摘要
目的调查老年脊柱手术患者的术后护理需求和护理服务满意度,分析相关影响因素,为制订针对性护理措施提供依据。方法选取2021年5月—2022年2月在烟台市烟台山医院手术室进行脊柱手术的226例老年患者,采用住院老年人护理需求及满意度量表进行问卷调查,采用多重线性回归分析影响因素。共发放调查表226份,剔除未完成和无效调查表,收回215份,有效回收率为95.13%。结果 215例老年脊柱手术患者需求总分为(3.05±0.19)分,满意度总分为(2.51±0.78)分,其中安全需求得分最高,为(3.44±0.33)分,主动询问并满足满意度得分最低,为(1.96±0.73)分。多重线性回归分析结果显示,患者护理需求的主要影响因素为自理情况、家庭人均月收入、健康状况自评和医疗保健年花费(P<0.05);满意度的主要影响因素为年龄和护理级别(P<0.05)。结论老年脊柱手术患者的护理需求较高,而对护理服务满意度不足,应根据患者实际护理需求特征,制订个性化的护理措施,提高老年脊柱手术患者的护理质量。
Objective To investigate the postoperative nursing needs and satisfaction with nursing services of elderly patients undergoing spinal surgery,analyze influencing factors,so as to provide a basis for formulating targeted nursing policies.Methods From May 2021 to February 2022,226 elderly patients who underwent spinal surgery in the Operating Room of Yantai City Yantaishan Hospital were selected.A questionnaire survey was conducted using the Nursing Needs and Satisfaction Scale for Elderly Inpatients.Multiple linear regression was used to analyze influencing factors.A total of 226 questionnaires were distributed,and 215 questionnaires were collected after excluding incomplete and invalid questionnaires,with an effective recovery rate of 95.13%.Results Among 215 elderly patients,the total score of needs was(3.05±0.19),and the total score of satisfaction was(2.51±0.78).Among them,the highest score was for safety need with a score of(3.44±0.33),and the lowest score was(1.96±0.73)obtained by actively asking and satisfying.The results of multiple linear regression analysis showed that the main influencing factors of patient nursing needs were self-care status,per capita monthly income of families,self-assessment of health status,and annual healthcare expenses(P<0.05).The main influencing factors of satisfaction were age and nursing grade(P<0.05).Conclusions The nursing needs of elderly patients undergoing spinal surgery are high,but their satisfaction with nursing services is insufficient.Personalized nursing measures should be formulated based on the actual nursing needs of patients to improve the quality of nursing for elderly spinal surgery patients.
作者
江宁宁
吕莉
王传宝
唐伟
Jiang Ningning;Lyu Li;Wang Chuanbao;Tang Wei(Department of Bone Oncology,Yantai City Yantaishan Hospital,Yantai 264001,China;Orthopedics Department of Southern District,Yantai City Yantaishan Hospital,Yantai 264001,China;Pediatric Orthopedics,Yantai City Yantaishan Hospital,Yantai 264001,China)
出处
《中华现代护理杂志》
2023年第24期3333-3338,共6页
Chinese Journal of Modern Nursing
关键词
老年人
脊柱手术
护理需求
满意度
影响因素
Aged
Spinal surgery
Nursing needs
Satisfaction
Influencing factors
