Digestive and Urology Clinic, Turku University Hospital, Turku, Finland.
Department of Nursing Science, University of Turku, Turku, Finland.
BMJ Open. 2019 Apr 3;9(4):e023108. doi: 10.1136/bmjopen-2018-023108.
This study aims to analyse the relationship between patient education and the quality of surgical nursing care as perceived by patients. The background of the study lies in the importance of a patient-centred approach for both patient education and quality evaluation.
This was a cross-sectional descriptive correlational study with surgical patients.
Data were collected in 2013 in one hospital district in Finland.
480 hospitalised surgical patients.
The data were collected using two structured instruments: one measuring the perceived quality of nursing care experienced by patients (Good Nursing Care Scale) and one measuring the received knowledge of hospital patients (RKhp). Data were analysed statistically using descriptive and inferential statistics to describe the sample and study variables. Pearson's correlation coefficients were used to analyse the association between the scales.
Surgical hospital patients evaluated the level of the quality of nursing care as high; this was especially true with reference to the environment and staff characteristics, but not to collaboration with family members. Most (85%) of the patients had received sufficient knowledge preoperatively and they were familiar with the proceeding of their care and treatment after discharge; in particular, they had received bio-physiological knowledge, consisting of knowledge of the disease, symptoms and the physiological elements of care. The positive correlation between the perceived quality of surgical nursing care and received knowledge was strong, suggesting a positive relationship between patient education and improvement of the quality of nursing care.
Based on the results, the quality of nursing care and patient education are interconnected. Thus, by improving patient education, the quality of nursing care can also be improved. It is particularly important to improve collaboration with family members and patients' own management strategies as well as the multidimensionality of educational knowledge.
本研究旨在分析患者教育与患者感知的外科护理质量之间的关系。本研究的背景是患者为中心的方法对于患者教育和质量评估都很重要。
这是一项针对外科患者的横断面描述性相关性研究。
数据于 2013 年在芬兰的一个医院区收集。
480 名住院外科患者。
使用两种结构问卷收集数据：一种衡量患者感知的护理质量（良好护理关怀量表），另一种衡量患者接受的医院知识（RKhp）。使用描述性和推断性统计方法对数据进行统计分析，以描述样本和研究变量。使用 Pearson 相关系数分析量表之间的关联。
外科住院患者评估护理质量水平较高；特别是在环境和工作人员特点方面，但在与家庭成员的合作方面则不然。大多数（85%）患者在术前获得了足够的知识，并且熟悉他们的护理和治疗程序；特别是，他们获得了生物生理知识，包括疾病、症状和护理的生理要素。外科护理质量与接受知识之间存在强正相关，表明患者教育与护理质量的提高之间存在积极关系。
根据结果，护理质量和患者教育是相互关联的。因此，通过改善患者教育，可以提高护理质量。改善与家庭成员的合作以及患者自身的管理策略以及教育知识的多维性尤为重要。
