A cross-sectional survey and analysis of influencing factors of humanistic of the current status of humanistic care ability of burn specialist nurses
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摘要:
目的 调查烧伤专科护士人文关怀能力的现状并分析其影响因素。 方法 采用单中心横断面调查研究方法。2020年5—8月，选择上海交通大学医学院附属瑞金医院符合入选标准的63名烧伤专科护士，采用自制一般资料调查问卷调查其性别、年龄、职称、工作年限、是否接受过人文关怀培训、学历等17个指标，采用关怀能力量表（CAI）评估其人文关怀能力。将护士按一般资料分类后，统计CAI总得分，对数据行独立样本t检验、单因素方差分析。将护士的CAI总得分及认知、勇气和耐心维度得分与国际常模进行比较。选取单因素分析中差异有统计学意义的指标行多元线性回归分析，筛选烧伤专科护士人文关怀能力的独立影响因素。 结果 本次调查共回收问卷63份，均有效。63名护士中男4名、女59名，年龄以20~30岁为主（30名，占47.62%），职称以护师为主（36名，占57.14%），工作年限多>10年（28名，占44.44%），32名护士未接受过人文关怀培训，学历多为大学专科（37名，占58.73%）。不同年龄、职称、工作年限、接受过人文关怀培训、学历护士的CAI总得分差异明显（F值分别为53.95、49.14、75.42，t值分别为6.08、-2.82，P<0.01）。本组护士CAI认知、勇气、耐心维度得分和总得分均明显低于国际常模（t值分别为-2.02、-2.04、-6.19、-3.89，P<0.05或P<0.01）。多元线性回归分析显示，年龄、工作年限、职称、是否接受过人文关怀培训是烧伤专科护士人文关怀能力的独立影响因素（95%置信区间分别为1.91~23.23、16.25~31.48、1.05~19.09、6.72~31.82，非标准化回归系数分别为12.57、23.86、10.07、19.27，P<0.05或P<0.01）。 结论 烧伤专科护士人文关怀能力较弱。烧伤专科护士的年龄、职称、工作年限、是否接受过人文关怀培训是其人文关怀能力的独立影响因素。 Abstract:Objective To investigate the current status of humanistic care ability of burn specialist nurses and to analyze the influencing factors. Methods A single-center cross-sectional research method was conducted. From May to August 2020, 63 burn specialist nurses who met the inclusion criteria in Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine were selected. Self-made general data questionnaire was used to investigate 17 indexes, including gender, age, professional title, working years, whether received humanistic care training, academic qualification, and caring ability inventory (CAI) was used to evaluate their humanistic care ability. After the nurses were classified by the general data, independent sample t test and one-way analysis of variance were performed on the data to analyze the total score of CAI. The CAI total scores and scores of cognition, courage, and patience of the nurses were compared with the international norm. The factors with statistically significant differences in unvariate analysis were selected for multiple linear regression analysis to screen the independent influencing factors of humanistic care ability of burn specialist nurses. Results A total of 63 questionnaires were collected in this survey, all of which were valid. Among the 63 nurses, there were 4 males and 59 females, with the age mainly ranging from 20 to 30 years (30 nurses, 47.62%), the professional titles mainly being nurse practitioner (36 nurses, 57.14%), the working years mainly being more than 10 years (28 nurses, 44.44%), 32 nurses not receiving humanistic care training, and academic qualifications mostly being junior college (37 nurses, 58.73%). There were significant differences in the total scores of CAI among nurses with different ages, professional titles, working years, whether received humanistic care training, and academic qualifications (with F values of 53.95, 49.14, and 75.42, t values of 6.08 and -2.82, respectively, P<0.01). The scores of cognition, courage, and patience and the total scores of CAI of nurses in this group were significantly lower than those of international norm (with t values of -2.02, -2.04, -6.19, and -3.89, respectively, P<0.05 or P<0.01). Multiple linear regression analysis showed that age, working years, professional title, and whether received humanistic care training were the independent influencing factors of humanistic care ability of burn specialist nurses (with 95% confidence intervals of 1.91-23.23, 16.25-31.48, 1.05-19.09, and 6.72-31.82, unstandardized coefficient values of 12.57, 23.86, 10.07, and 19.27, respectively, P<0.05 or P<0.01). Conclusions The humanistic care ability of burn specialist nurses is relatively weak. Age, professional title, working years, and whether received humanistic care training are the independent influencing factors of humanistic care ability of burn specialist nurses. -
Key words:
- Burns /
- Nursing research /
- Root cause analysis /
- Humanistic care ability
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参考文献
(36) [1] 李凡,杨路,徐平,等.人文关怀理念在康复科护理管理中的应用[J].健康必读,2021(22):162. [2] 王芳,李波.护理人文关怀在ICU危重症护理中的应用评价[J].中国继续医学教育,2020,12(33):175-179.DOI: 10.3969/j.issn.1674-9308.2020.33.050. [3] 李文卓,张玉静,王亚美.人文关怀在重症监护室患者护理中的应用效果[J].实用医技杂志,2019,26(8):1088-1089.DOI: 10.19522/j.cnki.1671-5098.2019.08.076. [4] 余飞,肖莎.危重症专科护士人文关怀品质现状调查及影响因素分析[J].蚌埠医学院学报,2020,45(5):672-675,679.DOI: 10.13898/j.cnki.issn.1000-2200.2020.05.030. [5] 余健萍,张薇.人文关怀护理在恶性肿瘤患者中的应用研究[J].中国肿瘤临床与康复,2022,29(8):977-979.DOI: 10.13455/j.cnki.cjcor.2022.08.21. [6] KleineAK,HallenslebenN,MehnertA,et al.Psychological interventions targeting partners of cancer patients: a systematic review[J].Crit Rev Oncol Hematol,2019,140:52-66.DOI: 10.1016/j.critrevonc.2019.05.008. [7] 吕苏梅,李来有,陈玲,等.人文工作坊提高肿瘤医院护士人文关怀能力的效果研究[J].护理管理杂志,2021,21(5):323-327.DOI: 10.3969/j.issn.1671-315x.2021.05.005. [8] NkonghoNO.The caring ability inventory[M/OL].New York:Springer,1990:3-16[2021-03-18].https://books.google.com.hk/books?hl=zh-CN&lr=&id=UIhXywMNgLkC&oi=fnd&pg=PA184&dq=the+caring+ability+inventory&ots=qjoaMy1mcm&sig=vmC9QvXY2c43366PDyQp9kKthrw&redir_esc=y#v=onepage&q=the%20caring%20ability%20inventory&f=false. https://books.google.com.hk/books?hl=zh-CN&lr=&id=UIhXywMNgLkC&oi=fnd&pg=PA184&dq=the+caring+ability+inventory&ots=qjoaMy1mcm&sig=vmC9QvXY2c43366PDyQp9kKthrw&redir_esc=y#v=onepage&q=the%20caring%20ability%20inventory&f=false [9] 许娟 医院护理人员关怀能力调查研究 武汉 华中科技大学 2008 许娟.医院护理人员关怀能力调查研究[D].武汉:华中科技大学,2008.
[10] 艾尔·巴比.社会研究方法(第十一版)[M].邱泽奇,译.北京:华夏出版社,2009:135-136,146-147. [11] 张会敏,高杰,孙羽燕,等.某精神病院精神科护士人文关怀能力现状及其影响因素分析[J].中国护理管理,2020,20(8):1224-1227.DOI: 10.3969/j.issn.1672-1756.2020.08.022. [12] 孙超,施月仙,邸红军,等.我国护理领域人文关怀素质及能力培养的文献研究[J].上海护理,2019,19(4):63-65.DOI: 10.3969/j.issn.1009-8399.2019.04.017. [13] 张慧,刘延红,卞军平,等.临床护士人文关怀护理的研究进展[J].齐鲁护理杂志,2019,25(6):111-113.DOI: 10.3969/j.issn.1006-7256.2019.06.040. [14] 李威,曹静,王玉英,等.ICU护士工作嵌入现状及影响因素分析[J].中国护理管理,2020,20(2):229-233.DOI: 10.3969/j.issn.1672-1756.2020.02.017. [15] 张丽华,刘义兰,官春燕,等.住院患者人文关怀体验质性研究的系统评价[J].护理学杂志,2021,36(5):55-58.DOI: 10.3870/j.issn.1001-4152.2021.05.055. [16] 裴嘉宇,吴红霞,苏雅静,等.护理硕士研究生人文关怀能力与影响因素研究[J].循证护理,2021,7(12):1611-1615.DOI: 10.12102/j.issn.2095-8668.2021.12.009. [17] LeiningerM.Caring: an essential human need[M].Detroit:Wayne State University Press,1981:3-15. [18] 谭佳慧,李红玉.健康中国背景下护理人文课程开设现状分析与建议[J].护士进修杂志,2019,34(14):1283-1286.DOI: 10.16821/j.cnki.hsjx.2019.14.007. [19] 刘雅,王婧,车文芳,等.1135名临床护士人文关怀能力调查及分析[J].中国医学伦理学,2019,32(10):1323-1328.DOI: 10.12026/j.issn.1001-8565.2019.10.18. [20] 崔嵩,康志杰,王耀健,等.人文关怀:ICU不容忽视的问题[J].医学与哲学,2020,41(6):50-53.DOI: 10.12014/j.issn.1002-0772.2020.06.13. [21] 李春华,李冬梅.持续性人文关怀护理理念在预防ICU综合征中的应用效果[J].当代护士,2020,27(4):142-145.DOI: 10.19791/j.cnki.1006-6411.2020.04.063. [22] 刘义兰,杨雪娇,胡德英,等.护理人文关怀标准的研究进展[J].中华护理杂志,2014,49(12):1500-1505.DOI: 10.3761/j.issn.0254-1769.2014.12.020. [23] 裴嘉宇,吴红霞,安晓楠,等.“六心”护理教育结合反思笔记在提升护理硕士研究人文关怀能力中的应用[J].世界最新医学信息文摘,2021,21(23):364-365.DOI: 10.3969/j.issn.1671-3141.2021.23.159. [24] 王双,杨丹,许娟,等.人文关怀在临床护理教学中的实践及效果[J].护理学杂志,2021,36(10):71-73.DOI: 10.3870/j.issn.1001-4152.2021.10.071. [25] 禹学彬,张庆庆.持续性人文关怀护理在ICU患者护理中的应用效果研究[J].当代护士,2020,27(1):112-114.DOI: 10.19791/j.cnki.1006-6411.2020.01.052. [26] 刘阳阳,韩现红,高欢欢.护理人文关怀建设的实践与成效[J].齐齐哈尔医学院学报,2019,40(5):646-648.DOI: 10.3969/j.issn.1002-1256.2019.05.050. [27] 江佳婷.护理人员人文关怀培养的现状分析与思考[J].当代护士,2020,27(2):181-183.DOI: 10.19792/j.cnki.1006-6411.2020.02.079. [28] 胡新宇,刘秀红,熊玫.在职护士人文关怀能力培养的研究进展[J].全科护理,2019,17(34):4273-4275.DOI: 10.12104/j.issn.1674-4748.2019.34.011. [29] 肖婷,胡珊博,邵佩,等.不同教学方法对护理专业学生人文关怀能力影响的网状Meta分析[J].护士进修杂志,2020,35(21):1972-1977.DOI: 10.16821/i.cnki.hsjx.2020.21.011. [30] 胡新宇,刘秀红,邢彩霞,等.巴林特小组活动提升护士人文关怀能力的效果研究[J].中华护理教育,2021,18(3):240-243.DOI: 10.3761/j.issn.1672-9234.2021.03.010. [31] 戎花.护理人员人文关怀能力的多元化培训[J].中国药物与临床,2020,20(13):2272-2273.DOI: 10.11655/zgywylc2020.13.081. [32] 崔长钉,马海梅,王云芳,等.基于NOC评价的慢性病患者人文护理关怀管理模式的构建[J].齐鲁护理杂志,2019,25(5):131-133.DOI: 10.3969/j.issn.1006-7256.2019.05.047. [33] 杨雅琪,朱莎.临床护理共情疲劳现状及其影响因素研究[J].护理管理杂志,2020,20(9):653-657.DOI: 10.3969/j.issn.1671-315x.2020.09.010. [34] 刘荣荣,史文莉.神经内科护理人文关怀建设的思考[J].中国医学伦理学,2021,34(1):129-130.DOI: 10.12026/j.issn.1001-8565.2021.01.26. [35] 常志学,陈丽君.肿瘤护理人文关怀实施及评价的研究进展[J].中国癌症防治杂志,2021,13(2):226-230.DOI: 10.3969/j.issn.1674-5671.2021.02.21. [36] 黄莉莉,卜梦茹,翟惠敏,等.护理人文关怀实践困境的质性研究[J].护理学报,2021,28(1):69-72.DOI: 10.16460/j.issn1008-9969.2021.01.069. -
表1 63名烧伤专科护士不同一般资料分类下关怀能力量表总得分的单因素分析
项目与类别 人数 构成比（%） 总得分（分， 统计量值 P值 性别 男 4 6.35 173±6 t=1.96 0.055 女 59 93.65 200±27 年龄（岁） 20~30 30 47.62 178±20 F=53.95 <0.001 31~40 26 41.27 210±12 41~55 7 11.11 241±16 职称 护士 20 31.75 172±17 F=49.14 <0.001 护师 36 57.14 205±17 主管护师 7 11.11 241±16 工作年限（年） <3 17 26.98 165±8 F=75.42 <0.001 3~10 18 28.57 196±14 >10 28 44.44 220±18 是否接受过人文关怀培训 是 31 49.21 215±24 t=6.08 <0.001 否 32 50.79 182±19 学历 大学专科 37 58.73 191±26 t=-2.82 0.006 大学本科 26 41.27 209±26 婚姻状况 未婚 24 38.10 193±24 t=1.22 0.226 已婚 39 61.90 202±29 是否独生子女 是 55 87.30 196±24 t=-1.46 0.149 否 8 12.70 211±42 政治面貌 党员 5 7.94 207±5 F=2.91 0.062 团员 25 39.68 188±28 群众 33 52.38 204±27 是否担任过班干部 是 39 61.90 199±26 t=0.78 0.938 否 24 38.10 198±29 和父母的关系 亲密 61 96.83 199±27 t=0.94 0.349 不亲密 2 3.17 181±32 和家人通电话频率 每天1次 44 69.84 198±28 F=0.05 0.955 2~5 d 1次 12 19.05 200±19 >5 d 1次 7 11.11 197±37 有无住院经历 有 15 23.81 197±26 t=-0.26 0.800 无 48 76.19 199±28 医院开展人文培训情况 很多 7 11.11 198±20 F=0.10 0.907 多 8 12.70 194±35 一般 48 76.19 199±27 科室人文关怀气氛 很好 10 15.87 197±28 F=0.41 0.668 好 13 20.63 193±24 一般 40 63.49 200±28 与同事的关系 很好 25 39.68 191±24 F=1.97 0.148 好 32 50.79 202±28 一般 6 9.52 210±34 是否热爱护理事业 热爱 58 92.06 198±27 t=-0.18 0.858 不热爱 5 7.94 200±28 
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表2 63名烧伤专科护士关怀能力量表得分与国际常模比较（分，
对象 人数 认知维度 勇气维度 耐心维度 总得分 烧伤科 63 78±8 65±13 55±10 198±27 护士 国际常模 1 388 80±8 68±12 63±5 212±23 t值 -2.02 -2.04 -6.19 -3.89 P值 0.047 0.045 <0.001 <0.001
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表3 63名烧伤专科护士人文关怀能力独立影响因素的多元线性回归分析
影响因素 标准回归系数 非标准化回归系数 标准误 95%置信区间 t值 P值 年龄（岁） 0.32 12.57 5.32 1.91~23.23 2.36 0.022 工作年限（年） 0.74 23.86 3.80 16.25~31.48 6.28 <0.001 职称 0.23 10.07 4.51 1.05~19.09 2.24 0.029 是否接受过人文关怀培训 0.36 19.27 6.27 6.72~31.82 3.07 0.003 学历 -0.03 -1.64 3.71 -9.07~5.80 -0.44 0.661
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