知情同意告知中护士人文关怀品质与行为的相关分析  

The analysis about quality and behavior of nurses′humanistic care in informed consent communication

作　　者：邓敏[1] 李华英[2] 蔡靳[3] 周瑞芝[3] Deng Min;Li Huaying;Cai Jin;Zhou Ruizhi(Science and Education Department,the First People's Hospital of Neijiang,Sichuan Province,Neijiang 641000,China;General Administration Office,the First People's Hospital of Neijiang,Sichuan Province,Neijiang 641000,China;Department of Nursing,the First People's Hospital of Neijiang,Sichuan Province,Neijiang 641000,China)

机构地区：[1]四川省内江市第一人民医院科教科,641000 [2]四川省内江市第一人民医院党委办公室,641000 [3]四川省内江市第一人民医院护理部,641000

出　　处：《中国实用护理杂志》2019年第18期1425-1428,共4页Chinese Journal of Practical Nursing

摘　　要：目的通过对临床护士人文关怀品质及知情同意告知中人文关怀行为的调查和分析,为知情同意告知等临床护理实践提供实施人文关怀理论依据。方法采用护士人文关怀品质量表,并自行设计护士知情同意人文关怀行为自评量表,通过分层随机抽样法对110名临床护士进行问卷调查。结果护士人文关怀品质测评中能力维度得分最低,为(23.06±1.72)分,总分35分,得分率65.88%,知识维度得分与年龄、工作年限呈正相关(r=0.339、0.294,均P<0.01),感知维度得分与年龄呈正相关(r=0.250,P<0.01);知情同意告知行为测评中,沟通和应急维度得分最低,为(21.65±1.93)分,总分25分,得分率86.60%,调查对象婚姻状况与尊重和关爱呈负相关(r=-0.305,P<0.01),调查对象人文关怀知识与支持和保障、沟通和应急呈正相关(r=0.422、0.371,均P<0.01),理念与尊重和关爱、支持和保障呈正相关(r=0.640、0.587,均P<0.01)。结论护士人文关怀品质与知情同意告知中的人文关怀行为显著相关,应通过提升护士人文关怀品质,为知情同意告知等临床实践工作中人文关怀行为的养成提供前提和保障。Objective To investigate and analyze the humane care quality and behavior of clinical nurses in informed consent,and provide theoretical basis about how to implement humane care in clinical nursing practice.Methods Using Nurse Humanities Care Quality Table which developed by Liu Yuxi,and Nurse Informed Consent Humanistic Behavior Self-rating Scale witch designed by self,To investigate 110 clinical nurses who picked out by hierarchical random sampling.Results In the humanistic care quality assessment,the score of the ability was the lowest in nurses′humanistic care quality,the average score(23.06±1.72)accounted for 65.88%of the total score(35).the score of knowledge dimension was positively correlated with age and working years(r=0.339,0.294,both P<0.01).the score of perceived dimension was positively correlated with age(r=0.250,P<0.01).In the humanistic care behavior assessment of informed consent,the score of the communication and emergency ability dimension were the lowest.The average score(21.65±1.93)accounted for 86.60%of the total score(25).The marital status of the clinic nurses was negatively correlated with respect and care(r=-0.305,P<0.01).The humanistic knowledge was positively correlated with support and communication and emergency response(r=0.422,0.371,both P<0.01),the concept was positively correlated with respect and care,support and security(r=0.640,0.587,both P<0.01).Conclusions The quality of nurses′humanistic care is significantly related to the humanistic care behavior in informed consent.It should improve the quality of nurses′humanistic care for cultivating humanistic care behavior in nursing practice.

关 键 词：知情同意 人文关怀 相关分析 

分 类 号：R47[医药卫生—护理学]