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影响手术护士在围手术期实施以患者为中心护理能力的因素有哪些?一项横断面研究。

What factors influencing surgical nurses' competence in implementing person-centered care in the perioperative period?: A cross-sectional study.

机构信息

Department of Cardiovascular Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Department of Nursing, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

出版信息

Medicine (Baltimore). 2024 Oct 11;103(41):e40035. doi: 10.1097/MD.0000000000040035.

DOI:10.1097/MD.0000000000040035
PMID:39465787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11479496/
Abstract

Strengthening the capability of clinical surgical nurses to provide person-centered care (PCC) requires a thorough analysis of several related factors. This study used a descriptive cross-sectional design to investigate the factors that influence surgical nurses' perioperative competency in the performance of PCC in Anhui, China. A convenience sampling was implemented to administer a questionnaire survey to 437 nurses with more than 1 year of experience working in surgical wards. A web-based cross-sectional questionnaire evaluated the participant's general sociological information, empathy, job burnout, and nursing competence. The questionnaire were designed and published through the online platform Questionnaire Stars, and the link was distributed through the Internet and WeChat media by the nursing department of their hospital. Data were collected from June to September 2023 and processed by descriptive, correlation, and stepwise multiple regression analyses. Participants with high levels of empathy (β  = 0.502, P < .001), low levels of job burnout (β  = -0.288, P < .001), humanistic nursing training (β  = 0.167, P < .001), and personnel agency (β  = 0.083, P < .001) showed better PCC competence. The regression model analysis showed that 4 influencing factors explained 59.2% of the variance (F = 158.930, P < .001, adjusted R2 = 0.592). These findings suggest that steps should be taken to strengthen the key factors, such as improving empathy, minimizing job burnout, offering more humanities training, and enhancing personalities, to reinforce PCC competency.

摘要

增强临床外科护士提供以患者为中心的护理(PCC)的能力,需要深入分析几个相关因素。本研究采用描述性横断面设计,调查了中国安徽外科护士在围手术期实施 PCC 时影响其能力的因素。采用便利抽样法,对 437 名具有 1 年以上外科病房工作经验的护士进行问卷调查。通过在线平台 Questionnaire Stars 设计和发布问卷,护理部通过互联网和微信媒体发布链接。数据收集时间为 2023 年 6 月至 9 月,采用描述性、相关性和逐步多元回归分析进行处理。具有较高同理心(β=0.502,P<.001)、较低职业倦怠(β=-0.288,P<.001)、人文护理培训(β=0.167,P<.001)和人事代理(β=0.083,P<.001)的参与者表现出更好的 PCC 能力。回归模型分析显示,4 个影响因素解释了 59.2%的方差(F=158.930,P<.001,调整 R2=0.592)。这些发现表明,应采取措施加强关键因素,如提高同理心、尽量减少职业倦怠、提供更多人文培训和增强个性,以增强 PCC 能力。

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