广州市某三甲医院护士护患沟通能力的现状调查

doi:10.3969/j.issn.1000-8535.2020.03.025

摘要/Abstract

摘要： 目的结合临床现状分析影响护士护患沟通能力的相关因素,并根据影响因素制定相关应对方案。方法采用《护士临床沟通能力量表》对广州市某三甲医院的941名护士进行调查。结果护士沟通能力得分为(4.19±0.43)(评分范围为1～5分),其中情感支持能力维度得分最低(4.05±0.37),护士性别、婚姻状况、职称、职务和培训次数不同,其护患沟通能力得分有差异(P<0.05))。结论护士的情感支持能力有待提高,性别、婚姻状况、职称、职务和接受培训的次数是护患沟通能力的影响因素,管理者应根据护士特征应加强对护士的培训,以提高其护患沟通能力。

关键词: 护士, 护患沟通, 沟通能力, 现状

Abstract: Objective Combined with the clinical situation, this paper analyzes the relevant factors that affect the nurse-patient communication ability, and makes relevant countermeasures according to the influencing factors. Methods 941 nurses in a tertiary hospital in Guangzhou were surveyed using the Nurse Clinical Communication Competence Scale. Results The communication competence score of nurses in the hospital was (4.19±0.43) (the score was ranged from 1 to 5), among which nursing staffs' emotional support competence were scored in lowest (4.05±0.37). There was statistically significant in communication competence between nurses with different gender, marital status, job title, position and training times. (P<0.05). Conclusion The emotional support competence of nurses needs to be improved. The gender, marital status, professional title, position and number of trainings are the influencing factors of nurse-patient communication ability. Nursing managers could improve nurses' communication competence by increasing the training of nurses according to their charateristics.

Key words: Nurse, Nurse-patient Communication, Communication ability, Status

沈秀英, 刘灵芝. 广州市某三甲医院护士护患沟通能力的现状调查[J]. 广州医药, 2020, 51(3): 115-119.

SHEN Xiuying, LIU Lingzhi. Investigation on nurses-patient communication competence in a tertiary hospital in Guangzhou[J]. Guangzhou Medical Journal, 2020, 51(3): 115-119.

参考文献

[1] 袁晓玲,赵爱平,杨艳,等. 低年资护士护患沟通技能培训的效果研究[J]. 中华护理杂志,2012,47(7):633.
[2] 中华人民共和国国家卫生健康委员会. 关于进一步深化优质护理、改善护理服务的通知 [EB/OL]. [2015-3-17][2017-6-24]. http://www.nhfpc.gov.cn/yzygj/s3593/201503/7bfe482ac571419e9e901909180d9916.shtml.
[3] 曾凯, 卢惠娟, 李铮,等. 护士临床沟通能力调查及相关因素分析[J]. 护理学杂志, 2011, 26(17):29-31.
[4] 康丽.史瑞芬.护士沟通失误现状及其影响因素研究[J]. 护理管理杂志,2013,13(9):619-621.
[5] HOJAT M, LOUIS D Z, MARKHAM F W, et al. Physicians' empathy and clinical outcomes for diabetic patients[J]. Acad Med, 2011, 86(3): 359-364.
[6] 肖爱玲,刘晓华.护士共情能力在老年脑卒中患者护患沟通中的应用探讨[J]. 中国农村卫生,2018,10(136):20-21.
[7] 樊琳,陈新,陈鸿梅.护患沟通体验在低年资护士培训中的实践探讨[J]. 护理实践与研究,2015,12(9):88-89.
[8] 杨洋, 王维利,潘庆,等. 临床护士共情水平及其影响因素的作用[J]. 中国实用护理杂志,2013,29(25):16-18.
[9] 江薇,贾亚平. 巴林特小组对促进护士共情能力的作用[J]. 护士进修杂志,2017,32(10):903-904.
[10] 刘灵芝. 巴林特小组培训模式在提高临床医学生医患沟通能力的效果评价 [J]. 广州医药,2019,50(5):113-116.
[11] 杨天亮,辛斐,雷旭.人类大脑结构和功能的性别差异,来自脑成像研究的证据[J]. 心理科学进展,2015,23(4):571-581.
[12] 王晓灿,栾贝贝,王维利,等. 医护人员共情能力影响因素的研究进展[J]. 护理学杂志,2015,30(20):110-112.
[13] 王娟,李莉,林文娟.等,共情改善医患沟通的新视野[J]. 医学与哲学:人文社会医学版,2011,32(11):25-29.
[14] 周莉莉, 高莉, 徐贵霞,等. 护士人文关怀能力调查及影响因素分析[J]. 蚌埠医学院学报, 2014, 39(6):823-825.
[15] 尤梦妮,王嘉,王鸿,等. 324名乡镇医院护士职业认同现状及影响因素分析[J]. 护理学报,2019,26(17):41-44.
[16] 李妍,李楠,赵燕,等,石家庄市三甲医院临床护士护患沟通能力现状分析[J]. 河北医科大学学报,2017,38(7):854-857.
[17] 李臣,刘欢,马少勇,等. 某省级三级甲等医院护患沟通现状及其影响因素的调查分析[J]. 全科护理,2017,15(7):866-868.
[18] PARK M S, JEOUNG Y, LEE H K, et al. Relationships among communication competence, self-efficacy, and job satisfaction in Korean nurses working in the emergency medical center setting.[J]. J Nurs Res, 2015, 23(2):101-108.
[19] CLARAMITA M, TUAH R, RISKIONE P, et al. Comparison of communication skills between trained and untrained students using a culturally sensitive nurse-client communication guideline in Indonesia[J]. Nurse Educ Today, 2015(36):236-241.
[20] 陈锋,张国庆,宋金霞,等. 病人满意度研究进展[J]. 中国护理管理,2008,8(6):42-44.
[21] 薛超,张绘莉,许左隽,等. 巴林特小组改善医学生临床实践中共情与医患沟通能力的研究[J]. 中华医学教育探索杂志,2018,17(2):201-205.
[22] 陈春霞,胡素琴,王桂玲.改良AIDET标准化沟通模式在门诊采血室的应用效果[J]. 东南国防医药,2019,21(4):420-422.