中医本科护生专业价值观的调查及影响因素分析

目的了解中医本科护生专业价值观现状并分析其影响因素，为高等护理教育机构培养护生专业价值观提供参考。方法采用护理专业价值观量表（NPVS—R）对223名中医本科护生进行现场调查。结果中医本科护生专业价值观总均分为（83．90±13．93）；4个维度中信任维度得分指标最高（69．5％），行动主义得分指标最低（61．6％）；根据每个条目的得分排序，排在前5位的条目是：维护患者的隐私权、保持患者对医护人员的信任、为自己的护理实践行为承担责任和义务、拒绝参与违背自己专业价值观伦理要求的护理工作、维护患者的道德尊严和法定权利。不同年级护理专业价值观总均分无明显差别，但在照顾提供维度，二年级护生得分高于三年级护生，差别有统计学意义（P=0．014）；学习成绩自我评价不同的护生护理专业价值观认同度有明显不同，差别有统计学意义（F=2．452，P=0．035）。LSD两两分析结果显示：自我评价成绩好的护生专业价值观总均分低于自我评价成绩较好（P=0．008）或一般（P=0．006）的护生，且4个维度得分均低于自我评价成绩较好或一般的护生。结论中医本科护生专业价值观总体水平有待进一步提高，特别是“行动主义”维度认同度较低。与在职护士相比，护生更加注重维护病人的尊严和权利，而对于不断更新知识与技能的认知度不高。护理教育者应该更加关注成绩相对较好以及高年级特别是进入临床实习期护生专业价值观的培养与巩固。

A survey research on the professional values of the traditional Chinese medicine undergraduate nursing students

Objective To investigate the professional values of the traditional Chinese medicine undergraduate nursing students and analyze the influencing factors to guide the nursing professional value education. Methods A total of 223 nursing students from shanghai Chinese traditional medicine university were interviewed by the Nurses Professional Values Scale （ NPVS - R ） revised by Chen Tian- yan. Results The score of professional values of the traditional Chinese medicine undergraduate nursing students was 83.90 -＋ 13.93. 4 di- mension trust＇contributed 69. 5% （the highest） and 2 dimension hetivism＇contributed 61.6% （the lowest） . The first 5 items of profession- al values in this survey were： maintenance of patient＇s right to privacy, keep the patient＇s trust to the medical staff, responsibility for own practice, refusal to participate in care if in ethical opposition to own professional values, protection for moral and legal rights of patients. There were significant differences in the students of different grades in dimension 1 bare and supply＂ （P = 0. 014 ） and of different level of ac- ademic achievement. Conclusions The traditional Chinese medicine undergraduate nursing students should improve the nursing students＂ professional values. Compared with on - the - job nurses, nursing students paid more attention to maintaining the patientb dignity and rights and had no higher awareness of updating knowledge and skills. Nursing eductor should pay attention to the professional values training and consolidation of the student who have good achievement and senior class students especially internship nursing students.