Summary: | 碩士 === 長庚大學 === 護理學系 === 98 === To protect patient rights, safety and enhance care and service satisfaction, patient safety-centered mode of care is the medical institutions to promote the key point. The purpose of study is to investigate the orthopedic surgery patients in the peri-operative nursing care satisfaction and effect factors. This study is a forward-looking and re-measured study design, which is systematic collection of the peri-operative orthopedic information in hospital (n=128). Research tools include: Chinese version of State Trait Anxiety Scale, Chinese version of Mishel’ Uncertainty in Illness Scale, Chinese version of Patient Satisfaction Scale, peri-operative patient safety and nursing care checklist of items. The results are: (1) Orthopedic surgery patient’s preoperative anxiety is 53.96, postoperative anxiety is 44.41, and both are moderate. (2) Orthopedic surgery patient’s preoperative uncertainty is 71.17, single item average is 2.85, postoperative uncertainty is 66.08, single item average is 2.64, and all of them are moderate. (3) Quality of nursing care: the integrity of patient safety is 97.55%, the integrity of nursing care is 93.43%. (4) Patient’s satisfaction with nursing care is 121.48, single item average is 4.04, which indicating patients for peri-operative nursing care satisfaction is high. (5) Univariate analysis include surgical type, surgical method, anesthesia, operation time, preoperative and postoperative anxiety, nursing care and patient safety which are statistical significance on patient’s satisfaction effect factors (p <0.05). Based on Multiple regression analysis, the "nursing care" can predict the variance in the highest up to 40.5%, so the main impact of nursing care is an important factor in patient satisfaction.
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