27个省份护士人文关怀知信行的多中心调查研究

doi:10.3761/j.issn.0254-1769.2023.19.012

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (19): 2387-2394.DOI: 10.3761/j.issn.0254-1769.2023.19.012

27个省份护士人文关怀知信行的多中心调查研究

吴红艳(), 谢红珍, 刘义兰(), 谌永毅, 田丽, 顾则娟, 江智霞, 王玉琼, 刘桂瑛, 张红梅, 范玲, 梁榕, 王鑫, 李旭英, 王荣, 黄仕明, 张玉莲, 黄雯, 罗明琴, 刘晓梅, 冯素萍, 胡梦云

430022 武汉市华中科技大学同济医学院附属协和医院护理部（吴红艳，刘义兰，胡梦云）;中国人民解放军南部战区总医院健康医学科（谢红珍）;湖南省肿瘤医院护理部（谌永毅，李旭英）;天津市第三中心医院护理部（田丽）;江苏省人民医院护理部（顾则娟，王荣）;贵州护理职业技术学院（江智霞）;成都市妇女儿童中心医院护理部（王玉琼，王鑫）;广西医科大学护理学院（刘桂瑛）;河南省人民医院护理部（张红梅）;中国医科大学附属盛京医院护理部（范玲）;广西医科大学第二附属医院护理部（梁榕）;遵义医科大学附属医院护理部（黄仕明）;陕西省人民医院党委办公室（张玉莲），护理部（刘晓梅）;武汉市东西湖区人民医院护理部（黄雯）;青海省人民医院护理部（罗明琴）;河南省胸科医院护理部（冯素萍）

收稿日期:2022-11-09 出版日期:2023-10-10 发布日期:2023-10-12
通讯作者: 刘义兰，E-mail：yilanl2020@163.com
作者简介:吴红艳：女，硕士，副主任护师，E-mail：641270729@qq.com
基金资助:
中华护理学会2020年度立项科研课题(ZHKY202006)

Current status of knowledge，attitude and practice of humanistic care on nurses in 27 provinces and autonomous regions of China：a multicenter investigation

WU Hongyan(), XIE Hongzhen, LIU Yilan(), CHEN Yongyi, TIAN Li, GU Zejuan, JIANG Zhixia, WANG Yuqiong, LIU Guiying, ZHANG Hongmei, FAN Ling, LIANG Rong, WANG Xin, LI Xuying, WANG Rong, HUANG Shiming, ZHANG Yulian, HUANG Wen, LUO Mingqin, LIU Xiaomei, FENG Suping, HU Mengyun

Received:2022-11-09 Online:2023-10-10 Published:2023-10-12

摘要/Abstract

摘要：

目的了解国内护士的人文关怀知信行现状及影响因素，为管理者采取针对性措施提高其人文关怀知信行水平提供参考。方法 2022年7月—8月，通过便利抽样法，采用一般资料调查表及临床护理人员人文关怀知信行问卷，对27个省（区、市）107所医院的15 727名护士进行调查。结果 15 653名护士完成调查。临床护理人员人文关怀知信行问卷及其知识、信念或态度、行为维度标准分分别为（84.19±12.98）、（80.22±15.61）、（83.55±15.17）和（87.92±12.70）分。性别、职称、科室、对护理工作满意程度、对自我关怀重视程度、是否接受过人文关怀培训、家人对工作支持程度、与同事关系、对薪酬满意程度、是否曾在人文试点病房工作是护士人文关怀知信行水平的影响因素（P<0.001）。结论护士人文关怀知信行总体处于中等水平，人文关怀知识相对不足，影响因素较多。管理者应加强对护士的人文关怀培训并给予组织支持，以提高其人文关怀知信行水平。

关键词: 护士, 人文关怀, 知识, 信念, 行为, 护理管理研究

Abstract:

Objective To learn about current status of knowledge，attitude and practice of humanistic care in Chinese nurses and their influencing factors，so as to provide references to the mangers to accordingly improve their knowledge，attitude and practice. Methods From July to August，2022，a general information questionnaire and a clinical nurse questionnaire of knowledge，attitude and practice were sent out and filled by 15 727 nurses from 107 hospitals in 27 provincial administrative regions of China. Results 15，653 nurses completed the investigation. The total score of knowledge-attitude-practice was 84.19±12.98. The scores of knowledge，belief or attitude，and standard score of practice were 80.22±15.61，83.55±15.17，and 87.92±12.70，respectively. The influencing factors were gender，title，department，satisfaction degree with work，emphasis degree of self-care，received training of humanistic care or not，supporting degree from family to their work，relationship with colleagues，satisfaction degree with salary，and having worked or not in a trial ward of humanistic care（P<0.001）. Conclusion The overall humanistic care of Chinese nurses currently stands at medium level. The knowledge of humanistic care is relatively inadequate. The managers should strength nurse humanistic care training，give organizational support，build a better department atmosphere，and improve nurses’ satisfactions to their work，salaries，and relationship with colleagues，so as to improve nurses’ humanistic care of knowledge，attitude and practice.

Key words: Nurse, Humanistic Care, Knowledge, Attitude, Practice, Nursing Administration Research

吴红艳, 谢红珍, 刘义兰, 谌永毅, 田丽, 顾则娟, 江智霞, 王玉琼, 刘桂瑛, 张红梅, 范玲, 梁榕, 王鑫, 李旭英, 王荣, 黄仕明, 张玉莲, 黄雯, 罗明琴, 刘晓梅, 冯素萍, 胡梦云. 27个省份护士人文关怀知信行的多中心调查研究[J]. 中华护理杂志, 2023, 58(19): 2387-2394.

WU Hongyan, XIE Hongzhen, LIU Yilan, CHEN Yongyi, TIAN Li, GU Zejuan, JIANG Zhixia, WANG Yuqiong, LIU Guiying, ZHANG Hongmei, FAN Ling, LIANG Rong, WANG Xin, LI Xuying, WANG Rong, HUANG Shiming, ZHANG Yulian, HUANG Wen, LUO Mingqin, LIU Xiaomei, FENG Suping, HU Mengyun. Current status of knowledge，attitude and practice of humanistic care on nurses in 27 provinces and autonomous regions of China：a multicenter investigation[J]. Chinese Journal of Nursing, 2023, 58(19): 2387-2394.

图/表 5

表1 调查对象的一般资料及人文关怀知信行的单因素分析（n=15 653）

Table 1 >The general information of the respondents and the univariate analysis of their knowledge-attitude-practice （n=15 653）

表2 调查对象人文关怀知信行问卷得分情况及程度划分（n=15 653）

Table 2 Total score and scores of each part of nurses’ knowledge，attitude and practice and their degrees （n=15 653）

表3 调查对象人文关怀知识、信念或态度、行为维度中得分最低的3个条目

Table 3 The lowest scores of 3 items of nurses’ knowledge, attitude and practice

表4 自变量赋值情况

Table 4 Assignment of independent variables

表5 调查对象人文关怀知信行的多元线性逐步回归分析（n=15 653）

Table 5 Results of multivariate linear stepwise regression analysis of nurses’ knowledge, attitude and practice （n=15 653）

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27个省份护士人文关怀知信行的多中心调查研究

Current status of knowledge，attitude and practice of humanistic care on nurses in 27 provinces and autonomous regions of China：a multicenter investigation

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