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定期护理查房对外科病房患者舒适度、满意度及护士遭受暴力的影响。

The effect of regular nursing rounds on patients' comfort and satisfaction, and violence against nurses in surgical ward.

作者信息

Roustaei Zohre, Sadeghi Narges, Azizi Azim, Eghbalian Mostafa, Karsidani Sahar Dehdar

机构信息

Malayer Mehr Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.

Student Research Committee, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Heliyon. 2023 Jul 1;9(7):e17708. doi: 10.1016/j.heliyon.2023.e17708. eCollection 2023 Jul.

Abstract

BACKGROUND

Patients' satisfaction and comfort are known as the quality indicators of nursing care. Nowadays, violence against nurses has an increasing trend. Regular nursing rounds are one of the caring programs that help improve these indicators. This study aimed to examine the effect of regular nursing rounds on patients' comfort, satisfaction, and violence against nurses.

MATERIALS AND METHODS

This quasi-experimental study was conducted in two groups consisting of 100 patients and 35 nurses in a surgery ward in the northwest of Iran. The satisfaction with nursing care quality questionnaire, Kolcaba's general comfort questionnaire, and work environment violence were used for data collection. In the present study, the control and intervention groups were selected using a simple sampling method. The control group received routine care only; however, the intervention group received a regular nursing round program every 2 h from the second day of their admission for three days. The satisfaction questionnaire and comfort scale were completed on the second and fifth days of admission, and the evaluation of violence against nurses was performed from the second to the fourth day. The results were analyzed using chi-square, Fisher, independent t, and paired t tests.

RESULTS

Before the intervention, no statistically significant difference was observed between the two groups in terms of demographic and dependent variables (p > 0/05). After the intervention, statistically significant differences were observed among the mean scores of satisfaction with nursing care (p < 0/001), comfort (p < 0.001), and violence against nurses (p = 0.041) between the two study groups, so that in the intervention group, the patients' satisfaction and comfort increased and violence against nurses reduced during the intervention period.

CONCLUSIONS

The use of regular nursing rounds had a positive effect on the study results. Therefore, it is recommended that nurse managers design, implement, encourage, and evaluate regular nursing rounds to improve nursing care.

摘要

背景

患者的满意度和舒适度是护理质量的指标。如今,针对护士的暴力行为呈上升趋势。定期护理查房是有助于改善这些指标的护理项目之一。本研究旨在探讨定期护理查房对患者舒适度、满意度以及针对护士的暴力行为的影响。

材料与方法

本准实验研究在伊朗西北部一家外科病房进行,分为两组,包括100名患者和35名护士。使用护理质量满意度问卷、科尔卡巴一般舒适度问卷以及工作场所暴力问卷收集数据。在本研究中,采用简单抽样方法选取对照组和干预组。对照组仅接受常规护理;然而,干预组从入院第二天开始,每2小时接受一次为期三天的定期护理查房项目。在入院第二天和第五天完成满意度问卷和舒适度量表,并在第二天至第四天对针对护士的暴力行为进行评估。结果采用卡方检验、费舍尔检验、独立样本t检验和配对样本t检验进行分析。

结果

干预前,两组在人口统计学和因变量方面未观察到统计学上的显著差异(p>0.05)。干预后,两组在护理满意度(p<0.001)、舒适度(p<0.001)和针对护士的暴力行为(p=0.041)的平均得分上存在统计学显著差异,因此在干预组中,患者的满意度和舒适度在干预期间有所提高,针对护士的暴力行为有所减少。

结论

定期护理查房的使用对研究结果有积极影响。因此,建议护士长设计、实施、鼓励并评估定期护理查房,以改善护理服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d003/10395142/8412babf9cf3/gr1.jpg

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