护士精神薪酬满意度对其创新行为的影响

目的：探讨护士精神薪酬满意度对其创新行为的影响,为提高护士创新水平提供新的思路。方法采用中文版护士精神薪酬满意度问卷和创新行为量表对488名护士进行问卷调查,探讨护士精神薪酬满意度对其创新行为的影响,采用Pearson相关分析法和分层回归分析法进行分析。结果护士创新行为评分为（4．39±0．72）分,处于中等水平;来自护士长的精神薪酬满意度为（14．21±2．06）分,来自医生的精神薪酬满意度为（12．96±1．89）分,差异有统计学意义（t＝9．877,P＜0．01）。 Pearson相关分析显示,创新行为与来自护士长和来自医生的精神薪酬满意度均呈正相关（ r值分别为0．423,0．391;P＜0．05）;分层回归分析显示,年龄、职称、聘用方式和精神薪酬满意度为创新行为的预测因素。结论护士创新行为不高,提高护士的精神薪酬满意度有利于改善其创新行为,护理管理者可从提高护士精神薪酬满意度角度提高其创新水平。     

癌痛患者口袋日记本的设计与临床应用

目的：为癌痛患者制作一种携带方便的癌痛管理日记本,提高肿瘤患者对癌痛知识的掌握,促进患者主动参与癌痛规范化治疗。方法选取四川省肿瘤医院6个癌痛示范病房的299例中重度癌痛患者,将病房分别编号,随机分为研究组156例和对照组143例。对照组采用常规癌痛健康教育指导,研究组在此基础上给每个患者分发一本癌痛患者口袋日记本,动态记录疼痛控制情况及不良反应。采用自制肿瘤患者癌痛知识自评问卷和肿瘤患者癌痛控制满意度问卷于患者出院前进行测试和评价。结果研究组患者癌痛评估与药物使用得分与对照组比较差异无统计学意义(P>0.05),研究组不良反应预防得分(15.84±1.70)分,不良反应观察(15.84±1.70)分,癌痛误区鉴别(18.52±1.16)分,均高于对照组,差异有统计学意义(t 值分别为5.25,2.38,13.53;P <0.05)。研究组非常满意98例,满意55例,不满意3例,满意度高于对照组,差异有统计学意义(Z=8.87,P<0.05)。结论癌痛患者口袋日记本制作简单、携带方便、实用性强,有利于提高肿瘤患者对癌痛知识的掌握水平,促进患者参与癌痛规范化治疗,提高癌痛控制自我管理能力和满意度。     

舒适护理对上消化道出血患者生活质量的影响

目的探讨舒适护理对上消化道出血患者生活质量的影响。方法选择本院2009年10月至2010年10月收治的63例急性上消化道出血患者作为治疗组,选择同期入院63例患者作为对照组,两组患者均给予常规止血对症护理,治疗组在此基础上行舒适护理干预。比较两组住院期间焦虑评分、生活质量、出血量、满意评分等。结果治疗组的心理、社会、担心焦虑、躯体不适、满意程度等情况与对照组相比差异具有统计学意义(P<0.05),且治疗组生活质量、心理状态、对护理工作满意度均优于对照组;但两组住院期间出血量差异无统计学意义( P>0.05)。结论针对上消化道出血患者实施舒适护理,可减轻患者心理压力,改善生活质量,促进护患关系。     

经脐单孔与三孔法腹腔镜胆囊切除术疗效比较

目的分析对比经脐单孔与三孔法腹腔镜胆囊切除术的疗效。方法将90例拟行腹腔镜切除术患者随机分为对照组和观察组,每组45例。对照组行三孔法腹腔镜胆囊切除术,观察组行经脐单孔腹腔镜胆囊切除术,行视觉模拟评分(VAS)和美容满意度评分,记录手术时间、术中出血量、进食时间、住院治疗时间等。结果观察组VAS评分显著低于对照组,美容满意度评分显著高于对照组,差异具有统计学意义(P0.05)。观察组手术时间高于对照组,差异具有统计学意义(P0.05)。结论在掌握手术适应证前提下,与三孔法腹腔镜胆囊切除术相比,经脐单孔手术美容效果好,术后疼痛程度低。     

泌尿外科实施医护联合查房的效果评价

目的：探讨医护联合查房新型服务模式在泌尿外科的实施效果。方法选择2014年1—12月在泌尿外科住院的650例手术患者作为实验组,在患者入院当天、手术前第1天、手术当天、术后第1天、出院当天实施医护联合查房模式,选择同期在泌尿外科住院的500例手术患者作为对照组,实施传统的医护分开查房模式,对两组病人进行出院满意度及护士工作满意度问卷调查,对照两种工作模式的患者满意度、护士对专业提升效果及满意度、护理成效。结果实验组护理工作质量高,调查护士工作满意度95．45％,出院患者满意度98．46％,差异有统计学意义P＜0．05。结论实施医护联合查房,能提高整体护理水平,建立和谐的医护关系,更重要的是为患者提供了优质、安全、高效的医疗护理服务,大大提高了病人满意度,赢得了社会效益。     

成都市某主城区社区卫生服务满意度调查

目的 了解服务利用者对社区卫生服务的满意度的现状、机构差距及影响因素,为提升社区卫生服务质量、缩小机构间服务满意度差距提供依据.方法 定性与定量方法相结合.问卷调查950名门诊患者、电话访谈2 150名重点人群,了解服务利用者对某主城区19个社区卫生服务机构的满意度及其影响因素;应用SPSS软件进行频数分析、卡方检验和聚类分析.结果 95％的门诊患者对社区卫生服务感到总体满意;分项满意度从高到低依次是服务态度、就医环境、技术水平、就医设备;4类重点人群对社区卫生服务的满意度水平分别介于70％ ～100％、60％ ～100％、80％～100％和70％～ 100％之间;门诊患者的总体服务满意度在各个机构之间存在显著性差异;聚类分析将19个机构按满意度水平高中低划分为3类.结论 社区卫生服务管理中应引入全面质量管理理念,促进满意度的提升;重点提升医护人员综合素质,营造人文关怀的机构文化;综合措施缩小机构间满意度差距.     

陕西省基层医务人员激励机制的满意度调查研究

目的：通过对陕西省基层医疗机构医务人员激励机制满意度的现状调查,找到影响医务人员工作积极性的主要激励因子。方法选择陕西省陕南、关中、陕北地区医疗机构进行问卷调查,并对统计数据采用因子分析法和Krukal－Wallis检验。结果影响医务人员工作积极性的主要激励公因子有培训和发展、薪酬待遇与保障水平、管理方式和团队合作、工作条件与工作环境,并且不同属性的医务人员对激励满意度存在差异。结论要提高医务人员的工作积极性,就必须结合陕西各地区的具体情况,建立适合的激励机制。     

Does the etiology affect the outcome and satisfaction rates of penile prosthesis implantation surgery?

Our aim was to compare the outcomes and satisfaction rates of men undergoing penile prostheses implantation (PPI) secondary to radical prostatectomy (RP) and other causes of vasculogenic erectile dysfunction (ED). A total of 142 patients, of whom 60 underwent PPI due to ED following RP (Group 1) and 82 underwent PPI due to ED with other vasculogenic causes (Group 2) were included in this study. The preoperative erectile status was evaluated with the International Index of Erectile Function (IIEF). The satisfaction of patients and partners were evaluated by a telephone interview using Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire and Erectile Dysfunction Inventory of Treatment Satisfaction Partner Survey. Preoperative mean IIEF scores were significantly lower in Group 1 (17.5 ± 6.4 vs. 24.2 ± 5.1, p = 0.01). For Groups 1 and 2, the mean EDITS scores of the patients were 58 ± 10 and 71 ± 8, respectively, and that for the partners were 46 ± 8 and 65 ± 7, respectively. Group 1 had significantly lower scores both for the EDITS and the EDITS Partner Survey (p = 0.03, p = 0.01, respectively). Patients who had undergone RP and their partners were found to have lower satisfaction rates compared to patients with other causes of vasculogenic ED who had penile implant surgery. From this point of view, it is important to know the patient's expectations about the treatment outcomes and a preoperative psychological and sexual counseling should be managed for possible treatment alternatives after RP.     

Relatives’ perspectives on the quality of care in an Intensive Care Unit: The theoretical concept of a new tool

Objective

To examine the potential of a questionnaire (CQI ‘R-ICU’) to measure the quality of care from the perspective of relatives in the Intensive Care Unit (ICU).

Methods

A quantitative survey study has been undertaken to explore the psychometric properties of the instrument, which was sent to 282 relatives of ICU patients from the Erasmus MC, an academic hospital in Rotterdam, the Netherlands. Factor-analyses were performed to explore the underlying theoretical structure.

Results

Survey data from 211 relatives (response rate 78%) were used for the analysis. The overall reliability of the questionnaire was sufficiently high; two of the four underlying factors, namely ‘Communication’ and ‘Involvement’, were significant predictors. Two specific aspects of care that needed the most improvement were missing information about meals and offering an ICU diary. There is a significant difference in mean communication with nurses among the four wards in Erasmus MC.

Conclusions

The CQI ‘R-ICU’ seems to be a valid, reliable and usable instrument. The theoretical fundament appears to be related to communication.

Practice implications

The newly developed instrument can be used to provide feedback to health care professionals and policy makers in order to evaluate quality improvement projects with regard to relatives in the ICU.