Demand Of Hospitalized Patients And Its Influencing Factors Research On The Nursing Work

ObjectiveImprove the content of the patients nursing needs survey form for nurses to provide a quick overview of the path of the patients nursing needs; survey patients ’nursing needs to understand the demand characteristics of the patients’nursing care of the needs of patients asthe focus of the work proposed appropriate measures to meet the needs of patients.MethodThrough an extensive literature review, combined with domestic and foreign scholars on the study of the nursing needs of overall care, the mode of modern medicine and people management as the fundamental basis, combined with patient interviews and expert interviews on the basis of preliminary to work out the hospitalized patientsdemand for care questionnaire. The pre-questionnaire a total of60entries in three dimensions, respectively, basic nursing care (entry28), psychological care (the number of entries is16), and Sociology-related care (the number of entries is16). Selected five nursing and psychological experts, and50hospitalized patients with pre-survey, the results of analysis and sorting by the reliability and validity of the test questionnaire reliable. The questionnaire finally retained54entries, and two additional open-ended questions, the formation of a formal questionnaire.600hospitalized patients using a convenience sampling method to select the Shanxi Province, a tertiary medical questionnaire, and finally received541valid questionnaires, SPSS13.0statistical software, data processing, data analysis of variance, T-test, multiple linearregression analysis. P<0.05was considered statistically significant. Patients with different care needs and influencing factors.Result1、The overall patient care work demand score was221.03±26.93. The importance of nursing care for patients in the three dimensions in the order of:based care> mental care>social care.2, According to the patients, the mean size of the nursing needs of each individual sorting, the top ten nursing observation of vital signs, observation of the state of consciousness "and" master nurse specialist knowledge and skills "," drugobserved therapy "," nurses have positive sun mentality "" nurses for patients with psychological help (emotional support, technical guidance, positive belief in the boot), nurses give patients psychological support (listening, encouraging, repeat, ask questions, non-verb alb ehavi or)"," nurse observation of the patient’s condition, nurses adjust their mentality and behavior, and promote rehabilitation methods,"the care of dying patients. Ten care order "bed sponge bath will vulva clean" wash, clean the mouth, the bed shampoo, refers to the nail care such as cleaning work, the nurses provide mental unhealthy common sense "and" wateringfeeding, dosing, social stratification and social mobility, social and cultural impact "on their own," the surroundings of their own personality to form a "," nurses guide the use of their own and surrounding resources for rehabilitation,"the nurse socialsupport scale of patient assessment, nurses use the coping style scale for patients assessment, the process of growing problems.3, The different characteristics of hospitalized patients classification comparison of different sex, marriage, age, education, occupation, income, length of stay, admission, departments, nursing levels in patients with scores on each dimension of care work needs to study the difference,7:by age, education, occupation, number of days in hospital, departments, nursing-level and other personal characteristics of patients grouped results, the demand for care was statistically significant (P<0.05, P <0.01).4, The different demographic variables multiple linear analysis, affect patients with basic nursing care needs of the main factors is the degree, duration of hospitalization, departments, nursing grade, and number of hospitalizations. Psychological care and social care level the main factors affecting the department and the number of hospitalizations.5、Patients in the open-ended questions to improve the environment and facilities, increase the nursing staff, and tracking services and other needs. Conclusions1, The diversification of the needs of hospitalized patients, is still the major demand for basic nursing care, in the top ten nursing needs, there are four nursing psychological care, patients have started to pay attention to psychological care needs; managers should encourage nurses to expandHumanities, psychology, sociology of knowledge, concern with the patient communication, truly "people-oriented, patient-centered".2、The main factors affect the patients nursing needs education, hospitalization time, departments, nursing grade, and frequency of hospitalization, suggesting that managers should strengthen efforts to these concerns. Specific implement the service concept of "personalized care".3、Nurse managers should use their best ability to improve the hospital environment to facilitate the patients. Improve the standard of care in devising ways to reduce medical costs.