淺談環境護理理論在患者護理服務中的運用

論文編號:HL173  論文字數:17556.頁數:26

論文題目：淺談環境護理理論在患者護理服務中的運用

摘 要
 研究目的:本研究以環境護理理論為基礎，應用現代護理觀對傳統的入院和出院護理服務進行深入探討和研究，這不僅為護理理論與實踐相結合提供了有益的經驗，而且有利于闡明患者入院和出院護理的理論依據；而且有助于提供個性化的入院和出院護理服務，更能體現現代護理的服務理念，為服務對象恢復、維護和促進健康提供優質的護理服務。
 研究方法:本研究采用文獻資料法、問卷調查法和數理統計法對筆者所在地區七所醫院護理環境對患者對醫院護理滿意度的影響，以針對性提出應對之策。
 研究結果:
 1.調查中，70%的患者接受了入院健康教育，教育以口頭介紹的方式為主。71.3%的患者表示對教育的內容基本掌握，部分掌握的占23.9%，掌握較差的占4.8%。掌握較差的主要的原因為：個人不重視、記憶力差、護士講解不清楚等原因。
 2.以患者滿意度作為因變量，將各影響因素作自變量進行單因素分析時發現患者的入院手續的辦理人、護理人員能否熱情接待、患者入院時的心情、空氣的清新程度、與護理人員關系融洽等因素有統計學意義。
 3.出院護理服務中，80%的護理人員能為患者做出院指導，指導以口頭講述的方式為主。為患者做了出院指導后，54.9%的護理人員會評價患者掌握的主要程度，評價的主要方式以口頭詢問為主。就患者而言，接受出院指導的患者占59.5%，沒有接受指導的占40.5%。患者出院指導方式以口頭介紹為主，占72.0%。就出院指導時間而言，所有患者的出院指導在患者出院當天實施。患者對出院指導內容基本掌握的占69.1%，大致了解的占29.7%，未掌握的占1.2%。
 結論:
 1.目前的入院和出院護理服務中，整體護理服務觀及科學工作方法觀未真正建立，患者入院和出院護理服務未按照現代護理服務理念和護理程序這一科學的工作方法實施，應嚴格按照整體護理服務要求，運用護理程序科學的工作方法，對護理人員進行臨床工作方法的教育。
 2.目前的入院護理服務難以滿足患者需求，急需滿足入院患者對治療、檢查和費用等相關信息和交流的需求。
 3.影響患者入院護理服務滿意度的單因素分析，發現患者的入院手續的辦理人、護理人員能否熱誠接待、患者入院時的心情等人文社會因素及物理環境中空氣的清新程度、床單位的滿意程度等因素影響滿意度，提示管理者和護理人員應當以以上幾點為切入點，應創建良好的醫療環境，做好環境護理，提高患者滿意度。
 4.護理人員普遍認為入院和出院護理服務有重新研究的必要，提示臨床管理者和教育者應加強規范化管理和實踐研究。
 5.目前的出院護理服務存在缺陷，建議管理者和護理人員應用護理程序，實施科學規范化的出院護理服務。
 
 
 關鍵詞：醫療環境；患者；入院；出院；護理

 Title: Environmental nursing theory in nursing care for patients with application

ABSTRACT

 Objective: This study is to environmental nursing theory as a foundation, the application of modern nursing view on traditional hospital admission and discharge nursing in-depth study and research, not only for the care of the combination of theory and practice has provided valuable experience, but also conducive to elucidate the patients at admission and discharge nursing theory; and helps to provide personalized the hospital admission and discharge nursing service, to better reflect the modern nursing service concept, service object recovery, maintaining and promoting the health to provide high quality nursing service.
 Methods: This study adopts the methods of literature, questionnaire and mathematical statistics the author's region seven of hospital care environment on patients in hospital care satisfaction, puts forward countermeasures to.
 Results:
 1, survey, 70% of patients receiving hospital health education, education for oral presentation of the main way. 71.3% of the patients expressed on education content to master the basic part, master 23.9%, master the poor accounted for 4.8%. The main reason for the poor master: individual attention, poor memory, nurse explains not clear reason.
 2, patient satisfaction as dependent variable, the influencing factors as the independent variable of single factor analysis found patient admission formalities, nursing personnel can warm reception, admission of patients with mood, fresh air, and the degree of nursing staff relations and other factors with statistical significance.
 3, nursing services, 80% of the nursing staff can be done for patients with a discharge guide, guide to oral narration mainly. The discharge guidance for patients, 54.9% of the nursing staff will evaluate patients to grasp the major degree, evaluation of the main way to verbal questioning mainly. In the patients, discharge guidance of the patients accounted for 59.5%, did not accept the guidance of the 40.5%. Patients discharged from the guide to the oral presentation, 72%. Discharge instruction time, all patients at discharge in patients with the implementation of guidance for discharged patients. To master the basic contents of guidance for discharged patients accounted for 69.1%, generally understand accounted for 29.7%, mastered accounted for 1.2%.
 Conclusion:
 1, the present on admission and discharge nursing, holistic nursing service concept and scientific methods of work values is not really established, patients on admission and discharge nursing service is not in accordance with the modern concept of nursing service and nursing procedures this is a scientific working method implementation, should be strictly in accordance with the overall care requirements, using the nursing procedure the scientific methods of work, on the nursing staff to conduct clinical work methods of education.
 2, the current admission nursing service to satisfy the needs of patients, need to meet the admission of patients to treatment, screening and the costs and other related information and communication needs.
 3, effects of patients admitted to nursing service satisfaction by univariate analysis, found the patient admission formalities, nursing personnel can warm reception, admission of patients with mood and other social factors and physical environment, air fresh degree of bed unit satisfaction factors that influence the satisfaction, prompting managers and nurses should take the above points as the breakthrough point, we should create a good medical environment, good environmental care, improve patient satisfaction.
 4, the nursing staff generally believe that the hospital admission and discharge nursing service is to study the necessary, suggestive clinical managers and educators should strengthen standardization management and practice research.
 5, the current discharge nursing defects, managers and nursing staff to apply nursing procedure, the implementation of scientific and standardized nursing service.

目  錄

1 緒論 1
1.1 研究背景 1
1.2 研究目的 1
1.3 關鍵詞及定義 1
1.4 研究假設及內容 1
2 材料與方法 3
2.1 研究對象 3
2.2 研究方法 3
2.3 主要研究過程 4
2.4 資料分析方法 4
3 結果分析 5
3.1 調查對象的一般情況 5
3.2 入院護理的實施現狀 5
3.3 出院護理服務現狀與患者需求調查結果及分析 7
3.4 對入院和出院護理與環境護理的整體認識 8
4 討論 10
4.1 患者入院和出院護理服務中存在的問題 10
4.2 出院護理服務存在缺陷 12
4.3 護理人員認為入院和出院護理有重新研究的必要 12
5 推論及建議 14
5.1 推論 14
5.2 建議 14
致  謝 18
參考文獻 19
附錄 20