护患双方认知的差异对护患关系的影响
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【摘要】目的:了解护患双方对医患关系认知的差异性,为建立和谐护患关系提供实践指导依据。方法:采取整群随机抽样方法,对四川省某市城区4 家医院的部分护士和病人进行问卷调查。结果:护患双方除了对医患关系重要性的认知一致外,对医患关系的性质和发展趋势、医患冲突的常见诱因、主要解决方式等方面的认知情况均有统计学意义。结论:护患双方对医患关系的认知差异是导致护患间有效沟通的障碍,相互理解和彼此尊重是解决认知分歧和建立和谐护患关系的根本要求。
【关键词】医患关系;护患关系;护患沟通
Influence of diff erence in c ognition between p atient s and nurs es on es t ablis hing harmonious nurs e - p atient relations hip
QiChangmin ChenRong
【Abstract】 Objective : To know about cognition variability between nurses and patient s on medical staff s and patient s relationship , so as to provide a practicalinst ructive basis for establishing a harmonious nurse - patient relationship.Method : Some of nurses and patient s f rom 4 hospitals of a city of sichuanprovince were selected by cluster sampling and investigated by filling out questionnaires. Result : There were statistical significances between nurses and patient s in terms of their recognition toward both the peculiarity and developmenttendency of patient - nurse relationship , common causes and main mode of decision scheme of patient - nurse conflict s. However , they have accordant cognition toward the importance of patient nurserelationship.Conclusion : The cognition variability between nurses and patient s on medical staff s and patient srelationship is the main obstacle of effective nurse - patient communication.Mutual understanding and respect s are the basic needs in resolving the cognition difference and establishing a harmonious nurse - patient relationship.
【Key words】 medical staff - patient relationship ; nurse - patient relationship ,nurse - patient communication
【中图分类号】R425 【文献标识码】B 【文章编号】1005-0515(2011)07-0010-02
护患关系是指在特定条件下,护理人员通过医疗、护理活动与患者建立起的工作性人际关系[1]。随着社会的发展,人民群众的健康意识提升,就医心理逐渐成熟,而创建平等、团结、互助的和谐护患关系已成为时代的要求[2],也是当前构建和谐社会的重要组成部分。因此,如何与患者短时间内建立和谐护患关系,从而提高护理服务质量就显得尤为重要。
1 调查对象与方法
1.1 调查对象对四川某市城区4家医院101名护士和149名病人进行问卷调查。被调查护理人员年龄21岁～53岁,平均31.9 岁;大专及其以上54人(50.9 %),中专53人(49.1 %) ;副主任护师及以上17人(16.5 %) ,主管护师49人(45.8 %)，护师及以下40人(37.7%)。被调查病人年龄18岁～76岁,平均48.5岁,男76人(51. 2%) ,女74人(48.8%)。调查科室涉及内科、外科、儿科、妇产科、门诊和急诊科。
1.2 调查方法笔者自行设计问卷,采取整群随机抽样方法进行现场调查。调
查对象在调查员的指导下答卷,现场收回。本次调查,分别向护理人员和病人发放问卷107份和151份,收回有效问卷101份和149份,回收率分别为97 ......
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