| ObjectiveThis research focuses on the unique psychological characteristics of maternal separation, to analyze factors influencing nurse-patient communication. To compare the difference among the requirements of nurse-patient communication content, mode and the demands of nurses, analyze the effect of nurse-patient communication ability in different nurses, revealed the factors influencing nurse-patient communication in the mother-baby separation ward. In order to use more appropriate communication methods on maternal separation, so as to improve the clinical nursing of maternal separation.MethodsThis study used the questionnaire method, to study the factors influencing nurse-patient communication in the mother-baby separation ward, the objects of study are puerperants and nursing staff of three level of first-class hospital in Tianjin from September,2012to December,2012, patients must have the language expression ability and consciousness. According to the survey,questionnaires are aimed at116maternal separation,118rooming-in puerperant,112nurses in mother-baby separation ward and116nurses nursing rooming-in maternal. Survey questions can be divided into three categories, the first problem is to investigate the communication satisfaction among the two nurses and patients; the second problem is the investigation on nurses and patients on their view of maternal separation problem; the third problem is the analysis of the influence of nurse language behavior and attitude of service to the nurse-patient communication. For these three problems, separately carries on the statistical analysis, which has statistical significance. Using t test, chi-square test, One-Way ANOVA variance analysis, Logistic regression analysis on the data obtained were statistically analyzed. To find out the factors influencing nurse-patient communication in the mother-baby separation ward through above analysis method, to provide a effective theoretical basis for the further development of effective countermeasures and suggestions for nurse-patient communication.Result1.In aspect of requirements of communication with nurses in puerpera from two groups, the difference was statistically significant (P＜0.05), and requirements of communication with nurses in maternal separation were weaker than that of rooming-in puerperant. Different ages of maternal separation in aspect of requirements of communication with nurses, the difference was statistically significant (P＜0.05), the older, more requirements of communication with nurses The two groups with different occupation, education, income, in aspect of requirements of communication with nurses, the differences were statistically significant (P＜0.05), wherein maternal separation, the higher education, requirements of communication with nurses are higher, while the level of occupation of rooming-in puerpera is higher, requirements of communication with nurses are higher. Nurses of different ages in Rooming-in group, in aspect of the requirements in close to patients, the difference was statistically significant (P＜0.05). Nurses of Different degrees in maternal separation group, in aspect of the requirements in close to patients, the difference was statistically significant (P＜0.05); for nurses of different degree and work experience in rooming-in group, the difference was statistically significant (P＜0.05). The higher education, the requirements in close to patients are higher.2.Maternal of different ages, occupation, education, income level in aspect of requirements of acquiring information, the difference was statistically significant (P＜0.05). The higher education,requirements of acquiring information are higher. Two groups of nurses, in aspect of the awareness of information requirements of maternal separation, the difference was statistically significant (P＜0.05), the awareness of information requirements of nurses in rooming-in group is stronger than that of maternal separation group. Nurses of different educational background, different income levels in maternal separation group,in aspect of the awareness of information requirements of maternal separation, the difference was statistically significant (P＜0.05), higher education, higher income, the awareness of information requirements of maternal separation is stronger. 3.In aspect of the ability of accepting the reality in puerpera from two groups, the difference was statistically significant (P＜0.05), and the ability of accepting the reality of maternal separation is significantly weaker than that of rooming-in puerperant. The two groups puerpera of different age, occupation, education, income, in aspect of the ability of accepting the reality, the difference was statistically significant (P＜0.05), wherein maternal separation, the higher degree, the older, the ability of accepting the reality is more strong; rooming-in puerperant, higher education, lower income, the ability of accepting the reality is more strong. Nurses of different educational background, job, income level in maternal separation group, in aspect of understanding degree for maternal separation, the difference was statistically significant (P＜0.05),the degree is higher, understanding degree is more strong; nurses of different income levels in rooming-in group, in aspect of understanding degree for maternal separation, the difference was statistically significant (P＜0.05).4.In aspect of requirements of nurses attitude in puerpera from two groups, the difference was statistically significant (P＜0.05), and requirements of nurses attitude of maternal separation is higher than rooming-in puerperant, maternal separation of different occupation, different income levels, in aspect of requirements of nurses attitude, the difference was statistically significant (P＜0.05). Nurses of different educational background, job, income level in maternal separation group, in aspect of cognition degree which quality the nurses should have, the difference was statistically significant (P＜0.05), education, job level is higher, cognition degree which quality the nurses should have is more strong. Nurses of different degree, post in rooming-in group, in aspect of cognition degree which quality the nurses should have, the difference was statistically significant (P＜0.05), higher education, job level, cognition degree which quality the nurses should have is more strong.5. Puerpera from two groups, their cognition of communication barriers, information requirements, nurses language requirements, the difference was statistically significant (P＜0.05), in aspect of information requirements, whether to pay close attention to the infant’s condition, how to establish the relationship between mother and baby, how to maintain lactation, the difference was statistically significant (P＜0.05). Nurses from two groups, their awareness of information requirements, the difference was statistically significant (P＜0.05). Whether to pay close attention to the infant’s condition and maternal body condition, how to establish the relationship between mother and baby, how to maintain lactation, the difference was statistically significant (P＜0.05).ConclusionsMaternal age, education and nurses’ qualification, job, income level are the related factors influencing nurse-patient communication in the mother-baby separation ward. According to the results of this study, suggestions to take measures from the following aspects, to improve the mental health status of maternal separation primipara. To strengthen communication with puerpera; strengthen the information support; establish a good nurse-patient relationship; breast Nursing intervention; strengthen the diet, health knowledge education; neonatal nursing knowledge guidance; encourage nurses to participate in continuing education, improve the level of knowledge. |
PDF Full Text Request