Zrinyi Miklos, Horvath Teodora
World Health Organization, Geneva, Switzerland.
Eur J Cardiovasc Nurs. 2003 Jul;2(2):159-66. doi: 10.1016/S1474-5151(03)00032-X.
To describe patient perceptions of quality and satisfaction with nursing care, nurse-patient interactions and barriers to and benefits of implementing a healthy lifestyle.
A pretest-posttest cross-sectional correlational research design was used. Subjects were randomly selected between November 2001 and January 2002 from patients admitted to the National Institute of Cardiology in Budapest, Hungary. Participants completed 3 self-reported measures and a demographic survey, which assessed individual lifestyle behaviors (e.g. frequency of smoking, physical activity, stress and unhealthy dieting).
Satisfaction with nursing care and nurse-patient interactions influenced both perceived benefits and barriers. Patient satisfaction and perceived benefits at discharge were associated with more frequent exercising and less smoking. Among other factors, perceived benefits at discharge were predicted by attentive nurse behaviors toward patients and by patients' ability to initiate discussion with nurses.
Findings support effects of patient satisfaction and nurse-patient relationships on perceived benefits/barriers. Compared to barriers, perceived benefits more importantly determined health behaviors. Attentive nursing care and the patient's ability to discuss health concerns with nurses appear more influential in modifying patient perceptions. Exploring nursing interventions to maximize perceived benefits during hospitalization is suggested.
描述患者对护理质量、护患互动的看法以及实施健康生活方式的障碍和益处。
采用前后测横断面相关研究设计。2001年11月至2002年1月期间，从匈牙利布达佩斯国家心脏病研究所收治的患者中随机选取研究对象。参与者完成了3项自我报告测量和一项人口统计学调查，该调查评估了个人生活方式行为（如吸烟频率、体育活动、压力和不健康饮食）。
对护理和护患互动的满意度影响了感知到的益处和障碍。出院时的患者满意度和感知到的益处与更频繁的锻炼和更少的吸烟有关。在其他因素中，出院时感知到的益处可通过护士对患者的细心行为以及患者与护士展开讨论的能力来预测。
研究结果支持患者满意度和护患关系对感知到的益处/障碍的影响。与障碍相比，感知到的益处更重要地决定了健康行为。细心的护理以及患者与护士讨论健康问题的能力在改变患者认知方面似乎更具影响力。建议探索护理干预措施，以在住院期间最大限度地提高感知到的益处。
