桂林市不同付费方式住院患者护理操作告知需求差异的调查  

Needing of different payments of inpatients for nursing operation inform

作　　者：钟勤[1] 蔡冬姣[1] 秦媳秀 张林琼 经霁[4] 罗宝凤[5] 杨福娣 莫菊荣 

机构地区：[1]广西壮族自治区南溪山医院外科,桂林541002 [2]桂林市人民医院护理部,541002 [3]桂林市人民医院神经外科,541002 [4]桂林医学院附属医院外科,541001 [5]桂林医学院附属医院脊柱外科,541001 [6]桂林市妇女儿童医院泌尿外科,541001 [7]桂林市妇女儿童医院骨外科,541001

出　　处：《中华现代护理杂志》2012年第5期516-519,共4页Chinese Journal of Modern Nursing

基　　金：桂林市科学研究与技术开发计划项目（20100407）

摘　　要：目的了解不同付费方式住院患者对护理操作告知需求的差异，为临床护士履行护理操作告知提供依据和指导，满足患者对护理操作告知个性化、多元化的需求。方法采用自行设计的问卷于2011年1—3月对桂林市4所三级甲等医院774例住院患者进行问卷调查，对调查情况进行统计学分析。结果以公费、自费、城市基本医疗保险和新型农村合作医疗保险4个医疗付费方式分组，不同付费方式的住院患者对护理操作告知需求高，其中有11项告知内容的需求人数在85％以上；多数住院患者选择护士作为告知人；更愿意选择口头告知；不同付费方式住院患者在12项护理操作内容需求上的差异均有统计学意义（P〈0．05或〈0．01）。结论护士是护理操作重要的告知人，应发挥其专业优势，充分评估不同付费方式住院患者的告知需求，满足其对优质、全程的护理操作告知服务模式的需求。Objective To study the needing of different payments of inpatients for nursing operation inform and to provide theoretical guidance for clinical nursing operation inform, so as to meet patients＇ personalities and diversification needs. Methods Totals of 774 inpatients in four hospitals of Guilin city were investigated with self-designed questionnaire from January to March in 2011, then the results were analyzed. Results Inpatients＇ needs for nursing operation inform were high both in four groups public expense, selfexpense, basic medical insurance of city, new type of rural cooperative medical care insurance, and especially 85% inpatients needed most was 11 items of needs. Most of patients selected nurses to be the informer and they were willing to informed in oral way. There were significant difference on the needing of 12 items nursing operations among inpatients with different payments （ P 〈 0. 05 or P 〈 0. 01 ）. Conclusions It is necessary to sufficiently assess the needing of different payments inpatients for inform in order to meet their infromed needs of nursing operations . Nurses as important informers, we should pay attention to their role.

关 键 词：付费方式 护理操作 住院患者 告知需求 

分 类 号：R472[医药卫生—护理学]