666名军队医院护士医学叙事能力现状及影响因素分析  

Current status of medical narrative competence and its influencing factors:a case study of 666 nurses in military hospitals

作　　者：曾辉 史艳茹 李琦 董艳 徐远平 梁苗苗 ZENG Hui;SHI Yan-ru;LI Qi;DONG Yan;XU Yuan-ping;LIANG Miao-miao(Dept.of Traditional Chinese Medicine,the First Affiliated Hospital of Air Force Military University(Xijing Hospital),Xi’an 710032,China;Dept.of Psychiatry,the First Affiliated Hospital of Air Force Military University(Xijing Hospital),Xi’an 710032,China;Dept.of Otorhinolaryngology,Head and Neck Surgery,the First Affiliated Hospital of Air Force Military University(Xijing Hospital),Xi’an 710032,China;Dept.of Gastroenterology,the First Affiliated Hospital of Air Force Military University(Xijing Hospital),Xi’an 710032,China;Dept.of Outpatient,the First Affiliated Hospital of Air Force Military University(Xijing Hospital),Xi’an 710032,China)

机构地区：[1]空军军医大学第一附属医院(西京医院)中医科,陕西西安710032 [2]空军军医大学第一附属医院(西京医院)心身科,陕西西安710032 [3]空军军医大学第一附属医院(西京医院)耳鼻咽喉头颈外科,陕西西安710032 [4]空军军医大学第一附属医院(西京医院)消化内科,陕西西安710032 [5]空军军医大学第一附属医院(西京医院)门诊部,陕西西安710032

出　　处：《护理学报》2024年第5期73-78,共6页Journal of Nursing（China）

基　　金：军队创新培育项目(2021LH038)。

摘　　要：目的 调查军队医院护士医学叙事能力现状,并分析其影响因素。方法 采用便利抽样法,选取2023年9-10月在西安市3所军队综合医院的临床护士为研究对象。采用一般资料调查表、医学叙事能力量表、一般自我效能感量表、家庭关怀度指数量表及工作相关生活质量量表对其进行调查。采用多元线性回归分析军队医院护士医学叙事能力的影响因素。结果 军队医院护士医学叙事能力总分为(155.06±18.30)分。医学叙事能力与一般自我效能感(r=0.576)、家庭关怀度(r=0.252)、工作相关生活质量(r=0.443)呈正相关(P<0.01)。单因素结果 分析显示:婚育状况、工作年限、住院或陪护经历、叙事护理知识储备、叙事护理培训经历在医学叙事能力上差异有统计学意义(P<0.05)。多元线性回归分析结果显示:叙事护理知识储备(B=0.161)、一般自我效能感(B=0.458)、家庭关怀度(B=0.101)及工作相关生活质量(B=0.259)进入回归方程(P<0.01),共解释总变异的40.4%。结论 军队医院护士的医学叙事能力总体处于中等水平。叙事护理知识储备、一般自我效能感、家庭关怀度及工作相关生活质量均对医学叙事能力有显著影响。护理管理者需重视这些因素,提供针对性培训和支持,进一步提升护士的医学叙事能力。Objective To investigate the current status of medical narrative competence of nurses in military hospitals and analyze its influencing factors.Methods Convenience sampling was used to select clinical nurses from three military general hospitals in Xi’an from September to October 2023.The nurses were surveyed using a general information questionnaire,Medical Narrative Competence Scale,General Self-Efficacy Scale,Family APGAR Index Scale and Work-related Quality of Life Scale.Multiple linear regression was used to analyze the influencing factors of medical narrative competence of nurses in military hospitals.Results The total score of medical narrative competence of nurses was 155.06±18.30.Medical narrative competence was positively correlated with general self-efficacy(r=0.576),family care(r=0.252)and work-related quality of life(r=0.443)(P<0.01).Single factor analysis showed that marital status and childbearing,working length,experience as a caregiver,narrative nursing knowledge reserve,and narrative nursing training experience were statistically significant in terms of medical narrative competence(P<0.05).Multiple linear regression showed that narrative nursing knowledge reserve(B=0.161),general self-efficacy(B=0.458),family function(B=0.101)and work-related quality of life(B=0.259)entered the regression equation(P<0.01),accounting for 40.4%of the total variation.Conclusion The level of medical narrative competence of nurses in military hospitals is at a medium level.Narrative nursing knowledge reserve,general self-efficacy,family functions and work-related quality of life have a significant impact on medical narrative competence.Nursing managers should pay attention to these influencing factors,and perform targeted nursing training to improve the level of medical narrative competence.

关 键 词：医学叙事能力 军队医院护士 一般自我效能感 家庭关怀度 工作相关生活质量 

分 类 号：R47[医药卫生—护理学]