Construction And Application Of Humanistic Care Scheme For Patients In Infectious Department Based On Watson Care Theory

BackgroundThe psychological pressure caused by long-term treatment and the sense of shame caused by the infective diseases result in serious negative psychological burden for patients.Advocating humanistic care in nursing practice can alleviate the negative emotions of patients and promote the harmonious development of nurse-patient relationship.Watson’s care theory is based on the philosophy of humanistic care,which can not only be used as guidance for the concretization of care behavior,but also as a framework for evaluating the effect of care implementation.Based on Watson’s care theory,this study constructs a humanistic care scheme for patients in the infectious department,so as to promote the overall health of patients,and then improve the quality of nursing service.ObjectiveBased on Watson’s care theory,this study constructs a humanistic care scheme for patients in the infectious department,in order to improve the care ability of nurses,as well as the care perception and satisfaction of patients,contributing to maintain the harmony between nurse and patient,and finally provide reference for the construction of humanistic care standards in the infectious department.Methods1.The establishment of humanistic care program based on Watson’s care theory.Based on reviewing the literature and qualitative interviews,the real inner experience and care needs of patients with infectious diseases during hospitalization were deeply discussed,and the first draft of humanistic care program was finished.Thereafter,the final humanistic care program for patients in the department of infectious diseases was finally formulated through expert meetings and preliminary tests.2.Humanistic care program application.Taking the patients and nurses who have similar working environment in infectious department of a 3a hospital in Xinxiang city as research projects,the nurses and patients in two wards were randomly divided into intervention group and control group.There were 51 patients and 8 nurses in the intervention group,while 46 patients and 12 nurses in the control group.Besides the routine humanistic nursing,the nurses in the intervention group simultaneously used the humanistic care scheme constructed in this study to intervene the whole hospitalization of patients,and the nurses in the control group only used routine humanistic nursing.The scores of patients before and after intervention were compared by patient care behavior list（CBC）,nursing object care perception questionnaire（CPCS）and patient care satisfaction questionnaire.The scores of nurses before and after intervention were compared by care behavior scale（CBI）and nurse patient relationship scale.SPSS21.0 software was used for statistical analysis,P<0.05 was defined as the difference with statistical significances.Results1.Topics of qualitative interview.（1）Respect and concern;（2）Eliminating the uncertainty of patients;（3）Building a bridge between nurses and patients;（4）Promoting the mutual teaching and learning theme between nurses and patients;（5）Providing physical and psychological support and help to patients;（6）Satisfying the patient’s personal needs.2.Comparison of general information of patients and nurses in infectious department.There was no statistical difference in the nurses between the intervention group and the control group in terms of age,marital status,years of service and so on（P>0.05）;simultaneously,no statistical difference in the patients between the intervention group and the control group in terms of gender,age,occupation and so on（P>0.05）.3.Comparison in nurses between the two groups before and after the intervention.CBI and Chinese nurse patient relationship scale based on the perspective of nurses were used to compare the total score and each dimension score of nurses before and after intervention.There was no significant difference in the scores of nurses between the intervention group and the control group before intervention（P>0.05）,but there were significant differences in the scores of nurses between the intervention group and the control group after intervention（P<0.05）.Simultaneously,there were significant differences in the scores of nurses in the intervention group before and after intervention（P<0.05）,but there were no significant differences in the scores of nurses in control group before and after intervention（P>0.05）.4.Comparison in patients between the two groups before and after the intervention.CBC,CPCS and patient care satisfaction questionnaire were used to compare the total scores of patients before and after intervention.There was no significant differences in the scores of patients between the intervention group and the control group before intervention（P>0.05）,but there were significant differences in the scores of patients between the intervention group and the control group after intervention（P<0.05）.Simultaneously,there were significant differences in the scores of patients in intervention group before and after intervention（P<0.05）,but there was no significant difference in the scores of patients in control group before and after intervention（P>0.05）.ConclusionsThe application of humanistic care program in infectious department constructed based on Watson’s care theory not only enhance the care ability of nurses,but also improve the patients’ care perception and satisfaction,and finally contribute to the harmony of nurse-patient relationship.