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中国西北地区一项横断面研究显示:住院患者对护理服务的满意度。

Inpatient satisfaction with nursing care in a backward region: a cross-sectional study from northwestern China.

机构信息

Nursing Department, Gansu Provincial Hospital, Lanzhou, China.

In-Patient Services Center, Gansu Provincial Hospital, Lanzhou, China.

出版信息

BMJ Open. 2020 Sep 9;10(9):e034196. doi: 10.1136/bmjopen-2019-034196.

Abstract

OBJECTIVES

The aim of the study was to examine the level of patient satisfaction with nursing care and identify the factors affecting satisfaction from the inpatient's perspective in a backward region of China.

DESIGN

This was a cross-sectional study.

SETTING

The study was conducted at a tertiary hospital located in northwest China.

PARTICIPANTS

Patients admitted to the ward for at least 48 hours were chosen to participate in the survey.

PRIMARY OUTCOME MEASURE

The Newcastle Satisfaction with Nursing Care Scale was used. Data were collected from 219 patients.

RESULTS

The overall inpatient satisfaction with nursing care was 78.15±4.74. Patients were more satisfied with nurses who respected their privacy and treated them as individuals (67.7%). Patients were least satisfied with the type of information nurses gave them (11.7%) and with the sufficient awareness of their needs. Patients who were married, had a history of hospitalisation, surgery and were taken charge of by junior nurses had higher satisfaction.

CONCLUSIONS

The overall level of patient satisfaction was moderate. Patient-centred individualised care and providing sufficient information model of care are needed. There was a need for nurses to be aware of patients' individualised care needs and to provide them with more information. This study may suggest/urge hospital administrators, policymakers and nurses to be more sensitive with patients' married status, history of hospitalisation and surgery, the professional title of in charged nurses when care is provided. Ultimately to achieve better outcome of patients' hospitalisation.

摘要

目的

本研究旨在调查患者对护理服务的满意度,并从住院患者的角度确定影响满意度的因素,研究地点在中国西北部的一个欠发达地区。

设计

这是一项横断面研究。

地点

研究在一家位于中国西北部的三级医院进行。

参与者

选择至少住院 48 小时的患者参加调查。

主要结局测量

采用纽卡斯尔护理满意度量表。从 219 名患者中收集数据。

结果

总体住院患者对护理服务的满意度为 78.15±4.74。患者对尊重其隐私并将其视为个体的护士更满意(67.7%)。患者对护士提供的信息类型(11.7%)和对其需求的充分了解最不满意。已婚、有住院史、手术史且由初级护士负责的患者满意度更高。

结论

总体满意度处于中等水平。需要以患者为中心的个体化护理和提供充足信息的护理模式。护士需要意识到患者的个体化护理需求,并为他们提供更多信息。本研究可能建议/敦促医院管理人员、政策制定者和护士在提供护理时更加关注患者的婚姻状况、住院和手术史以及负责护士的职称。最终实现患者住院治疗效果的改善。

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