儿科ICU护士对患儿父母支持状况与其需求满足程度的相关性研究

发布时间：2018-01-12 13:17

本文关键词：儿科ICU护士对患儿父母支持状况与其需求满足程度的相关性研究　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:调查了解儿科ICU护士对患儿父母的支持状况,分析患儿父母需求满足程度的现状,评价护士的支持能否满足患儿父母的需求,并分析影响护士对患儿父母支持及患儿父母需求满足程度的因素,探讨两者之间的相关性,针对存在的问题提出相应的建议及护理措施,从而为“以家庭为中心的护理”模式在儿科的应用提供参考依据。方法:于2016年07月至2016年09月,采取方便抽样法,选择山东省及吉林省共4所医院的儿科ICU住院患儿的父母210名,对其进行问卷调查。问卷有一般资料调查表、护士对患儿父母支持量表及需求满足程度量表三个部分。运用Epi Data3.1开展数据录入与管理,运用SPSS19.0对数据统计处理。一般资料采用描述性分析;运用t检验、单因素方差分析或Kruskal-Wallis,H检验分析不同性别、年龄、家庭月收入等的患儿父母获得的护理支持程度和需求满足程度是否存在差异;采用Pearson或Spearman分析法对两者之间的关联性进行探讨,将一般资料中有统计学意义的变量作为自变量,以患儿父母的需求满足程度作为因变量进行多元逐步回归分析,讨论影响儿科ICU患儿父母需求满足程度的因素。结果:1.本研究共计发放问卷210份,回收问卷206份,有效问卷199份,问卷回收率为98.10%,有效回收率为94.76%。2.儿科ICU护士对患儿父母支持总得分为(65.67±15.82)分,四个维度的条目平均得分按从高到低顺序依次为:优质护理照顾支持维度、沟通与信息支持维度、情感支持维度、尊重支持维度。3.患儿父母的需求满足程度总分为(131.12±24.23)分,五个维度条目平均得分按从高到低顺序依次为:病情保证、获取信息、亲近患者、自我舒适、医护人员的支持。4.单因素分析结果表明,年龄、文化程度、家庭月收入、医疗费用支付方式、家庭居住环境不同,护士对患儿父母的支持水平差异有统计学意义(P0.05);住院时间、有无宗教信仰、文化程度、家庭月收入、医疗费用支付方式及家庭居住环境的差别,对患儿父母的需求满足程度得分差异有统计学意义(P0.05)。5.多元逐步回归分析结果表明,护理支持总分、有无宗教信仰、住院时间(15~30天)、文化程度(本科及以上)进入患儿父母需求满足程度得分的回归方程,并解释总变异量的52.6%。6.相关性分析显示,护士对患儿父母的支持与其需求满足程度及各维度呈正相关(r=0.568,P＜0.01)。结论:1.儿科ICU护士对患儿父母的支持处于中等水平,需要进一步提高,其得分高低的影响因素主要有患儿父母年龄、文化程度、家庭月收入、医疗费用支付方式、家庭居住环境。2.患儿父母需求满足程度位于中等偏上水平,影响得分的因素有:住院时间、宗教信仰、文化程度、家庭月收入、医疗费用支付方式及家庭居住环境。3.护士对患儿父母的支持与其需求满足程度呈正相关,护士对患儿父母的支持程度越高,患儿父母的需求满足程度越高。提高护士的职业素养和综合素质,加强儿科以家庭为中心的优质护理服务理念,完善患儿父母的支持系统,有助于改善其身心状态,提高对护理的依从性和对护理职业的认同,以此保障医护服务质量的提升和患儿的康复,提高患儿父母的需求满足程度,改善护患关系。
[Abstract]:Objective: To investigate the pediatric ICU nurses in their parental support, parents need to meet the level of analysis in the status quo, evaluation of nurse support can meet the needs of parents of children, and to analyze the influence of nurses on the parents support and parents demand satisfaction factors, to explore the relationship between them, aiming at the existing problems, suggestions and the corresponding nursing measures, so as to provide reference for family centered care model in the pediatric application. Methods: from 2016 07 to 2016 09 months, by the method of convenient sampling, choose Shandong province and Jilin Province, a total of 4 hospitals of the pediatric ICU parents of hospitalized children 210, questionnaire survey on the questionnaire. The general information questionnaire, the nurses in their parental support scale and scale to meet the needs of three parts. The use of Epi Data3.1 to carry out data entry and management, the use of SPSS 19 statistical processing of data. The general data using descriptive analysis; using t test, ANOVA or Kruskal-Wallis H test, analysis of different gender, age, family income, parents of children with the nursing level of support and meet the needs of the existence of differences; to explore the relationship between the Pearson and Spearman analysis the general method, data statistical significant variables as independent variables, in order to meet the needs of parents of children with the degree as the dependent variable, multiple stepwise regression analysis, discuss the influence of parents of ICU children demand satisfaction factors. Results: 1. of the 210 questionnaires, 206 questionnaires, 199 valid questionnaires. The questionnaire recovery rate was 98.10%, the effective recovery rate of 94.76%.2. for pediatric ICU nurses in their parental support for the total score (65.67 + 15.82) points, four dimensions of the average entry According to the score from high to low order: high quality nursing care support dimensions, communication and information support dimension, dimension of emotional support, respect and support dimensions of parents of children with.3. demand satisfaction score was (131.12 + 24.23), the five dimensions of entry according to average scores from high to low order: the condition that gets information to patients, self comfort, single factor staff support the results of.4. analysis showed that age, educational level, family income, payment of medical expenses, the family living environment is different, the difference was statistically significant for parents of children with the support level of nurses (P0.05); the length of time, there is no religion, culture degree. Family income, medical expenses payment of living environment and family differences were statistically significant in their parental demand satisfaction scores (P0.05) and.5. multivariate regression analysis results show that support Physical support, there is no religious beliefs, hospitalization time (15~30 days), education (undergraduate and above) to meet the needs of parents in children with regression equation score, 52.6%.6. correlation analysis and explain the variance show that nurses support for parents of children with their demand satisfaction and dimensions were positively correlated (r=0.568, P < 0.01). Conclusion: 1. pediatric ICU nurses to support parents in the middle level, need to be further improved, factors affecting the scores are the age of the parents, children education, family income, payment of medical expenses, the family living environment to meet the needs of parents of children with.2. level in the medium level, influence factors score: hospitalization time, religious beliefs, cultural degree, family income, payment of medical expenses and family living environment to meet the.3. nurse children and their parents need support The degree of positive correlation, the higher the degree of support of nurses on the parents of children with parents, to meet the needs of the higher level. Occupation accomplishment and improve the overall quality of nurses, strengthen the pediatric family centered nursing quality service concept, improve the support system of parents of children, help to improve their physical and mental state, improve the compliance of nursing and the nursing occupation identity, in order to protect and enhance the quality of medical service with the rehabilitation, improve the satisfaction degree of the parents needs, improve the nurse patient relationship.

【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.72

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