康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系

doi:10.3969/j.issn.1006-9771.2022.00.002

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (6): 739-744.doi: 10.3969/j.issn.1006-9771.2022.00.002

• 康复护理 • 上一篇

康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系

董红,崔慧霞(),徐笑笑,王维维

锦州医科大学护理学院,辽宁锦州市 121000

收稿日期:2021-11-26 修回日期:2022-05-04 出版日期:2022-06-25 发布日期:2022-07-05
通讯作者: 崔慧霞 E-mail:1319447367@qq.com
作者简介:董红(1994-),女,汉族,山西运城市人,硕士研究生,护师,主要研究方向：康复护理、护理教育。|崔慧霞(1978-),女,汉族,山东博兴县人,博士,副教授,硕士生导师,主要研究方向：肿瘤基础研究与护理、临床护理、康复护理、护理教育。
基金资助:
辽宁省大学生创新创业训练计划项目(20201016046);锦州医科大学研究生教研项目(YJ2020-029)

Relationship of humanized nursing abilities to attitudes toward persons with disabilities and achievement among nursing staff in rehabilitation department

DONG Hong,CUI Huixia(),XU Xiaoxiao,WANG Weiwei

Nursing College, Jinzhou Medical University, Jinzhou, Liaoning 121000, China

Received:2021-11-26 Revised:2022-05-04 Published:2022-06-25 Online:2022-07-05
Contact: CUI Huixia E-mail:1319447367@qq.com
Supported by:
Innovation and Entrepreneurship Training Program of Liaoning Province College Students(20201016046);Master Student Education Program of Jinzhou Medical University(YJ2020-029)

摘要/Abstract

摘要：

目的了解康复科护理人员人性化护理能力的现状,并探讨其与对残疾人的态度和工作成就感间的关系。方法 2020年12月至2021年3月,便利抽取锦州市、盘锦市、营口市和抚顺市8所综合性三甲医院的196例康复科护理人员,采用医护人员对残疾人态度量表、工作成就感量表、护士人性化护理能力量表进行调查。结果康复科护理人员人性化护理能力总分为(73.39±10.75),总条目均分(3.86±0.57);康复科护理人员人性化护理能力与对残疾人态度和工作成就感均呈正相关(r = 0.208~0.774, P < 0.01);工作成就感在康复科护理人员对残疾人态度和人性化护理能力间起部分中介作用,中介效应为0.420,占总效应的52.83%。结论康复科护理人员人性化护理能力较差。对残疾人态度越好,工作成就感越高,人性化护理能力会越强。康复科护理人员对残疾人态度不仅可以直接作用于人性化护理能力,也可以通过工作成就感间接影响人性化护理能力。

关键词: 残疾人, 态度, 人性化护理能力, 工作成就感

Abstract:

Objective To investigate the level of humanized nursing abilities of nursing staff in rehabilitation department, and to explore the relationship with attitudes toward the persons with disabilities and work achievement. Methods From December, 2020 to March, 2021, 196 nursing staff in rehabilitation department in eight tertiary hospitals in Jinzhou, Panjin, Yingkou and Fushun in Liaoning, China were investigated with attitude of healthcare professionals toward persons with disability scale, work achievement scale and Healthcare Professional Humanization Scale for Nursing (HUMAS). Results The score of HUMAS was (73.39±10.75), and the average score of total items was (3.86±0.57). The scores of attitudes toward the persons with disabilities and work achievement positively correlated with the score of HUMAS (r = 0.208~0.774, P < 0.01). Work achievement partially mediated the attitudes toward the persons with disabilities and the humanized nursing abilities, with mediating effect of 0.420, accounting for 52.83% of the total effect. Conclusion The humanized nursing ability of nursing staff in rehabilitation department needs to be improved. The better the attitudes toward the persons with disabilities are, the higher the work achievements are, the higher the humanized nursing abilities are. Attitudes toward the persons with disabilities among nursing staff in rehabilitation department may not only directly affect humanized nursing abilities, but also indirectly affect the humanized nursing abilities through the sense of work achievement.

Key words: people with disabilities, attitude, humanized nursing ability, work achievement

中图分类号:

R473

董红,崔慧霞,徐笑笑,王维维. 康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系[J]. 《中国康复理论与实践》, 2022, 28(6): 739-744.

DONG Hong,CUI Huixia,XU Xiaoxiao,WANG Weiwei. Relationship of humanized nursing abilities to attitudes toward persons with disabilities and achievement among nursing staff in rehabilitation department[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 739-744.

图/表 5

表1

表2

图1

表3

图2

参考文献 27

[1]	JING Q, TANG Q, SUN M, et al. Regional disparities of rehabilitation resources for persons with disabilities in China: data from 2014 to 2019[J]. Int J Environ Res Public Health, 2020, 17(19): 7319. doi: 10.3390/ijerph17197319
[2]	中共中央, 国务院. 中共中央国务院印发«"健康中国2030"规划纲要»[EB/OL]. (2016-10-25)[2021-10-25]. http://www.xinhuanet.com//politics/2016-10/25/c_1119785867.htm.
[3]	国家卫生计生委. 全国护理事业发展规划(2016-2020年)[J]. 中国护理管理, 2017, 17(1): 1-5.
[4]	黄峻. 人性化服务——现代护理的发展趋势[J]. 中华护理杂志, 2007, 42(5): 391.
	HUANG J. Humanized service: the development trend of modern nursing[J]. Chin J Nurs, 2007, 42(5): 391.
[5]	SYMONS A, FISH R, MCGUIGAN D, et al. Development of an instrument to measure medical students' attitudes toward people with disabilities[J]. Intellect Dev Disabil, 2012, 50(3): 251-260. doi: 10.1352/1934-9556-50.3.251
[6]	SATCHIDANAND N, GUNUKULA S K, LAM W Y, et al. Attitudes of healthcare students and professionals toward patients with physical disability: a systematic review[J]. Am J Phys Med Rehabil, 2012, 91(6): 533-545. doi: 10.1097/PHM.0b013e3182555ea4
[7]	YI Y G, LEE J E, LEE S H, et al. Development and validation of a scale to assess the attitude of healthcare professionals toward persons with disability[J]. Clin Rehabil, 2020, 34(5): 667-676. doi: 10.1177/0269215520911968
[8]	程刚. 员工工作成就感与组织承诺关系研究[D]. 武汉: 湖北大学, 2013.
	CHENG G. Research on the relationship between employee accomplishment and organizational commitment[D]. Wuhan: Hubei University, 2013.
[9]	PÉREZ-FUENTES M D C, HERERA-PECO I, MOLERO JURADO M D M, et al. The development and validation of the Healthcare Professional Humanization Scale (HUMAS) for Nursing[J]. Int J Environ Res Public Health, 2019, 16(20): 3999. doi: 10.3390/ijerph16203999
[10]	李康源, 崔慧霞, 孟迪, 等. 护士人性化护理能力量表汉化及信效度检验[J]. 护理学杂志, 2020, 35(23): 55-58.
	LI K Y, CUI H X, MENG D, et al. Translation and validation of the Healthcare Professional Humanization Scale for Nursing[J]. J Nurs Sci, 2020, 35(23): 55-58.
[11]	AJZEN I. The theory of planned behaviour: reactions and reflections[J]. Psychol Health, 2011, 26(9): 1113-1127. doi: 10.1080/08870446.2011.613995
[12]	KLEIMAN S. Humanistic nursing theory[J]. NLN Publ, 1993(15-2548): 20-34.
[13]	SUAZO I, PÉREZ-FUENTES M D C, MOLERO JURADO M D M, et al. Moral sensitivity, empathy and prosocial behavior: implications for humanization of nursing care[J]. Int J Environ Res Public Health, 2020, 17(23): 8914. doi: 10.3390/ijerph17238914
[14]	郎红娟, 李源莉, 王仙丽, 等. 截瘫患者心理健康水平及心理康复的效果[J]. 中国康复理论与实践, 2013, 19(2): 174-176.
	LANG H J, LI Y L, WANG X L, et al. Mental health and psychological rehabilitation for paraplegic patients[J]. Chin J Rehabil Theory Pract, 2013, 19(2): 174-176.
[15]	MAFFONI M, SOMMOVIGO V, GIARDINI A, et al. Dealing with ethical issues in rehabilitation medicine: the relationship between managerial support and emotional exhaustion is mediated by moral distress and enhanced by positive affectivity and resilience[J]. J Nurs Manag, 2020, 28(5): 1114-1125. doi: 10.1111/jonm.13059
[16]	王婷, 李晓捷, 黄玉柱, 等. 脑性瘫痪儿童父母焦虑及抑郁心理健康状况的临床研究[J]. 中国康复医学杂志, 2021, 36(9): 1076-1081, 1106.
	WANG T, LI X J, HUANG Y Z, et al. Clinical study on mental health status of anxiety and depression in parents of children with cerebral palsy[J]. Chin J Rehabil Med, 2021, 36(9): 1076-1081, 1106.
[17]	MOLERO JURADO M D M, PÉREZ-FUENTES M D C, GAZQUEZ LINARES J J, et al. Burnout in health professionals according to their self-esteem, social support and empathy profile[J]. Front Psychol, 2018, 9: 424. doi: 10.3389/fpsyg.2018.00424
[18]	DEVKOTA H R, MURRAY E, KETT M, et al. Healthcare provider's attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal[J]. Reprod Health, 2017, 14(1): 79. doi: 10.1186/s12978-017-0330-5
[19]	王莹, 翁瑛丽, 周兰姝. 康复专科护士角色定位的研究[J]. 中华护理教育, 2019, 16(9): 657-661.
	WANG Y, WENG Y L, ZHOU L S. Role orientation of specialty nurses in rehabilitation[J]. Chin J Nurs Educ, 2019, 16(9): 657-661.
[20]	LAWRENCE M, CAMPBELL L. Nurse education needed to address uncertainties of role and contribution in stroke rehabilitation units[J]. Evid Based Nurs, 2018, 21(2): 44. doi: 10.1136/eb-2017-102851
[21]	郑洁皎, 沈利岩, 段林茹, 等. 上海市康复人力资源发展现状[J]. 中国康复理论与实践, 2020, 26(12): 1471-1476.
	ZHENG J J, SHEN L Y, DUAN L R, et al. Investigatation of rehabilitation human resources in Shanghai, China[J]. Chin J Rehabil Theory Pract, 2020, 26(12): 1471-1476.
[22]	杜科涛, 张鸣生, 密忠祥. 综合医院康复医学科高质量发展研究[J]. 中国医院, 2021, 25(8): 14-16.
	DU K T, ZHANG M S, MI Z X. Research on the high-quality development of rehabilitation medicine department in General Hospitals[J]. Chin Hosp, 2021, 25(8): 14-16.
[23]	井淇, 孙宏伟, 邱卓英. 国际康复人力资源构成和配置及其对发展现代康复高等教育的启示[J]. 中国康复理论与实践, 2018, 24(9): 1011-1017.
	JING Q, SUN H W, QIU Z Y. Composition and allocation of rehabilitation workforces: implications to development of higher education of modern rehabilitation[J]. Chin J Rehabil Theory Pract, 2018, 24(9): 1011-1017.
[24]	陈佳佳, 梅松莉, 蒋红英, 等. PDCA循环管理法在康复专科护士教学质量管理中的应用[J]. 中国康复理论与实践, 2016, 22(10): 1232-1235.
	CHEN J J, MEI S L, JIANG H Y, et al. Application of PDCA cycle in management of teaching quality of rehabilitation nurse[J]. Chin J Rehabil Theory Pract, 2016, 22(10): 1232-1235.
[25]	MEGLINO B M, RAVLIN E C. Individual values in organizations: concepts, controversies, and research[J]. J Manag, 1998, 24(3): 351-389.
[26]	林羽, 陈妍, 李娜, 等. 急重症护士工作压力、自尊、工作成就感之间的路径分析[J]. 中华现代护理杂志, 2014, 20(11): 1265-1268.
	LIN Y, CHEN Y, LI N, et al. Path relationship of working stress, self-esteem and the sense of achievement for acute critical care nurses[J]. Chin J Modern Nurs, 2014, 20(11): 1265-1268.
[27]	PETER K A, HAHN S, SCHOLS J M G A, et al. Work-related stress among health professionals in Swiss acute care and rehabilitation hospitals: a cross-sectional study[J]. J Clin Nurs, 2020, 29(15/16): 3064-3081. doi: 10.1111/jocn.15340

项目	人性化护理能力
项目	r值	P值
对残疾人态度	0.774	< 0.001
知识技能	0.622	< 0.001
责任	0.664	< 0.001
临床行为	0.671	< 0.001
情绪反应	0.690	< 0.001
工作成就感	0.612	< 0.001
岗位成就感	0.745	< 0.001
薪资待遇成就感	0.208	0.003
职业成就感	0.495	< 0.001
人际关系成就感	0.650	< 0.001

项目	模型1		模型2		模型3
	M		Y		Y
	B	SE	B	SE	B	SE
常数	28.179	6.801	13.227	3.568	6.998	3.385
X	0.644	0.082	0.733	0.043	0.591	0.045
M	-	-	-	-	0.221	0.034
F值	61.561		289.744		196.053
R²	0.241		0.599		0.670
P值	< 0.001		< 0.001		< 0.001

效应类别	点估计值	标准误	Z值	95%CI	95%偏差矫正CI
总效应	0.795	0.047	16.915	0.688~0.872	0.686~0.871
直接效应	0.375	0.082	4.573	0.205~0.532	0.205~0.532
间接效应	0.420	0.060	7.000	0.309~0.548	0.320~0.564

康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系

Relationship of humanized nursing abilities to attitudes toward persons with disabilities and achievement among nursing staff in rehabilitation department

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 5

参考文献 27

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	郭帅, 赵艺皓, 刘尚君, 郑晓瑛. 基于VOSviewer中国残疾研究的循证证据[J]. 《中国康复理论与实践》, 2023, 29(3): 302-311.
[2]	王梓彤, 马松翠, 徐丽丽, 马瑞, 孙旭, 程梅. 肢体残疾人自我效能感、照顾质量与生活质量的关系[J]. 《中国康复理论与实践》, 2023, 29(3): 340-348.
[3]	杨秀莲, 秦毽, 先元涛, 刘宏亮, 杨亚茹, 向友余, 罗捷, 钟时勋, 钟宇, 周素君, 苏红, 肖红梅, 周新建. 基于世界卫生组织康复胜任力架构构建残疾人家庭医生团队康复基础培训课程[J]. 《中国康复理论与实践》, 2023, 29(11): 1249-1260.
[4]	张叶凡, 张晗, 张艳秋, 石志学, 邢洋, 嵇丽红, 蔡伟芹, 高倩倩, 高润国, 陈晓云, 井淇. 基于地理重心模型2011年至2021年残联系统康复人员分布研究[J]. 《中国康复理论与实践》, 2023, 29(1): 64-70.
[5]	范韫仪,郑晓瑛. 我国残疾人精准康复服务行动实施效果评估[J]. 《中国康复理论与实践》, 2022, 28(10): 1117-1125.
[6]	杨锦茹,常浩然,王冠军,武春燕,胡善菊,井淇. 我国东部地区残疾人基本康复服务效率研究[J]. 《中国康复理论与实践》, 2022, 28(10): 1143-1149.
[7]	刘冯铂,张忠秋,李安巧,周晟,张萌. 正念训练改善残疾人情绪和心理接受效果的系统综述[J]. 《中国康复理论与实践》, 2022, 28(1): 105-110.
[8]	吴弦光,陈迪,荀芳,付雨萌,张萌,汤修齐. 发展康复事业促进实现“健康中国2030”目标[J]. 《中国康复理论与实践》, 2022, 28(1): 6-14.
[9]	谢甘霖,董理权,刘志红,何艳. 中国康复辅助技术咨询师职业技能标准的构建[J]. 《中国康复理论与实践》, 2021, 27(9): 1024-1031.
[10]	孙计领,刘岚,张新辉,孙晶晶,张雅璐,张蕾,陈功. 健康扶贫背景下残疾人就诊行为研究[J]. 《中国康复理论与实践》, 2021, 27(10): 1218-1224.
[11]	魏学玲,张婕,俞智泷,朱清,张本忠. 兰州市城关区残疾人照顾质量及其影响因素[J]. 《中国康复理论与实践》, 2020, 26(9): 1112-1116.
[12]	陆海,李欣. 成年残疾人参与体育活动状况及其影响因素的Logistic回归模型研究[J]. 《中国康复理论与实践》, 2020, 26(6): 631-636.
[13]	王文娜,林蓓蕾,张振香,郭亚雯,郭二锋. 残疾人居家环境测评工具研究进展[J]. 《中国康复理论与实践》, 2020, 26(6): 687-691.
[14]	刘冯铂,吴铭,邱卓英,李欣,李伦,陈迪,陈佳妮,申兆慧,王国祥,孙宏伟,杨剑,杜若飞,鲁心灵. 成年残疾人康复需求与康复服务发展研究[J]. 《中国康复理论与实践》, 2020, 26(5): 497-501.
[15]	李安巧,申兆慧,邱卓英,李欣,李伦,王国祥,孙宏伟,杨剑,马洪卓,陈佳妮,田宝,王少璞,田红梅,程子玮. 智力残疾人康复需求与康复服务发展状况Logistic回归分析研究[J]. 《中国康复理论与实践》, 2020, 26(5): 523-527.