CAJ | 학술논문

目的了解不同付费方式住院患者对护理操作告知需求的差异,为临床护士履行护理操作告知提供依据和指导,满足患者对护理操作告知个性化、多元化的需求.方法采用自行设计的问卷于2011年1-3月对桂林市4所三级甲等医院774例住院患者进行问卷调查,对调查情况进行统计学分析.结果以公费、自费、城市基本医疗保险和新型农村合作医疗保险4个医疗付费方式分组,不同付费方式的住院患者对护理操作告知需求高,其中有11项告知内容的需求人数在85％以上;多数住院患者选择护士作为告知人;更愿意选择口头告知;不同付费方式住院患者在12项护理操作内容需求上的差异均有统计学意义(P＜0.05或＜0.01).结论护士是护理操作重要的告知人,应发挥其专业优势,充分评估不同付费方式住院患者的告知需求,满足其对优质、全程的护理操作告知服务模式的需求.
목적 료해불동부비방식주원환자대호리조작고지수구적차이,위림상호사리행호리조작고지제공의거화지도,만족환자대호리조작고지개성화、다원화적수구.방법 채용자행설계적문권우2011년1-3월대계림시4소삼급갑등의원774례주원환자진행문권조사,대조사정황진행통계학분석.결과 이공비、자비、성시기본의료보험화신형농촌합작의료보험4개의료부비방식분조,불동부비방식적주원환자대호리조작고지수구고,기중유11항고지내용적수구인수재85％이상;다수주원환자선택호사작위고지인;경원의선택구두고지;불동부비방식주원환자재12항호리조작내용수구상적차이균유통계학의의(P＜0.05혹＜0.01).결론 호사시호리조작중요적고지인,응발휘기전업우세,충분평고불동부비방식주원환자적고지수구,만족기대우질、전정적호리조작고지복무모식적수구.
Objective To study the needing of different payments of inpatients for nursing operation inform and to provide theoretical guidance for clinical nursing operation inform,so as to meet patients' personalities and diversification needs.Methods Totals of 774 inpatients in four hospitals of Guilin city were investigated with self-designed questionnaire from January to March in 2011,then the results were analyzed.Results Inpatients' needs for nursing operation inform were high both in four groups public expense,selfexpense,basic medical insurance of city,new type of rural cooperative medical care insurance,and especially 85％ inpatients needed most was 11 items of needs.Most of patients selected nurses to be the informer and they were willing to informed in oral way.There were significant difference on the needing of 12 items nursing operations among inpatients with different payments ( P ＜ 0.05 or P ＜ 0.01 ).Conclusions It is necessary to sufficiently assess the needing of different payments inpatients for inform in order to meet their infromed needs of nursing operations.Nurses as important informers,we should pay attention to their role.