伦理视域下护士与患者及家属对生活护理的认知探讨

目的:了解生活护理实践情况,从伦理视域探讨护士、患者、家属三方对生活护理的认知态度,为推广生活护理实践寻求方向。方法:采用自制生活护理认知调查问卷,在安徽省两家三级甲等医院开展问卷调查。结果:护、患、家属三方对护士实施生活护理的接受度均不超过15%,高于70%的被调查者拒绝护士执行生活护理是由于心理和情感因素。护士认为需要进行生活护理辅助的项目均明显少于患者及家属的要求(P<0.01);70%的护士认为生活护理应该由护工承担,60%的家属认为应该由家属承担,患者认为应由家属(35%)和护工(45%)共同承担,差异有统计学意义(P<0.01)。结论:护、患、家属三方对于生活护理认知既有共同点,也有不同点,推行生活护理实践时需要综合考虑。

The cognition of nurses,patients and their families under ethics about living nursing

Objective:To investigate the practice situation of living nursing and cognitive attitudes of nurses,patients and their families for seeking direction in promoting of living nursing practice. Methods:The cognition of living nursing in two tertiary hospitals in Anhui province were investigated using self-making living nursing cognition questionnaire. Results:The acceptabilities of living nursing in nurses,patients and their families were less than 15%. The emotional and psychological factors in 70% respondents were the causes of rejecting the living nursing of nurse. Nurses thought that nursing assisted projects were less than the requirements of patients and their families(P<0. 01). The 70% of nurses thought that the living nursing should be borne by the care worker,60% of patients families thought that the living nursing should be borne by themselves and the patients thought that living nursing should be borne by patients families(35%) and care worker(35%),the difference was statistically significant(P<0. 01). Conclusions:There are similarities and differences in the cognitions of living nursing in nurses,patients and their families,the implementing living nursing must be considered.