围手术期患儿家长参与治疗活动认知水平及影响因素分析  

Cognitive level and influencing factors of parents'participation in treatment activities during perioperative period

作　　者：李世敏[1] 张学莲[1] 李萍[2] 蒋秀玉[3] Li Shimin;Zhang Xuelian;Li Ping;Jiang Xiuyu(Operating Room,Jinan Maternity and Child Care Hospital/Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University,Jinan 250001,China;Operating Room,Children's Hospital Affiliated to Shandong University,Jinan 250022,China;Department of Pediatrics,Jinan Central Hospital,Jinan 250013,China)

机构地区：[1]济南市妇幼保健院/山东第一医科大学附属济南妇幼保健院手术室,济南250001 [2]山东大学附属儿童医院手术室,济南250022 [3]济南市中心医院儿科,济南250013

出　　处：《中华现代护理杂志》2023年第5期662-666,共5页Chinese Journal of Modern Nursing

摘　　要：目的调查围手术期患儿家长参与治疗活动认知水平,并分析其影响因素。方法采用便利抽样法,选取2021年3—10月于济南市妇幼保健院、山东大学附属儿童医院和济南市中心医院收治的500名围手术期患儿家长。采用住院患者参与治疗活动认知评估量表、照顾者积极感受量表和全面健康素养测量量表对其进行调查。本研究共发放问卷500份,回收有效问卷487份,有效回收率为97.4%。结果487名围手术期患儿家长参与治疗活动认知总分为(62.25±7.39)分,各维度均分从高到低依次为患者参与认知、行为管理认知、治疗活动认知。多重线性回归分析结果显示,家长年龄、文化程度、婚姻状况、既往照护经历、照顾者积极感受、健康素养及患儿住院时长是围手术期患儿家长参与治疗活动认知水平的影响因素。结论家长年龄、文化程度、婚姻状况、有无既往照护经历、照顾者积极感受、健康素养及患儿住院时长是围手术期患儿家长参与治疗活动认知水平的影响因素,未来可采取有针对性的干预措施提升围手术期患儿家长的参与治疗活动认知水平,促进患儿恢复。Objective To investigate the cognitive level of parents'participation in treatment activities during perioperative period and analyze its influencing factors.Methods A total of 500 parents of perioperative children treated in Jinan Maternity and Child Care Hospital,Children's Hospital Affiliated to Shandong University and Central Hospital Affiliated to Shandong First Medical University from March to October 2021 were selected by the convenient sampling method.The Cognitive Assessment Scale of Inpatients'Participation in Treatment Activities,Caregiver Positive Perception Scale and Overall Health Literacy Scale were used to investigate the patients.A total of 500 questionnaires were sent out in this study and 487 were effectively received,with an effective recovery of 97.4%.Results The total cognitive score of 487 perioperative Children's parents'participation in treatment activities was(62.25±7.39),and the average score of each dimension was from high to low as patients'participation cognition,behavior management cognition and treatment cognition.Multiple linear regression analysis showed that parents'age,educational level,marital status,previous caregiving experience,caregivers'positive feelings,health literacy and hospital stay of children were the factors influencing the cognitive level of parents'participation in treatment activities during perioperative period.Conclusions Parents'age,education level,marital status,previous nursing experience,positive feelings of caregivers,health literacy and length of hospital stay of children are factors that influence the cognitive level of parents'participation in treatment activities during perioperative period.Targeted intervention measures can be taken in the future to improve the cognitive level of parents'participation in treatment activities during perioperative period to promote the recovery of children.

关 键 词：儿童 围手术期 家长 参与治疗活动认知 照顾者积极感受 健康素养 

分 类 号：R473.72[医药卫生—护理学]