Suhonen Riitta, Berg Agneta, Idvall Ewa, Kalafati Maria, Katajisto Jouko, Land Lucy, Lemonidou Chryssoula, Välimäki Maritta, Leino-Kilpi Helena
Health Care District of Forssa, Forssa, Finland.
Int J Nurs Stud. 2008 Nov;45(11):1586-97. doi: 10.1016/j.ijnurstu.2007.12.005. Epub 2008 Mar 4.
Although individualised nursing care is considered a core value in nursing in different countries, international comparative studies in this area are rare. In Western countries, common hospitalised patients, e.g. orthopaedic patients, often perceive health care as impersonal rather than individualised; a term which may also have different connotations in different cultures.
To describe and compare orthopaedic and trauma patients' perceptions of individuality in their care in four European countries.
A cross-sectional comparative study.
24 orthopaedic and trauma wards in 13 acute care hospitals.
Data were collected from orthopaedic and trauma patients in Finland (n=425, response rate 85%), Greece (n=315, 86%), Sweden (n=218, 73%) and UK (n=135, 58%) between March 2005 and December 2006.
Questionnaire survey data using the Individualised Care Scale (ICS) were obtained and analysed using descriptive and inferential statistics including frequencies, percentages, means, standard deviations, 95% confidence intervals (CI), one-way analysis of variance (ANOVA), chi2 statistics and univariate analysis of covariance (ANCOVA).
Patients perceived that nurses generally supported their individuality during specific nursing interventions and perceived individuality in their care. There were some between-country differences in the results. Patients' individuality in the clinical situation and in decisional control over their care were also generally well supported and taken into account. However, patients' personal life situation was not supported well through nursing interventions and these patients perceived lower levels of individualised care.
North-South axis differences in patients' perceptions of individualised care may be attributed to the way nursing care is defined and organised in different European countries. Differences may be due to the differences in regional samples, and so no firm conclusions can be made. Further research will be needed to examine the effect of patient characteristics' and health care organisation variables in association with patients' perceptions of individualised care.
尽管个性化护理在不同国家都被视为护理的核心价值，但该领域的国际比较研究却很少见。在西方国家，普通住院患者，如骨科患者，往往觉得医疗护理缺乏人情味而非个性化；而这个词在不同文化中可能也有不同的内涵。
描述并比较四个欧洲国家骨科和创伤患者对其护理中个性化的认知。
一项横断面比较研究。
13家急症医院的24个骨科和创伤病房。
2005年3月至2006年12月期间，收集了芬兰（n = 425，应答率85%）、希腊（n = 315，86%）、瑞典（n = 218，73%）和英国（n = 135，58%）骨科和创伤患者的数据。
使用个性化护理量表（ICS）获得问卷调查数据，并采用描述性和推断性统计方法进行分析，包括频率、百分比、均值、标准差、95%置信区间（CI）、单因素方差分析（ANOVA）、卡方统计和单变量协方差分析（ANCOVA）。
患者认为护士在特定护理干预期间总体上支持他们的个性化，并在护理中感受到了个性化。结果存在一些国家间差异。患者在临床情况和护理决策控制方面的个性化也普遍得到了较好的支持和考虑。然而，通过护理干预，患者的个人生活状况并未得到很好的支持，这些患者感受到的个性化护理水平较低。
患者对个性化护理认知的南北轴差异可能归因于欧洲不同国家护理的定义和组织方式。差异可能是由于区域样本的不同，因此无法得出确凿结论。需要进一步研究来考察患者特征和医疗保健组织变量与患者对个性化护理认知之间的关联。
