Investigation of nursing care satisfaction and its influencing factors among bedridden patients from 25 hospitals

Abstract

Objective To investigate the status and analyze its influencing factors of nursing care satisfaction among bedridden patients and provide basis for improving nursing service strategy. Methods By means of cross-sectional survey, a total of 25 hospitals (6 ClassⅢ hospitals, 11 ClassⅡ hospitals and 8 ClassⅠ hospitals) in 6 provinces and cities of eastern, central and western China were selected according to the regional distribution. A total of 23 985 patients hospitalized in the Intensive Care Unit, Neurosurgery Department, Department of Orthopedics and other departments in the hospital from November 2015 to March 2016 were continuously investigated. A self-designed questionnaire was used to investigate the satisfaction degree of bedridden patients. A total of 21 171 patients completed the investigation. SAS 9.4 was used for statistical analysis. The single factor analysis used t test and variance analysis, and the multiple regression model was established by entry method to identify the factors affecting nursing care satisfaction among bedridden patients. Results The overall score of nursing satisfaction was (38.04±3.40) , and 98.14% bedridden patients were satisfied with nursing care. The results of single factor analysis showed that the difference of age, gender, education degree, payment way, hospital ranking, with or without complications, bed resting duration and hospitalization duration were statistically significant (P<0.001) . The results of multi factor analysis showed that the factors affecting the satisfaction of the patients were age, gender, education degree, hospitalization duration, bed resting duration and hospital ranking (P<0.001) . Conclusions The nursing care satisfaction of bedridden patients is relatively good in the whole of China. Basic nursing care and health education should be further strengthened in order to meet patient's nursing needs and improve the ability of self health management. Key words: Nursing services; Data collection; Bedridden patients; Satisfaction