儿科护士与患儿父母伙伴关系的影响因素分析

林晓敏; 倪永永; 孙丽珍; 何洁雪; 潘国权

doi:10.16766/j.cnki.issn.1674-4152.002751

儿科护士与患儿父母伙伴关系的影响因素分析

doi: 10.16766/j.cnki.issn.1674-4152.002751

温州医科大学附属第二医院儿童急重症医学科，浙江温州 325000

基金项目:

浙江省医药卫生科技计划项目 2017KY478

温州市科技计划项目 Y20180411

详细信息

通讯作者:
林晓敏, E-mail: hx19999990@163.com

中图分类号: R473.72
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- 文章访问数: 103
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- 被引次数: 0
出版历程
- 收稿日期: 2022-02-09
- 网络出版日期: 2022-12-30

Analysis of influencing factors of a partnership between paediatric nurses and parents of ill children

Pediatric Emergency Medicine, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

摘要

摘要: 目的探讨儿科护士与患儿父母伙伴关系的现状，并分析其影响因素，为护理管理提供理论依据。方法采用便利抽样的方法，于2021年8—10月选取浙江省5所三甲医院189名儿科护士及其所护理的189名患儿父母为研究对象。采用一般人口学问卷、中文版儿科护士与患儿父母伙伴关系量表(pediatric nurse parent partnership scale, PNPPS)、护理组织氛围量表及护士心理资本问卷进行问卷调查。采用SPSS 21.0统计学软件进行数据统计与分析。结果 PNPPS(儿科护士版)总分为(141.67±15.73)分；护理组织氛围得分为(85.13±9.87)分，心理资本得分为(86.52±11.89)分；单因素分析结果显示，是否生育、不同儿科工作年限、不同平均月收入的儿科护士PNPPS(儿科护士版)总分差异有统计学意义(均P＜0.05)；Pearson相关分析显示，PNPPS(儿科护士版)总分与护理组织氛围、心理资本及PNPPS(患儿父母版)总分均呈正相关关系(r=0.248~0.598, 均P＜0.01)；多元逐步回归分析显示，护理组织氛围、是否生育、心理资本、PNPPS(患儿父母版)总分及儿科工作年限是儿科护士与患儿父母伙伴关系的影响因素。结论儿科护士与患儿父母伙伴关系处于中等水平，护理组织氛围、是否生育、心理资本、儿科工作年限是儿科护士与患儿父母伙伴关系的影响因素。护理管理者应重视未生育及低工作年限的儿科护士护理组织氛围水平及心理资本的培养，通过营造和谐的护理组织氛围，提高心理资本水平，改善儿科护士与患儿父母的伙伴关系，为患儿提供最佳的护理服务。
- 儿科护士 /
- 与患儿父母伙伴关系 /
- 护理组织氛围 /
- 心理资本
Abstract: Objective To explore the status quo of the partnership between paediatric nurses and ill children' s parents, as well as analyse its influencing factors to provide a theoretical basis for nursing management. Methods Using the convenience sampling method, 189 paediatric nurses and 189 parents of ill children from five tertiary hospitals in Zhejiang Province were selected from August to October 2021 as the research objects. The general demographic questionnaire, the Chinese version of the paediatric nurse-parent partnership scale (PNPPS), the nursing organization climate scale and the nurse psychological capital questionnaire were used to conduct the questionnaire survey. SPSS 21.0 statistical software package was used for data statistics and analysis. Results The score of the partnership between pediatric nurses and children' s parents was (141.67±15.73) points, the score of nursing organization atmosphere was (85.13±9.87) points, and the score of psychological capital was (86.52±11.89) points. The results of univariate analysis showed that there were statistically significant differences in the total score of PNPPS (pediatric nurse version) among pediatric nurses, including childbearing, pediatric working years and average monthly income (all P < 0.05). Pearson correlation analysis showed that the total score of PNPPS (pediatric nurse version) was positively correlated with the organizational climate, psychological capital and the total score of PNPPS (children' s parents version, r=0.248-0.598, all P < 0.01). Multiple stepwise regression analysis showed that the influencing factors of the partnership between pediatric nurses and parents were nursing organization atmosphere, childbearing, psychological capital, total score of PNPPS (children' s parents version) and years of pediatric work. Conclusions The partnership between paediatric nurses and children' s parents is at a moderate level. The nursing organizational atmosphere, whether or not to give birth, psychological capital, and the number of years of paediatric work are the influencing factors of paediatric nurses on the parental partnership of children. Therefore, nursing managers should pay attention to the level of nursing organizational atmosphere and psychological capital of paediatric nurses who have not given birth and have low working years, improve the level of psychological capital, improve the partnership between paediatric nurses and children' s parents, and provide the best nursing services for children through creating a harmonious nursing organizational atmosphere.
- Paediatric nurses /
- Partnership with parents of children /
- Nursing organization atmosphere /
- Psychological capital

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表 1 PNPPS(儿科护士版)得分情况(x±s, 分)

Table 1. Scores of PNPPS (Pediatric Nurse version) (x±s, points)

项目	条目数	得分	均分
相互性	9	37.17±4.33	4.13±0.48
专业照护	7	29.62±3.41	4.23±0.49
感知性	6	24.53±2.92	4.09±0.49
沟通交流	4	16.55±2.18	4.14±0.55
合作性	3	12.37±1.87	4.12±0.62
谨慎性	2	8.14±1.58	4.07±0.79
共享信息	3	13.28±2.45	4.43±0.82
PNPPS(儿科护士版)总分	34	141.67±15.73	4.17±0.46
公平支持行为	10	35.86±4.72	3.59±0.47
同事行为	5	17.29±1.88	3.46±0.38
人际氛围行为	4	13.54±1.39	3.39±0.35
亲密及进取氛围行为	5	18.44±1.78	3.69±0.36
护理组织氛围	24	85.13±9.87	3.55±0.41
自我效能	6	27.36±3.84	4.56±0.64
希望	6	24.84±3.27	4.14±0.54
韧性	5	21.74±3.12	4.35±0.62
乐观	3	12.58±1.75	4.19±0.58
心理资本	20	86.52±11.89	4.33±0.59

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表 2 不同一般人口学资料儿科护士的PNPPS(儿科护士版)总分比较

Table 2. Comparison of total scores of PNPPS (Pediatric nurse Edition) among pediatric nurses with different general demographic data

项目	人数(%)	PNPPS(儿科护士版) 总分(x±s, 分)	统计量	P值
年龄(岁)			0.784^a	0.458
21~30	66(34.92)	140.19±14.95
31~40	86(45.50)	142.04±15.28
41~50	37(19.58)	144.03±15.23
最高学历			0.333^a	0.717
大专及以下	50(26.46)	140.23±15.44
本科	132(69.84)	142.28±15.67
研究生及以上	7(3.70)	140.54±14.65
是否正式编制			1.096^b	0.274
是	76(40.21)	143.16±15.61
否	113(59.79)	140.67±15.12
是否生育			2.639^b	0.009
是	114(60.32)	143.98±14.68
否	75(39.68)	138.16±15.07
职称			0.475^a	0.623
初级	89(47.09)	140.76±15.08
中级	80(42.33)	142.01±15.77
高级	20(10.58)	144.34±15.41
儿科工作年限(年)			3.362^a	0.037
1~＜5	45(23.81)	138.11±14.06
5~＜10	84(44.44)	141.03±14.59
≥10	60(31.75)	145.26±14.11
平均月收入(元)			3.371^a	0.036
＜5 000元	35(18.52)	137.71±15.01
5 000~＜8 000元	75(39.68)	140.31±14.67
≥8 000元	79(41.80)	144.73±14.23
家人关心程度			0.281^a	0.755
少(1~3)	15(7.94)	139.66±15.12
一般(4~7)	36(19.05)	140.74±14.88
多(8~10)	138(73.01)	142.14±14.69
注：^a为F值，^b为t值。

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表 3 PNPPS(儿科护士版)总分与护理组织氛围、心理资本、PNPPS(患儿父母版)总分的相关性分析(r值)

Table 3. Correlation analysis between the total score of PNPPS (pediatric nurses edition) and the nursing organizational atmosphere, psychological capital, and the total score of PNPPS (pediatric parents Edition)(r value)

项目	护理组织氛围总分	心理资本总分	PNPPS(患儿父母版)总分
相互性	0.303	0.318	0.412
专业照护	0.351	0.376	0.435
感知性	0.387	0.425	0.327
沟通交流	0.261	0.327	0.398
合作性	0.421	0.464	0.486
谨慎性	0.248	0.307	0.491
共享信息	0.345	0.418	0.512
PNPPS(儿科护士版)总分	0.413	0.536	0.598
注：均P＜0.01。

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表 4 儿科护士与患儿父母伙伴关系的多元逐步回归分析

Table 4. Multivariate stepwise regression analysis of partnership between pediatric nurses and parents

变量	B	SE	β	t值	P值
常数项	19.623	1.172		9.628	< 0.001
护理组织氛围	1.642	0.518	0.144	4.783	0.001
是否生育	2.185	0.353	0.167	3.805	< 0.001
心理资本	2.241	0.614	0.216	5.774	< 0.001
儿科工作年限	1.894	0.657	0.228	3.126	0.001
PNPPS(患儿父母版)总分	1.853	0.532	0.204	3.057	0.001
注：R²=0.421，调整的R²=0.266，F=15.896，P＜0.001。

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