Analysis Of Influnce Factors On Sense Of Security Of Elderly Patients

PostgradBackground and purposeSense of security is a feeling of safe, avoiding fear, anxiety and dread,which isnecessary demand for psychology. Nowadays,with the development of patients’knowledge and their understanding of disease,their demands in hospital are also graduallydiversified. The reaserch we did was for the results of their satisfaction,also got to knowtheir psychological demands.Because of physical structure, psychological status andcognitive structure of elderly patients have taken place, their emotion and character willalso change.As the old is lack of knowledge of potential safety hazard and their higherexpectation of health,their demands of sense of security are higher than theyoung,especially when they are suffering from disease.Some old people can easily sufferfrom anxiety, depression, and mental illness.That is why we should pay more attention onelderly patientis,and try to improve the quality of nursing for them.Through the investigateof elderly patients,we aimed to understand the influence factors of sense of security,andfinally help the hospital staff to improve their quality of service.MethodsWhile reading different kinds of literatures,we made questionnairs which includs twoaspects:firstly,the basic information of patients (including14projects);secondly, safetyscale of elderly patients (included27factors and divided into four dimensions).The resultsinclude five aspects: very consistent, a little consistent, neutral or not sure, a littleinconsistent, not inconsistent at all.First of all, we sent30questionnairs for the eligibleelderly patients（in a clear state of mind,more than sixty years old)，in order to knowwhether the content,order,format and instructions of it had feasibility，and then invitedseven nursing experts to review the questionnaire and got scale reliability.Based on thereliability and validity of the requirements,we began our survey from sending elderly patients(who were more than60years old),and asked them to answer the questionnairsthemselves.However,For the patients of low-literacy or critically ill, the questionnaireswere done by investigators.The scope of sending questionnairs:Taishan MedicalUniversity of150, Liaocheng city hospital of150, Dong Changfu people’s hospital of50,Dong’e people’s hospital of50,and finally a total of300returned. We eliminated thesubstandard questionnaires which were uncompleted, remaining280at last. In dealing withdata in principle, the content of questionnaire was divided into four dimensions (a total of27items) including medical behavior, interpersonal relationship, ward management anddisease illness. This survey employed a4-point response scale–very dissatisfied/verysatisfied/not patient/very patient-respectively1-5score.The total points and eachdimension scores were divided by the number of items, then got total split and the split ofdimension.The higher the score, the higher the degree of satisfaction.The results of surveywere analysised by variance, multiple correlation and SPSS17.0.ResultsScale content validity index (CVI) was0.836, measured reliability (Cronbach`salpha coefficient is0.809, eight factors’ reliability (Cronbach ’s a) was between o.6to0.9.Factor analysis:eight common factors accumulation explain total variance was80.501%, and had strong factor loading in the corresponding project.In four dimensions,the highest score of patients’ sense of security was the ward management with thestatistical result of4.95+/-0.04.Followed by medical behavior4.63+/-0.57,interpersonal relationship4.33+/-1.15,and the lowest score was disease conditionwith the result of3.90+/-0.76. After analysising5basic situations and four dimensionsof regression,we found that,ward management dimension regression equation: F=1.127, P=0.067, according to the significance standard of0.05, the multiple regression analysiswas not statistically significant.Interpersonal dimension regression analysis showed that: F=2.173, P=0.008, interpersonal relationship multiple regression equation of the multiplecorrelation coefficient R was0.332, determination coefficient R2is0.110, indicating thatgradually fitting multiple linear regression equation of the dependent variable(interpersonal dimension total score) could be independent variables (primary care,professional, medical payment) accounted for11%.The main caregivers (spouse, children,other)had bigger influence in the interpersonal dimension (-2.703), and interpersonalrelationship score was negatively correlated.Followed by medical payment (1.682), andinterpersonal relationship is a positive correlation with sense of security score; Diseaseillness dimension regression analysis showed that: F=2.173, P=0.011, regression equation was established.Disease illness multiple regression equation of the multiplecorrelation coefficient R was0.326, determination coefficient R2was0.106, indicating thatgradually fitting multiple linear regression equation of the dependent variable (diseaseillness dimension total score) could be independent variables (main caregivers, occupation,family income) accounted for10.6%;The main caregivers had big influence in dimensionof disease (1.239), and the security score was negatively correlated with diseasecondition; Followed by family income (0.585), and disease illness security score wasnegatively correlated, profession had the least influence (0.382), and disease illness werepositively correlated. Medical behavior dimension regression analysis showed that: F=1.675, P=0.056, according to the significance standard of0.05, the multiple regressionanalysis was not statistically significant.ConclusionThe results of scales are reliable and valid to demonstrate the influence factors ofsense of security of elderly patients. The most important factor is wardmanagement,followed by hospital staff’s behavior and interpersonal relationship.State ofillness has the least effect.Therefore, many effective strategies can be made according tothe results,in order to improve the quality of care for elderly patients.