主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (11): 1643-1646.doi: 10.3969/j.issn.1672-1756.2021.11.010

• 论著 • 上一篇    下一篇

患者感知安宁疗护质量现状及其影响因素分析

张艳慧 魏万宏 姚颖 陈苗苗   

  1. 郑州大学护理与健康学院, 450001郑州市(张艳慧, 魏万宏,姚颖);公共卫生学院(陈苗苗)
  • 出版日期:2021-11-15 发布日期:2021-11-15
  • 通讯作者: 魏万宏,硕士,教授,E-mail:zdwww@zzu.edu.cn
  • 作者简介:张艳慧,硕士在读

Study on patients' perceived palliative care quality and its influencing factors

ZHANG Yanhui, WEI Wanhong, YAO Ying, CHEN Miaomiao   

  1. School of Nursing and Health, Zhengzhou University, Zhengzhou, 450001, China
  • Online:2021-11-15 Published:2021-11-15
  • Contact: E-mail:zdwww@zzu.edu.cn

摘要: 目的:调查安宁疗护患者感知到的服务质量现状,并分析其影响因素。方法:于2020年9月—12月采用便利抽样法选取河南省300名安宁疗护患者为研究对象,采用简化版患者感知安宁疗护质量量表、社会关系质量量表和心理一致感量表进行调查。结果:患者感知安宁疗护质量中医疗技术能力维度得分为(3.15±0.47)分,物理技术条件维度得分为(3.12±0.42)分,个体化护理方式维度得分为(3.07±0.38)分,社会文化氛围维度得分为(2.97±0.33)分;回归分析结果显示,年龄、社会关系质量及心理一致感是患者感知安宁疗护质量的影响因素(P<0.05)。结论:我国安宁疗护质量有待进一步提升,患者对服务质量的感知受心理、社会及人口学多种因素影响。医务人员不仅要关注患者的个人心理健康,同时也要关注患者的社会健康,帮助患者建立良好的社会关系网络,以提高安宁疗护质量。

关键词: 患者;安宁疗护;质量;影响因素

Abstract: Objective: To investigate the palliative care quality perceived by patients, and to analyze the influencing factors. Methods: Totally 300 patients with palliative care were included by convenience sampling. The short form of the Questionnaire Quality from the Patient's Perspective for Palliative Care, the Social Relationship Quality Scale and the 13 items Sense of Coherence Scale were used. Results: The scores of palliative care quality perceived by patients were 3.15±0.47 in Medical-technical competence, 3.12±0.42 in Physical-technical conditions, 3.07±0.38 in Identity-oriented approach, and 2.97±0.33 in Sociocultural atmosphere. Multiple linear regression analysis results showed that age and social relationship quality and psychological congruence were the related factors of patients' perceived quality of palliative care (P<0.05). Conclusion: The quality of palliative care in China needs to be improved, and the care quality perceived by patients is related with psychological, social and demographic characteristics. It is suggested that to improve the quality of palliative care, the medical staff should not only pay attention to the mental health, but also the social health of patients and a friendly social network.

Key words: patients; palliative care; quality; influence factor

中图分类号: 

  • R47