关怀照护在60例创伤骨科患者护理中的应用效果观察

目的:探讨关怀照护在创伤骨科患者护理中的应用效果.方法:将120例患者随机分为观察组和对照组各60例,对照组实施病房普通护理,观察组则制定护理关怀照护指南,实施为期4周的人性关怀照护.对两组用修正后的护士关怀照护质量评价表、自编的患者满意度/舒适度调查表、症状自评量表(SCL-90)作为评价工具,综合评定临床护理效果.结果:两组患者对护理关怀照护的质量评价比较、对护理工作满意度/舒适度的比较、治疗前后SCL-90评定结果比较差异均有统计学意义(P＜0.01).结论:实施关怀照护可提高骨科临床护理工作质量和患者满意度,密切护患关系,有利于临床护理工作顺利开展,促进患者身心康复.     

人性照护理论在精神分裂症患者护理管理应用中的效果评价

目的 观察华生人性照护理论在住院精神分裂症患者护理管理中的应用效果.方法 将120例住院精神分裂症患者随机分为研究组和对照组各60例,研究组实施为期2个月的人性照护护理.采用关怀照护行为质量评价表、症状自评量表和护理工作满意度作为评价工具.结果 入组时,所有量表评分两组间均无显著性差异(P>0.05),2个月后,各量表评分研究组均优于对照组(P<0.01).结论 有效地应用华生人性照护理论指导精神分裂症患者的护理管理,不仅有利于患者的全面康复,而且有利于护患之间的沟通,提高患者的满意度.     

关怀照护对创伤性截瘫患者康复的影响

目的探讨关怀照护对康复期创伤性截瘫患者的影响,以提高其住院生活质量和护理满意度。方法选择来院截瘫康复患者中因创伤致截瘫患者72例,其中2008年度康复患者30例为对照组,2009年42例康复患者为研究组。对照组住院期间接受常规疗养护理,研究组实施常规疗养护理基础上的关怀照护,并接受研究人员的督导,以确保关怀照护措施的强化和落实。对两组患者疗养3个月后照护行为的质量、护理工作满意度评定的结果进行比较。结果两组患者对护士关怀行为质量及护理工作满意度的评价比较,差异均有统计学意义（P〈0.01）。结论护士通过学习人文关怀概念,将人文关怀融入截瘫患者的康复护理工作中,有利于提高护士的关怀照护行为和患者对护理工作质量的满意度,对患者的康复有明显的促进作用,提高了患者的生活质量。     

关怀照护对住院慢性精神分裂症患者康复的影响

目的探讨对长期住院的慢性精神分裂症患者给予关怀照护,以提高其住院生活质量和对护士工作质量的满意度。方法将184例慢性精神分裂症患者随机分为对照组和研究组,对照组实施普通护理,研究组实施关怀照护。于研究前及研究后3个月对研究组患者进行护士关怀行为质量的评价,对两组患者进行日常生活能力（activity of daily life,ADL）的评价。结杲研究组实施关怀照护后,对护士关怀行为质量的评价有显著改善;其躯体生活自理和工具性日常评分与对照组及研究前比较,均有非常显著的差异（P〈0．01）。结论精神科护士通过学习人文关怀概论,运用护理关怀行为指南,将人文关怀理念融入精神病患者的护理工作中,有利于提高护士的关怀照护行为和患者对护士工作质量的满意度,对精神病患者的康复有明显的促进作用,提高了患者的生活质量。     

关怀照护行为在骨科患者护理中的应用

目的:探讨关怀照护行为在骨科患者护理中的应用效果.方法:将120例骨科患者随机分为观察组和对照组各60例,观察组实施关怀照护行为,对照组实施病房普通护理,两组用修正后的护士关怀行为质量评价表、患者满意度、舒适度调查表,综合评定临床护理作用和效果.结果:观察组患者对关怀照护行为质量评价高于对照组(P＜0.01),对护理工作满意度、舒适度的评价高于对照组(P＜0.01).结论:关怀照护行为一方面可提高骨科临床护理工作质量和患者满意度、舒适度;一方面,可促进患者的身心康复.     

产科护士实施关怀照护行为的临床效果研究

目的 探讨产科护士实施关怀照护行为的临床效果,为提高临床护理工作质量提供参考依据.方法 120例住院产妇按抛硬币分组法分为研究组63例和对照组57例,对照组采用普通护理,给予支持性心理护理,研究组在此基础上给予关怀照护行为.出院时,两组采用护士关怀行为质量评价表、住院产妇满意度调查表、心理舒适感进行效果评定.结果 出院时,两组关怀行为质量、满意度以及心理舒适感的评定,研究组均明显优于对照组,两组间比较存在显著性差异(P＜0.01).结论 对产科病人实施关怀照护行为,一方面能够提高产科护理工作质量;另一方面,能够提高产妇的心理舒适感,提高住院产妇满意度.     

关怀照护行为在戒毒者康复中的效果研究

目的 探讨关怀照护行为时戒毒者康复的效果,为进一步改进护理工作提供依据.方法 将120例强制戒毒者随机分为实验组和对照组各60例.实验组制定护理关怀行为指南,实施为期8周的关怀熙护,时照组按常规给予支持性心理护理.两组用修正后的护士关怀行为质量评价表、自编的病人满意度和舒适度调查表、症状自评量表等作为评价工具.分别于出院后2周、4用和8用后进行随访和尿检,评价复吸情况.结果 干预后,各量表及复吸率评分两组间均存在显著性差异(P<0.01).结论 关怀照护行为有利于戒毒工作的顺利开展,提高护理工作质量,同时对于戒毒者的身心康复、预防复吸、保持探守起到一定的积极作用.     

护理关怀照护行为缓解儿科患儿家属心理问题的效果研究

将儿科1病房30例患儿家属设为研究组,儿科2病房30例患儿家属设为对照组,研究组实施关怀照护行为,对照组按普通护理.两组采用护士关怀行为质量评价表,患儿家属心理问题调查表作为评价工具进行效果评价.结果出院时研究组护士护理关怀行为质量明显高于对照组(P<0.01),入院时两组患儿家属心理问题评价无明显差异(P>0.05),出院时研究组患儿家属心理问题评定明显低于对照组(P<0.01).认为儿科护士针对患儿家属不同的心理问题实施护理关怀照护行为,不仅能够缓解儿科患儿家属心理问题,而且有助于提高护理服务水平和患者住院满意度.     

护理关怀照护行为缓解儿科患儿家属心理问题的效果研究

将儿科1病房30例患儿家属设为研究组,儿科2病房30例患儿家属设为对照组,研究组实施关怀照护行为,对照组按普通护理.两组采用护士关怀行为质量评价表,患儿家属心理问题调查表作为评价工具进行效果评价.结果出院时研究组护士护理关怀行为质量明显高于对照组（P〈0.01）,入院时两组患儿家属心理问题评价无明显差异（P〉0.05）,出院时研究组患儿家属心理问题评定明显低于对照组（P〈0.01）.认为儿科护士针对患儿家属不同的心理问题实施护理关怀照护行为,不仅能够缓解儿科患儿家属心理问题,而且有助于提高护理服务水平和患者住院满意度.     

人性照护理论在临床护理管理中的应用

目的:探讨人性照护理论在临床护理管理中的应用效果。方法:将一病区住院患者70例作为研究组,二病区住院患者65例作为对照组,对照组按普通护理,给予支持性心理护理,研究组则依据人性照护理论,实施人性化护理管理,观察时间为6周。护理前后,采用护患关系信任度量表和患者满意度调查表对两组临床效果进行评价。结果:护理前研究组护患关系信任度评分、患者满意度评分与对照组比较差异无统计学意义(P>0.05);护理后研究组护患关系信任度评分、患者满意度评分均明显高于对照组(P<0.01)。结论:护士依据人性照护理论对住院患者实施人性化护理管理,将有助于改善护患关系,提高患者满意度。     

护士对病人实施关怀照护的效果研究

目的探讨关怀照护行为对护理工作质量和病人满意度的影响,为进一步改进工作提供依据.方法制定护理关怀行为指南,经培训后,在2所三级甲等医院3个病房实施,用修正后的护士关怀行为质量评价表和自编的满意度调查表,于活动前后2次进行访谈和测评比较.结果护士的关护行为和病人的满意率在实施前后差异有统计学意义(P＜0.01).结论护士通过学习人文关怀概论,运用护理关怀行为指南,将人文关怀理念融入日常护理工作中,有利于提高护士的关护行为和病人对护理工作的满意度.     

护理本科教育中开设照护课程的实践与效果

目的 探讨在护理本科教育中开设照护课程对教学质量和护生满意度的影响,为进一步课程改革提供依据.方法 自编人性照护理论教材和行为指南,对168名本科护生开设照护课程,用修正后的照护行为质量评价表和自编的护生满意度调查表,分别于课程开设前后进行访谈和测评.结果 开设课程前后护生的照护行为和满意度差异具有统计学意义(P＜0.01).结论 本科护生通过学习照护理论,运用照护行为指南,将照护理念融入日常学习和临床实习工作中,有利于提高其照护行为和对护理工作的满意度.     

对护理大专实习生进行人文关怀能力培养的研究

目的探讨对护理大专实习生进行人文关怀能力培养的方法与效果。方法将2011年实习的76名护理大专生作为试验组,进行人文关怀能力培养,将2010年69名实习生作为对照组。比较两组实习生人文关怀能力及患者对实习生的满意度。结果试验组实习生的人文关怀能力总分及各维度得分均高于对照组(P<0.05);患者对试验组实习生的满意度高于对照组(P<0.01)。结论在临床实习中对护理专业实习生进行人文关怀能力培养,能提高实习生的人文关怀能力,并提高患者对实习生的满意度。     

注重综合能力培养的护理本科生临床实习模式探讨

目的 建立一种有利于提高护理本科生综合能力的临床实习模式.方法 将2009级34名护理本科生设为研究组,采用改进后的临床实习模式实习;将2008级47名护理本科生设为对照组,采用传统实习模式实习,实习结束后比较2组的实习综合成绩和实习满意度.结果 研究组在实习综合成绩和实习满意度方面均高于对照组.结论 改进后的临床实习模式能有效促进护生临床综合能力的提高.

Abstract：

Objective To construct a clinical practice mode of improving comprehensive ability for nursing undergraduates. Methods 34 nursing undergraduates in 2009 were set as the study group, using the improved nursing clinical practice mode; 47 nursing undergraduates in 2008 were set as the control group, using the traditional nursing clinical practice mode. The comprehensive achievements and satisfaction degree with nursing clinical practice were compared after the clinical practice. Results The comprehensive achievements and satisfaction degree with nursing clinical practice of the study group were better than the control group. Conclusions The clinical comprehensive ability of nursing undergraduates was effectively improved by using the new nursing clinical practice mode.     

护理人文关怀与住院患者对护理工作满意度的相关性研究

目的 探讨护理人文关怀与住院患者对护理工作满意度两者之间的关系。 方法 采用护理关怀行为评价量表及住院患者对护理工作满意度问卷对住院的120例患者进行调查。 结果 不同患者年龄、性别、受教育程度、婚姻情况对患者对护理人员护理关怀行为需求不同;除了与鼓励患者情感的表达这一维度相关性无统计学意义外,护理关怀行为各维度与住院患者护理工作满意度呈正相关。 结论 人文关怀在临床护理中的应用可以有效的提高住院患者的满意度。     

Implementing nursing caring standards in the emergency department

Caring is a core characteristic of the profession of nursing. The author describes the implementation of performance and communication nursing caring standards in an emergency department (ED) to improve patient satisfaction, a significant quality outcome measure for healthcare providers. ED patient satisfaction with the "care and concern by nurses" increased 6.6% after the caring standards were implemented. The development of concrete ED customer service standards appears to be effective in improving caring behaviors by staff and patient satisfaction.     

五心护理服务模式的构建与实施

目的 构建与实施系统性的关怀照护模式--五心护理服务.方法 设计五心护理服务的内容、健全五心护理服务组织、组织专家编写五心护理服务手册、设计五心护理服务满意度问卷等评价体系,选择3个试点科室并对其护理人员进行人文理论及五心护理服务礼仪、流程等知识培训;按照五心护理服务的要求实施.结果 实施五心护理服务前后试点科室的患者满意度、纠纷投诉、表扬比较差异有统计学意义(P＜0.05).结论 五心护理服务为患者提供了系统性的关怀照护,是提高患者满意度的一种有效方法.     

Caring in nursing: investigating the meaning of caring from the perspective of cancer patients in Beijing, China

Aims. The aims of the study were to develop an understanding of caring in nursing from the perspective of cancer patients and attempt to identify the concept of caring in the Chinese cultural context. Background. Caring as a concept remains elusive, the acceptable definitions of the term care have not been reached. The expressions, processes and patterns of caring vary among cultures, but there is a lack of Chinese culture‐based study about caring in nursing. Methods. A qualitative research design was used and 20 cancer patients were interviewed using a semi‐structured interview guide. A qualitative content analysis was used to identify themes in the data. Results. Three themes emerged from the data, which suggested that caring is delivering care in an holistic way: nurses’ caring attitudes and their professional responsibility for providing emotional support, nurses’ professional knowledge and their professional responsibility for providing informational support and nurses’ professional skills and their professional responsibility for providing practical support. The caring behaviour of nurses as perceived by cancer patients involved the provision of emotional, informational, and practical support and help based on patients’ needs. A model of caring in nursing was formulated. Conclusions. Caring in nursing as perceived by cancer patients involves nurses having qualified professional knowledge, attitudes and skills in oncology and providing the informational, emotional and practical supports and help required by cancer patients. Relevance to clinical practice. Caring is manifested in nursing actions through nurse–patient communication process. Patients have their inner expectation for nurses’ caring behaviour and attitudes and nurses’ performance of caring or uncaring behaviour has a direct influence on the feelings of patients. It is necessary for all nurses to continue improving their oncology professional knowledge, attitudes and skills as well as their abilities of offering informational, emotional and practical support and help for their cancer patients.     

护理垂直管理体系下绩效考评的做法与效果

目的探索护理垂直管理体系下绩效考评的做法与效果。方法根据各岗位的技术含量、风险、责任、工作量等要素,确定护理绩效分值,实行护理单元考评和护士个人考评。根据工作效率、工作质量和工作效益的权重比例进行护理单元绩效考评;根据护士个人工作效率、工作质量、工作业绩的权重比例进行护士个人考评。结果护士对工作满意度提高（P〈0．05）;患者对护理工作的满意度提升（P〈0．01）。结论绩效考评可以充分调动护士的工作积极性,提高护理管理的效率。     

Learning from the severe acute respiratory syndrome (SARS) epidemic

Aims and objectives. This study uses two models of nursing practice, conventional and modular design, to compare nursing activities, hand hygiene, time efficiency and nurse–patient satisfaction in medical and surgical wards. Background. Learning from the SARS epidemic pointed to the importance of quality nursing practice considerations that minimize cross‐transmission of infection while maximizing patient‐focused care. Hence, a modular nursing model was adopted. Design and method. This study comprised pre‐ and postintervention phases. Data collection tools to evaluate modular nursing practice included a work sampling observation checklist, focused group interviews with nurses, questionnaires addressing nurses’ perceived competence and caring attributes, a patient satisfaction questionnaire, and a hand hygiene audit. A series of education sessions were conducted between the two phases. Quantitative and qualitative analyses were used for data triangulation. Results. Modular nursing practice, focusing on continuity of care, led to changes in the nature of direct care activities and improvement in patient/family education frequency. Also, a general increase in nurses’ hand washing frequency was noted. However, when nurses perceived time pressure, a lapse in hand hygiene compliance was found. Because of human resource and inefficiency issues, some nurses in the studied wards did not embrace geographical separation for infection control. Positive correlations were found for nurses’ perceived infection control practice competence and their perceived caring attributes. Relevance to clinical practice. In examining nursing practice models within complex clinical situations, the significance lies not only in the model's effects but also in other operational outcomes.