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中文二级和三级公立医院人文护理患者满意度的横断面调查。

Patient satisfaction with humanistic nursing in Chinese secondary and tertiary public hospitals: a cross-sectional survey.

机构信息

Department of Nursing, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Department of Otorhinolaryngology Head and Neck Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

Front Public Health. 2023 Aug 30;11:1163351. doi: 10.3389/fpubh.2023.1163351. eCollection 2023.

DOI:10.3389/fpubh.2023.1163351
PMID:37711237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10498541/
Abstract

BACKGROUND

Humanistic care pertains to the abilities, attitudes, and behaviors central to patient-centered care, contributing to patients' sense of safety and wellbeing. This study aimed to assess the satisfaction of patients with humanistic nursing care in Chinese secondary and tertiary public hospitals.

METHODS

A national cross-sectional survey was conducted across 30 provinces and 83 hospitals in China. Patient satisfaction with humanistic care was assessed using the Methodist Health Care System Nurse Caring Instrument (NCI), which encompasses 20 items across 12 dimensions. Each item was rated on a 7-point Likert scale, yielding a total score of 140. Multiple linear regression analysis was employed to identify factors associated with patients' satisfaction.

RESULTS

Moderate satisfaction (mean score 91.26 ± 13.14) with humanistic nursing care was observed among the 17,593 participants. Factors significantly associated with patient satisfaction included age, hospital type, presence of children, educational attainment, place of residence, family monthly income, and medical insurance type.

CONCLUSION

The study findings highlight the importance of tailored interventions, evidence-based practice guidelines, and patient-centered care in improving patients' satisfaction with humanistic nursing care. Continuous emphasis on nursing education and professional development is crucial for enhancing humanistic care and patient satisfaction.

摘要

背景

人文关怀是患者为中心的护理的核心能力、态度和行为,有助于患者的安全感和幸福感。本研究旨在评估中国二级和三级公立医院患者对人文护理的满意度。

方法

在中国 30 个省和 83 家医院进行了全国性的横断面调查。使用卫理公会卫生保健系统护士关爱工具(NCI)评估患者对人文关怀的满意度,该工具涵盖 12 个维度的 20 个项目。每个项目的评分范围为 7 分制,总分为 140 分。采用多元线性回归分析确定与患者满意度相关的因素。

结果

在 17593 名参与者中,对人文护理的满意度为中等(平均得分 91.26±13.14)。与患者满意度显著相关的因素包括年龄、医院类型、是否有孩子、教育程度、居住地、家庭月收入和医疗保险类型。

结论

研究结果强调了量身定制的干预措施、循证实践指南和以患者为中心的护理对提高患者对人文护理满意度的重要性。持续强调护理教育和专业发展对于增强人文关怀和患者满意度至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529e/10498541/e0b462c7e4af/fpubh-11-1163351-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529e/10498541/7a6ba0a203fe/fpubh-11-1163351-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529e/10498541/e0b462c7e4af/fpubh-11-1163351-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529e/10498541/7a6ba0a203fe/fpubh-11-1163351-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529e/10498541/e0b462c7e4af/fpubh-11-1163351-g0002.jpg

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