颅脑损伤患者家属早期信息需求及影响因素研究  

Early period information need and its influencing factors of craniocerebral injury in patients′relatives

作　　者：章倩影 刘素杨 梁优萍[2] 蒋英[2] 王梅[2] 许虹波[2] 顾叶春[1] 

机构地区：[1]浙江中医药大学附属温州中西医结合医院神经外科,325000 [2]温州医科大学护理学院,325035

出　　处：《中华现代护理杂志》2015年第5期544-547,共4页Chinese Journal of Modern Nursing

摘　　要：目的：研究颅脑损伤患者家属早期信息需求及影响因素。方法通过分层随机抽样,选择来自温州市三家综合医院的180名颅脑损伤患者家属,应用自制颅脑外伤患者家属信息需求量表调查家属信息需求,并分析相关影响因素。结果患者家属信息需求量表总分为（21.28±2.27）分,各维度中损伤状况得分最高为（3.56±0.31）分,医院规定得分最低为（2.61±0.48）分。患者住院时间≤3 d的家属对损伤状况、治疗措施、检查方法、家属配合及医院规定等维度的信息需求度均较住院时间〉3d的家属高,差异有统计学意义（P〈0.05）。重型颅脑损伤患者的家属对损伤状况、治疗措施、检查方法、医护资质、治疗费用及家属配合等维度的信息需求度均较轻中型颅脑损伤患者的家属高,差异有统计学意义（P〈0.05）。初中以上文化程度的家属对治疗措施、医护资质及家属配合等维度的信息需求度均较初中及以下文化程度的家属高,差异有统计学意义（P〈0.05）。颅脑损伤患者家属的信息需求满足度和其对医护工作的总体满意度呈正相关（r=0.495,P〈0.01）。结论颅脑损伤患者家属早期具有很强的信息需求度。患者住院时间、患者损伤等级及家属文化程度可能会影响家属的信息需求度。满足家属的信息需求可提高其对医护工作的满意程度。Objective To study the information need in early period and its influencing factors of craniocerebral injury patients′relatives. Methods A total of 180 patients′relatives from three general hospitals in Wenzhou were selected by stratified random sampling. Their information need was investigated by an original scale. The results were analyzed by statistical methods. Results The score of the scale was （21. 28 ± 2. 27）. Within the dimensions, the highest and the lowest scores were （3. 56 ± 0. 31） and （2. 61 ± 0. 48）, which were injury state and hospital rules, respectively. The relatives of patients who had been in hospital for less than three days had more information need on injury state, therapeutic measure, examination method, family cooperation and hospital rules than those of patients who had been in hospital for more than three days. The differences were statistically significant （P 〈 0. 05）. The relatives of patients with severe craniocerebral injury had more information need on injury state, therapeutic measure, examination method, doctor and nurse competency, treatment cost and family cooperation than those of patients with mild and moderate craniocerebral injury. The differences were statistically significant （P 〈 0. 05）. The relatives with high education degree had more information need on therapeutic measure, doctor and nurse competency and family cooperation than those with low education degree. The differences were significant （ P 〈 0. 05 ）. The relatives′ satisfaction with the information provided by doctors and nurses was positively related to their satisfaction with total work of doctors and nurses （r=0. 495, P〈0. 01）. Conclusions The relatives of patients with craniocerebral injury have much information need. Patients′length of hospital stay and injury degree, and relatives′education degree may be the influencing factors of information need. Providing the relatives with the information need can improve their satisfaction with total work of doctors a

关 键 词：颅脑损伤 患者家属 信息需求 影响因素 

分 类 号：R473.6[医药卫生—护理学]