我国医院病区护理人文关怀现状的多中心调查  

A multicenter survey on the current status of human caring in hospital wards in China

作　　者：刘义兰 张丰健 吴欣娟[2] 李映兰[3] 胡德英 赵生秀[4] 刘延锦[5] 卢根娣[6] 戴冬梅 徐朝艳[8] 岳丽青[3] 冯毕龙[9] 徐蓉[10] 王砚丽 付阿丹[12] 苟莉[13] 娄小平[5] 杨丽 豆欣蔓[15] 宋慧娟[16] 李秀莉[17] 李义[18] 徐玉兰 谭丽萍[19] 胡柳[20] 宁晓东 Liu Yilan;Zhang Fengjian;Wu Xinjuan;Li Yinglan;Hu Deying;Zhao Shengxiu;Liu Yanjin;Lu Gendi;Dai Dongmei;Xu Chaoyan;Yue Liqing;Feng Bilong;Xu Rong;Wang Yanli;Fu Adan;Gou Li;Lou Xiaoping;Yang Li;Dou Xinman;Song Huijuan;Li Xiuli;Li Yi;Xu Yulan;Tan Liping;Hu Liu;Ning Xiaodong(Department of Nursing,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Nursing,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Nursing,Xiangya Hospital,Central South University,Changsha 410008,China;Office of the Dean,Qinghai Provincial People′s Hospital,Xining 810007,China;Department of Nursing,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Nursing,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of the Dean,Tai′an Municipal Hospital,Tai′an 271000,China;Department of Nursing,First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;Department of Nursing,Central South Hospital of Wuhan University,Wuhan 430071,China;Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Nursing,Inner Mongolia Autonomous Region People′s Hospital,Hohhot 010010,China;Department of Nursing,Wuhan Central Hospital,Wuhan 430014,China;Department of Nursing,Sichuan Provincial People′s Hospital,Chengdu 610072,China;Department of Nursing,First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Nursing,Second Hospital of Lanzhou University,Lanzhou 730030,China;Department of Nursing,Southern Hospital,Southern Medical University,Guangzhou 510515,China;Department of Nursing,First Hospital of Hebei Medical University,Shijiazhuang 050030,China;Department of Nursing,Hohhot First Hospital,Hohhot 010030,China;Department of Nursing,Second Affiliated Hospital of Soochow University,Suzhou 215004,China;Department of Nursing,W

机构地区：[1]华中科技大学同济医学院附属协和医院护理部,武汉430022 [2]中国医学科学院北京协和医院护理部,北京100730 [3]中南大学湘雅医院护理部,长沙410008 [4]青海省人民医院院长办公室,西宁810007 [5]郑州大学第一附属医院护理部,郑州450052 [6]上海中医药大学附属曙光医院护理部,上海201203 [7]泰安市立医院院长办公室,泰安271000 [8]中山大学附属第一医院护理部,广州510080 [9]武汉大学中南医院护理部,武汉430071 [10]华中科技大学同济医学院附属同济医院护理部,武汉430030 [11]内蒙古自治区人民医院护理部,呼和浩特010010 [12]武汉市中心医院护理部,武汉430014 [13]四川省人民医院护理部,成都610072 [14]广西医科大学附属第一医院护理部,南宁530021 [15]兰州大学第二医院护理部,兰州730030 [16]南方医科大学南方医院护理部,广州510515 [17]河北医科大学第一医院护理部,石家庄050030 [18]呼和浩特市第一医院护理部,呼和浩特010030 [19]苏州大学附属第二医院护理部,苏州215004 [20]武汉亚洲心脏病医院护理部,武汉430022 [21]荆门市中心医院护理部,荆门448001

出　　处：《中华医院管理杂志》2023年第10期774-780,共7页Chinese Journal of Hospital Administration

基　　金：中华护理学会科研课题(ZHKY202006)。

摘　　要：目的了解我国医院病区护理人文关怀现状,并分析其影响因素,为进一步推进护理人文关怀实践提供参考。方法2022年7—11月,采用分层便利抽样法选取107家医院的4072名病区护理管理者进行问卷调查。调查工具为一般资料调查表和病区护理人文关怀现状调查表,其中一般资料包括医院所在地区、等级、性质等,病区护理人文关怀现状调查表包括护理人文关怀制度与流程、护理人员人文素养与培训、人文环境与设施、人文关怀程序及措施、人文关怀质量评价与改进5个维度38个条目,满分190分。采用描述性统计对一般资料进行分析,采用独立样本t检验、方差分析和相关性分析对病区护理人文关怀现状影响因素进行初步分析,采用多元线性回归分析进行多因素分析。结果医院病区护理人文关怀得分为(156.91±27.78)分。医院是否开展过护理人文关怀试点(示范)护理单元工作、病区是否为医院护理人文关怀试点(示范)护理单元、病区类型、护理管理者是否参加过人文关怀培训是病区护理人文关怀实践开展得分的影响因素(P<0.05)。结论我国医院病区护理人文关怀实践总体处于较高水平,但还有待进一步加强;护理管理者应系统化推进护理人文关怀实践工作的开展。Objective To explore the current situation of nursing human caring in hospital wards and analyze its influencing factors,so as to facilitate the development of nursing human caring practice.Methods From July to November 2022,a total of 107 hospitals were surveyed through stratified convenience sampling method,and 4072 ward nursing managers were recruited to finish the general information questionnaire and the ward nursing human caring status questionnaire.The general information included the region,class and type of the hospital,etc.The ward nursing human caring status questionnaire included 38 items in 5 dimensions of nursing human caring system and process,humanistic quality and training of nursing staff,humanistic environment and facilities,human caring procedures and measures,and human caring quality evaluation and improvement,with a full score of 190 points.Descriptive statistics were used to analyze the general data,independent samples t-test,ANOVA and correlation analysis were used to analyze the factors influencing the current status of nursing human caring in the ward,while multiple linear regression analysis was used to conduct a multivariate analysis.Results The score of nursing human caring in hospital wards was 156.91±27.78.Whether the hospital had carried out nursing human caring pilot(demonstration)wards,whether the ward had previously been a hospital nursing human caring pilot(demonstration)nursing unit,the type of ward,and whether nursing managers had participated in human caring training were the influencing factors of the implication of nursing humanistic caring in wards(P<0.05).Conclusions The practice of nursing human caring in hospital wards is at a good level,but needs to be further strengthened.Nursing managers should take systematically strategies to promote the development of nursing human caring practice.

关 键 词：医院管理 护理 病区 人文关怀 影响因素 多中心研究 

分 类 号：R47[医药卫生—护理学]