Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
Enferm Intensiva (Engl Ed). 2023 Apr-Jun;34(2):80-89. doi: 10.1016/j.enfie.2022.04.001.
Differences in patients and nurses' perceptions of caring behaviors arouse patient dissatisfaction. Continuous monitoring and assessment of caring behaviors has revealed its problems, and this in turn would promote care services by planning rational interventions and removing the problems. The present study aimed to compare nurses and elderly patients' perceptions of nurses' caring behaviors in intensive care units in accordance with Watson's transpersonal caring theory.
In this descriptive-analytical study, 70 nurses were selected using the census method, and 70 elderly patients over 60 years old were also selected using purposive sampling method from the intensive care units of Lorestan University of Medical Sciences during 2012-2013. Caring Behavior Inventory for Elders (CBI-E) was adopted in this research to detect the nurses and elderly patients' perceptions of caring behaviors. In the data analysis phase, Kruskal-Wallis, Mann-Whitney U, and Pearson correlation tests were used.
The research findings revealed no statistically significant difference between the total scores of nurses' 83.80 (22.93), 95% CI [78.40, 89.20] and elderly patients' 80.09 (26.00), 95% CI [74, 86.20] perception of nurses' caring behaviors (P=0.379). From the viewpoint of the nurses and elderly patients, responding quickly to a patient's call 100.00 (0.00), 95% CI [100.00, 100.00] had the highest mean scores and patient participation in caring process had the lowest mean scores among nurses 22.86 (33.71), 95% CI [15.00, 30.80] and elderly patients 14.29 (28.41), 95% CI [7.63, 20.90].
This study indicated the elderlies and nurses' similar perceptions of caring behaviors in intensive care units. This finding would help nurses to recognize and prioritize the elderly patients' care needs, thereby promoting the quality of care services.
患者和护士对护理行为的感知差异引起患者不满。对护理行为的持续监测和评估揭示了其存在的问题，进而通过规划合理的干预措施并解决这些问题，促进护理服务。本研究旨在根据 Watson 的超个人关怀理论，比较重症监护病房护士和老年患者对护士关怀行为的感知。
在这项描述性分析研究中，采用普查法选取了 70 名护士，2012-2013 年期间，采用目的抽样法从洛雷斯坦医科大学重症监护病房选取了 70 名 60 岁以上的老年患者。采用老年人关怀行为量表（CBI-E）检测护士和老年患者对关怀行为的感知。在数据分析阶段，使用了 Kruskal-Wallis、Mann-Whitney U 和 Pearson 相关检验。
研究结果显示，护士关怀行为总分 83.80（22.93），95%CI [78.40，89.20]和老年患者关怀行为总分 80.09（26.00），95%CI [74，86.20]之间无统计学差异（P=0.379）。从护士和老年患者的角度来看，快速响应患者呼叫 100.00（0.00），95%CI [100.00，100.00]的平均得分最高，而患者参与护理过程的平均得分最低，护士为 22.86（33.71），95%CI [15.00，30.80]和老年患者为 14.29（28.41），95%CI [7.63，20.90]。
本研究表明，重症监护病房的老年患者和护士对护理行为的感知相似。这一发现有助于护士认识和优先考虑老年患者的护理需求，从而提高护理服务质量。
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