文章摘要
精神科护士人文关怀知信行的现状及影响因素分析
Analysis of influencing factors of humanistic care knowledge, attitude and practice of psychiatric nurses
投稿时间:2024-09-20  
DOI:10.3969/j.issn.1000-0399.2025.05.019
中文关键词: 精神科护士|人文关怀|知信行|影响因素
英文关键词: Psychiatric nurses|Humanistic care|Knowledge-beliefs-behaviors|Influencing factors
基金项目:上海市普陀区卫生健康系统科技创新项目(编号:ptkwws202214)~~
作者单位E-mail
孟庆闻 200065 上海 普陀区精神卫生中心精神科  
沈妙莉 200335 上海 长宁区精神卫生中心护理部  
夏芳 200030 上海 徐汇区精神卫生中心护理部  
蒋时笑 200040 上海 静安区精神卫生中心护理部  
李玉华 200125 上海 宝山区精神卫生中心护理部  
杨晓丽 201822 上海 嘉定区精神卫生中心护理部  
徐丽华 200065 上海 普陀区精神卫生中心护理部 xlh200518@126.com 
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中文摘要:
      目的 调查精神科护士人文关怀知信行现状并分析其影响因素。方法 采用便利抽样法,选取2024年3~5月上海市6家精神专科医院的466名护士为研究对象,使用一般资料调查表以及人文关怀知信行问卷进行调查。通过中介效应检验、单因素方差分析以及多因素线性回归分析探究精神科护士人文关怀知信行综合评分的影响因素以及各维度间的关系。结果 466名护士中,男性占11.80%,女性占88.20%。人文关怀知识、信念、行为维度以及总分分别为(77.27±14.27)、(83.50±14.23)、(90.86±10.96)和(84.40±11.00)分。多元线性回归分析显示,与父母的关系以及对护理热爱程度是人文关怀知信行总分的独立影响因素(P<0.05)。信念在知识和行为之间的中介效应显著,占总效应的56.74% 。结论 精神科护士在人文关怀方面的知识相对薄弱,其整体表现主要受与父母的关系及对护理热爱程度的影响。应进一步关注家庭因素与职业认同,以有效提升护士的人文关怀水平。
英文摘要:
      Objective To investigate the current status of psychiatric nurses’ knowledge, belief and practice of humanistic care andanalyze the factors influencing these domains. Methods In this cross-sectional study, 466 nurses were recruited from six psychiatric hospi-tals in Shanghai between March and May 2024 via convenience sampling. A general demographic questionnaire and a humanistic careknowledge-belief-practice scale were administered. Mediation effect testing, one-way analysis of variance, and multiple linear regression wereemployed to explore the factors affecting overall scores as well as the interrelationships among the three dimensions. Results A total of 466nurses(male: 11.80%, female: 88.20%) completed the survey. Their mean scores for the knowledge, belief, and practice dimensions, and the to-tal scale, were(77.27±14.27), (83.50±14.23), (90.86±10.96), and(84.40±11.00), respectively. Multiple linear regression analysis indicatedthat nurses’ relationships with their parents and their enthusiasm for nursing were independent predictors of the total score(P<0.05). Further-more, belief exerted a significant mediating effect between knowledge and practice, accounting for 56.74% of the total effect. Conclusion Psy-chiatric nurses demonstrate relatively limited knowledge of humanistic care, and their overall performance is primarily influenced by parentalrelationships and professional enthusiasm. Greater emphasis on familial factors and professional identity is recommended to enhance the quality of humanistic care in psychiatric nursing.
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