神经外科住院患者人文关怀感知与护士关怀实践的对比研究

目的了解神经外科住院患者及护士对护士人文关怀的感知与评价差异,为更好地实施人文关怀护理服务提供参考。方法选取86例神经外科住院患者及92名神经外科护士作为研究对象,分别使用关怀行为量表进行问卷调查。结果患者与护士对护士人文关怀的总体评分分别为4.77±0.84、4.86±0.60,无统计学差异(P>0.05),双方均在“尊重患者”及“联系患者”2个维度评分较低。在“支持和保证”维度,患者对护士人文关怀的感知水平显著低于护士自评结果(P<0.01)。结论护患双方均对护士关怀行为的评价较好且双方在对护士关怀行为的整体认知上存在较高的一致度,但护士对患者心理层面的关怀相对不足,患者对护士在“支持和保证”相关关怀行为方面具有较高的期待。护士需要进一步改进与提升人文关怀质量。

Perception of humanistic care in neurosurgery inpatients and nurses' caring practice: a comparative study

Objective To investigate the congruence and difference in perception and evaluation of nurses′caring behaviors between neurosurgery inpatients and nurses,in order to provide reference for conducting better humanistic care.Methods A total of 86 inpatients and 92 nurses in neurosurgery department were selected,who were then investigated utilizing the Caring Behaviors Inventory-24.Results The overall scores of inpatients and nurses on nurses′humanistic care were high(4.77±0.84 vs 4.86±0.60),and there was no significant difference between the scores(P>0.05),while both parties scored low in the subscale of"respecting patients"and"contacting patients".In the subscale of"support and assurance",patients′perception of humanistic care scored significantly lower than that of nurses′self-assessment(P<0.01).Conclusion Both nurses and inpatients have a good evaluation of nurses′caring behavior,and it demonstrates a high degree of consistency in their overall perception of nurses′caring behavior.However,nurses′psychological care for patients is relatively insufficient,and patients have high expectations on nurses in terms of"support and assurance".Thus,it is necessary to further improve humanistic care quality.