摘要
目的研究深圳市综合医院护患沟通障碍的原因。方法参照伊朗Anoosheh硕士的调查问卷，稍作改动，对深圳8个综合医院147名住院患者和146名护士进行调查，参加者被要求对问卷上的沟通障碍各原因进行评分，数据经统计学分析，比较护士和患者对沟通障碍各原因的评分值。结果护士与患者对调查问卷4大原因评分值的差异具有显著统计学意义。对沟通障碍4大原因（管理、护士、患者、其他）进行方差分析显示各原因间差异明显，其中管理得分值最高，而护士得分值最低，Logise回归分析显示管理原因中占前三位的分别是“护士所在科室危重患者多，抢救多，压力大”，“医院配备的人手不够”和“护士治疗性工作量大”。结论护士和患者对造成护患沟通障碍的原因看法上存在明显的分歧。管理因素在护患沟通障碍原因中占较重要的权重，为护患沟通障碍的重要原因。
Objective To explore factors of nurse - patient communication deficiencies in municipal hospitals in Shenz-hen. Methods A total of 147 inpatients and 146 nurses from 8 municipal teaching hospitals were enrolled to complete a questionnaire re-ferred to Anooshehg. All the participants were asked to give marks to every communication barriers according to the questionnaire. Data were collected and analyzed with statistical software SSPS 17. 0. Results The results shows that the marks given by the patients and by the nurses were different significantly. Variance analysis results performed on the four main factors listed in the questionnaire （factors on administra-tion, factors on nurse, factors on patient and factors on social/circumstance/gender and others） revealed that the role of this four factors on nurse - patient communication deficiencies was remarkably different with which factors on administration had the most important role and fac-tors on nurse had the least important role. Logisc regression analysis showed that the first three subdivision factors of the factors on adminis- tration were＂ too many critical patients to take care and too many rescues in the uurse＇swork, the nurse has to confront overload stress＂ ,＂ shortage of nursing staff in the hospital＂ and＂ the nurse has to spent too much time on the cure work ＂ . Conclusions Nurses and patients may have different point of view to the same thing when they are communicating, so the nurse should try to reduce the gap of this difference. Factors on administration are the main cause of nurse - patient communication deficiency which the nursing managers and administrators should pay attention to and try to improve administrating level to relive nurseg stress and reduce the workload.
出处
《国际护理学杂志》
2013年第5期922-924,共3页
international journal of nursing
关键词
沟通障碍原因
护士
患者
Nurse - patient communication deficiency
Nurses
Patients
