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比较护士与患者对烧伤护理中尊严的认知:一项横断面研究。

Comparing nurses' and patients' perceptions of dignity in burn care: a cross-sectional study.

作者信息

Zarei Davood, Khademian Zahra, Jaberi Azita, Keshavarzi Abdolkhalegh

机构信息

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

Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

BMC Nurs. 2025 Mar 31;24(1):350. doi: 10.1186/s12912-025-02930-3.

Abstract

BACKGROUND

Maintaining patients' dignity is a moral responsibility of nurses. Patients with burn injury experience changes in their body appearance, self-concept and social roles, which may lead to their fear of losing dignity. The aim of this study was to compare nurses' and patients' perceptions of preserving dignity of patients with burn injury.

METHODS

This cross-sectional study was conducted on 110 nurse-patient dyads at Amir-Al-Moemenin Burn Hospital, Shiraz, Iran between August 2023 to February 2024. Data were collected using patient dignity questionnaire and analyzed using SPSS software version 23.0, utilizing descriptive tests, Mann-Whitney, Kruskal-Wallis, Wilcoxon, and Spearman's correlation coefficient.

RESULTS

A significant difference was found between the overall scores of nurses' (143.21 ± 13.29) and patients' (136.70 ± 13.8) perceptions of preserving patients' dignity (p = 0.002). Furthermore, a significant difference was observed between their perceptions of two dignity dimensions including communication and privacy (p < 0.001). However, no significant difference was found between their perceptions of the two dimensions of autonomy and respect (p > 0.05).

CONCLUSIONS

This study highlights disparities in nurses' and patients' perceptions of preserving burn patients' dignity so that patients' perception of the nurses maintained their dignity was lower than what the nurses themselves believed. Therefore, nurses must pay more attention to maintaining the dignity of patients with burn injuries.

摘要

背景

维护患者尊严是护士的道德责任。烧伤患者的身体外观、自我概念和社会角色会发生变化,这可能导致他们担心失去尊严。本研究的目的是比较护士和患者对烧伤患者尊严维护的看法。

方法

本横断面研究于2023年8月至2024年2月在伊朗设拉子的阿米尔 - 穆民宁烧伤医院对110对护士 - 患者进行。使用患者尊严问卷收集数据,并使用SPSS 23.0软件进行分析,采用描述性检验、曼 - 惠特尼检验、克鲁斯卡尔 - 沃利斯检验、威尔科克森检验和斯皮尔曼相关系数。

结果

护士(143.21±13.29)和患者(136.70±13.8)对维护患者尊严的总体得分存在显著差异(p = 0.002)。此外,他们在沟通和隐私这两个尊严维度的看法上也存在显著差异(p < 0.001)。然而,他们在自主和尊重这两个维度的看法上没有显著差异(p > 0.05)。

结论

本研究凸显了护士和患者在烧伤患者尊严维护看法上的差异,即患者认为护士维护其尊严的程度低于护士自己所认为的。因此,护士必须更加关注维护烧伤患者的尊严。

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本文引用的文献

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Dignity and Related Factors in Patients with Cancer: A Cross-Sectional Study.癌症患者的尊严及相关因素:一项横断面研究。
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The epidemiological characteristic and trends of burns globally.全球烧伤的流行病学特征和趋势。
BMC Public Health. 2022 Aug 22;22(1):1596. doi: 10.1186/s12889-022-13887-2.
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How patients with cancer experience dignity: An integrative review.癌症患者如何体验尊严:综合述评。
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