■临床实践中的人文关怀对于优质护理和患者满意度很重要。本研究旨在评估中国急诊患者对人文关怀的满意度及其相关因素。
■从2023年10月到2023年12月,在中国28个省和87家医院进行了多中心横断面调查,对急诊科住院患者采用抽样方法。患者对人文关怀的满意度通过自行编制的问卷进行评估,问卷包含6个维度的32个项目。采用逐步多元线性回归分析相关因素。
■共成功收集到3,003份有效问卷,有效率为86.05%。急诊患者人文关怀满意度总平均得分为4.67±0.66。年龄,医疗保险类型,参观了专门的急诊科,等待时间,是否有陪伴的人,医院级别,医院类型是人文关怀满意度的相关因素(P<0.05)。相关分析表明,感知价值,其三个维度与人文关怀满意度呈中等相关。多元线性回归显示等待时间(β=-0.219,P<0.05),是否有陪同人员(β=-0.192,P<0.05),医院水平(β=-0.137,P<0.05),功能值(β=0.197,P<0.05),情绪值(β=0.418,P<0.05)是较强的预测因子。
■各级医院应提高患者的感知价值,缩短等待时间,并在急诊科为护理人员提供更好的人文关怀。
UNASSIGNED: Humanistic caring in clinical practice is important for quality care and patient satisfaction. This study aimed to assess patient satisfaction with humanistic care for emergency patients in
China and its associated factors.
UNASSIGNED: From October 2023 to December 2023, a multi-center cross-sectional survey was conducted across 28 provinces and 87 hospitals in
China, using a sampling method for inpatients in emergency department. Patient satisfaction with humanistic care was evaluated by a self-developed questionnaire with 32 items across 6 dimensions. Stepwise multiple linear regression was used to explore associated factors.
UNASSIGNED: A total of 3,003 valid questionnaires were successfully collected, with an effective rate of 86.05%. The emergency patients\' total mean humanistic caring satisfaction score was 4.67 ± 0.66. Age, medical insurance type, specialized emergency department visited, waiting times, whether had accompanied person, hospital level, and hospital type are correlated factors (P < 0.05) regarding humanistic caring satisfaction. The correlation analysis showed perceived value, and its three dimensions were moderately correlated with humanistic caring satisfaction. The multiple linear regression showed waiting time (β = -0.219, P < 0.05), whether had accompanied person (β = -0.192, P < 0.05), hospital level (β = -0.137, P < 0.05), functional value (β = 0.197, P < 0.05), and emotional value (β = 0.418, P < 0.05) were strong predictors.
UNASSIGNED: Hospitals at all levels should improve patients\' perceived value, shorten waiting times, and provide caregivers with improved humanistic care in the emergency department.