河北省患者最喜欢的护理类型及相关因素的多中心调查。
A multicenter survey of patients' favorite type of nursing care and associated factors in Hebei Province, China.
机构信息
Editorial Department, The Third Hospital of Hebei Medical University, Shijiazhuang, P.R. China.
Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, P.R. China.
出版信息
PLoS One. 2022 Mar 9;17(3):e0264169. doi: 10.1371/journal.pone.0264169. eCollection 2022.
BACKGROUND
Nursing care service is an important part of the healthcare system; however, patients' favorite type of nursing care remains unknown. This study aims to investigate inpatients' and nurses' favorite types of nursing care and identify nurses' learning needs.
METHOD
The study selected a province-representative sample of inpatients and nurses using a stratified random sampling method from 18 selected hospitals, including 9 Level Ⅱ hospitals and 9 Level Ⅲ hospitals in 9 cities of Hebei province. All participants were personally interviewed about their favorite type of nursing care. Multinomial logistic regression analysis was applied to analyze the potential associations between favorite nursing care and factors about inpatients and nurses.
RESULTS
Data from 3,642 inpatients and 371 nurses were included for the final analysis during this survey. Among inpatients, the proportions who selected good attitude-centered, good nursing skill-centered, good environment-centered and good health education guidance-centered as their favorite types of nursing care were 49.9%, 31.8%, 5.8%, and 12.5%, respectively. Concurrently, among nurses, the proportions were 49.9%, 29.6%, 19.1%, and 1.3%, respectively. Multivariate analysis showed that most patients selected good attitude-centered nursing care as their favorite type of nursing care. However, patients who did not live with guardians and had more than one hospitalization per year were more likely to select other nursing care types.
CONCLUSION
Attitude-centered nursing care service was the favorite type of nursing care for most inpatients and nurses. Health education guidance was another main concern of inpatients. The main factors affecting the patients' choice of favorite nursing care included patients' living status and the number of hospitalization events per year. Nursing education should focus on nurse attitude as well as on health education guidance.
背景
护理服务是医疗保健系统的重要组成部分；然而，患者最喜欢的护理类型仍不清楚。本研究旨在调查住院患者和护士最喜欢的护理类型，并确定护士的学习需求。
方法
本研究采用分层随机抽样方法，从河北省 18 家选定的医院中抽取了具有代表性的住院患者和护士样本，包括 9 家二级医院和 9 家三级医院。所有参与者均亲自接受了关于他们最喜欢的护理类型的访谈。应用多项逻辑回归分析方法分析了住院患者和护士最喜欢的护理类型与相关因素之间的潜在关联。
结果
本调查共纳入了 3642 名住院患者和 371 名护士的数据进行最终分析。在住院患者中，选择良好态度为中心、良好护理技能为中心、良好环境为中心和良好健康教育指导为中心的护理类型的比例分别为 49.9%、31.8%、5.8%和 12.5%。同时，护士中相应的比例分别为 49.9%、29.6%、19.1%和 1.3%。多变量分析显示，大多数患者选择良好态度为中心的护理服务作为他们最喜欢的护理类型。然而，没有监护人陪伴且每年住院超过一次的患者更有可能选择其他护理类型。
结论
态度为中心的护理服务是大多数住院患者和护士最喜欢的护理类型。健康教育指导是住院患者另一个主要关注点。影响患者选择最喜欢的护理类型的主要因素包括患者的生活状况和每年住院次数。护理教育应注重护士的态度以及健康教育指导。
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