ICU护士对患者家属需求的认知及相关因素调查

目的 调查ICU护士对家属需求的认知程度及相关因素,以便对护理人员进行有针对性的培养,从而提高ICU的护理质量.方法 采用方便抽样的方法对上海市2所三级甲等医院中的60名ICU护士进行问卷调查.结果 ICU护士对家属需求的认知程度最高的3项为:在第一次进入ICU时,能向家属主动介绍ICU的规章制度,能保证给患者最好的照顾,能用通俗易懂的话向家属解释有关患者的病情;在对探视需求的认识上比较不同学历和不同工作年限的护士均有统计学意义(P<0.05),其中本科及本科在读学历和4年以上的认识程度最高;在对于患者病情信息的需求的认识上不同学历和不同工作年限均有差异,本科及本科在读学历和4年以上的认识程度最高(P<0.05);在对于患者家属对ICU条件与环境需求认识程度上仅不同工作年限有统计学意义4年以上的认识程度最高(P<0.05).结论 提高了对不同年龄段及学历层次的ICU护士的针对性培养、完善相关的配套服务措施.

A survey of ICU nurses'' knowledge and influencing factors related to the needs of patients'' family members

Objective to survey ICU nurses' knowledge and other influencing factors related to the needs of patients' family members; to improve the quality of nursing care in ICU through redesigning the educational programs. Methods Subjects included 60 ICU nurses chosen form two top hospitals in Shanghai. A questionnaire was given regarding the needs of family members of the patients and other related factors. Results There is a difference in knowledge among ICU nurses. Several items revealed to be highest among the nurses, such as nurses needed to introduce the rules and regulations of the ICU when the patient first came to the unit, provide assurance that the patient will get the best care available; and explain the patient's condition with easily understood language. We also found that the higher the nurse's education, the longer the nurse's working experience, the more knowledge the nurse would have towards the needs of the patient's family members. Conclusions We need to design appropriate education programs based on nurses' educational background and working experience.Therefore, we can train nurses to better meet the needs of the patients and their family members.