱能力上护生人文关怀能力比较差异有统计学意义（P<0.05）。多元逐步回归分析结果显示职业认同感中对职业的认识和对职业的影响两个维度最终进入到回归方程中，可解释35.6%的变异量（R2=0.356，P＜0.001）。结论：肿瘤专科医院护生人文关怀能力处于中等水平，医院应注重提升护生的职业认同水平，进而提高人文关怀能力，从而以更加积极的态度及关爱他人的能力投入到护士职业之中。

Effects of professional identification on humanistic caring ability of nursing students in tumor hospital

Objective: To analyze the fear of disease progress, positive and negative emotional state in patients with cirrhosis and gastrointestinal bleeding, and explore the relationship between them.Methods: A total of 101 patients with cirrhosis and gastrointestinal bleeding from March 2018 to June 2019 intwo third-class A hospitals in Tianjin were selected as the study subjects. The status of patients was investigated by using the general data questionnaire, simplified scale of fear of disease progression scale (FoPQ-SF)， positive and negative emotional experience scale(PANAS), and Pearson correlation analysis was used to explore the relationship. Results:The total score of FoPQ-SF in patients with liver cirrhosis and gastrointestinal hemorrhage was 34.95±7.05.The scores of physiological health dimension and social family dimension were （20.25±4.79）, （14.69±2.61）, respectively. The total score of 53 patients was more than 34 (52.5% of the patients). The score of positive emotional experience and the negative emotional experience were（28.58±5.03）,（24.65±5.7），respectively.Pearson correlation analysis results showedthat positive emotional experience was negatively correlated with the fear of disease progression (r=-0.272, P<0.05), and negative emotional experience was positively correlated with it(r=0.577, P<0.05).Conclusion:The patients with cirrhosis and gastrointestinal bleeding had a higher level of fear of disease progression. The patients who have higher positive emotional experience have the lower level of negative emotionaland the fear of disease progress.