Fathidokht Haddad, Mansour-Ghanaei Roya, Darvishpour Azar, Maroufizadeh Saman
Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
J Educ Health Promot. 2024 Jan 22;12:426. doi: 10.4103/jehp.jehp_1677_22. eCollection 2023.
Patient satisfaction helps healthcare organizations to improve their quality level and nurse-patient relationship is effective in increasing satisfaction. The aim of this study was to determine the effect of communication using Peplau's theory on satisfaction with nursing care in hospitalized older adults' patients in cardiac intensive care unit.
This quasi-experimental study was conducted by available sampling method on 78 hospitalized older adults (39 interventions, 39 control) in cardiac intensive care unit of Guilan hospitals in north of Iran in 2021. In the intervention group, Peplau's communication theory (four stages of orientation, identification, exploitation, and resolution) was implemented and the control group received routine care. At the time of discharge, patient satisfaction questionnaire of quality of nursing care was completed for both groups. Data were analyzed through descriptive and inferential statistics (independent test, Chi-square test).
The mean score of nursing satisfaction in the intervention group (5.4 ± 93.0) was significantly higher than the control group (6.8 ± 75.7) (t (64) = 11.54, < 0.001, d = 2.84). In other words, the mean satisfaction scores of nursing care in the intervention group were 17.4 units (95% confidence interval: 14.4-20.4) more than the control group.
Using Peplau's communication theory in the care of hospitalized older adults in cardiac intensive care unit can lead to improvement of satisfaction, so it is suggested to use this communication method in the care of these patients to improve the level of satisfaction, quality of care, and functional independence.
患者满意度有助于医疗机构提高其质量水平，而护患关系对提高满意度具有积极作用。本研究旨在确定运用佩普劳理论进行沟通对心脏重症监护病房住院老年患者护理满意度的影响。
本准实验研究于2021年采用便利抽样法，对伊朗北部吉兰医院心脏重症监护病房的78例住院老年患者（39例干预组，39例对照组）进行研究。干预组实施佩普劳沟通理论（定向、识别、利用和解决四个阶段），对照组接受常规护理。出院时，两组均完成护理质量患者满意度问卷。数据通过描述性和推断性统计（独立t检验、卡方检验）进行分析。
干预组护理满意度平均得分（5.4±93.0）显著高于对照组（6.8±75.7）（t（64）=11.54，P<0.001，d=2.84）。也就是说，干预组护理满意度平均得分比对照组高17.4分（95%置信区间：14.4 - 20.4）。
在心脏重症监护病房住院老年患者的护理中运用佩普劳沟通理论可提高满意度，因此建议在这些患者的护理中采用这种沟通方式，以提高满意度、护理质量和功能独立性。
