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亲情化护理在ICU神志清楚患者护理中的应用效果及护理满意度分析(1)
http://www.100md.com 2020年6月5日 《中外医学研究》 202016
     【摘要】 目的:分析亲情化护理在重症医学科神志清楚患者护理中的应用价值。方法:选取2017年4月-2019年2月笔者所在医院重症医学科收治的60例神志清楚患者,随机分为研究组(30例)与对照组(30例)。对照组采取常规护理,研究组在对照组基础上加入亲情化护理。比较两组护理满意度、SDS及SAS评分、自我效能。结果:研究组护理满意度高于对照组,差异有统计学意义(P<0.05);研究组护理后SDS及SAS评分均低于对照组,差异均有统计学意义(P<0.05);研究组自我效能评分高于对照组,差异有统计学意义(P<0.05)。结论:亲情化护理在ICU神志清楚患者护理中的应用效果显著,有助于提高患者自我效能和護理满意度,还能降低SDS及SAS评分,值得推广应用。

    【关键词】 亲情化护理 重症医学科 神志清楚

    doi:10.14033/j.cnki.cfmr.2020.16.039 文献标识码 B 文章编号 1674-6805(2020)16-00-03

    Analysis on the Application Effect and Nursing Satisfaction of Family Nursing in ICU Conscious Patients/LUO Shiliang, XU Yanqiu, LIN Gui. //Chinese and Foreign Medical Research, 2020, 18(16): -100

    [Abstract] Objective: To analyze the value of family nursing in the nursing of conscious patients in critical care. Method: From April 2017 to February 2019, 60 delirious patients in department of intensive care of our hospital were selected, and were randomly divided into the study group (30 cases) and the control group (30 cases). The control group took routine nursing, the study group took family nursing on the basis of the control group. The nursing satisfaction, SDS and SAS scores and self-efficacy were compared between the two groups. Result: The nursing satisfaction in the study group was higher than that in the control group, the difference was statistically significant (P<0.05). The SDS and SAS scores in the study group were lower than those in the control group, the differences were statistically significant (P<0.05). The self-efficacy score in the study group was higher than that in the control group, the difference was statistically significant (P<0.05). Conclusion: The application of family nursing in the care of conscious patients in ICU has a significant effect, which is conducive to improving patients’ self-efficacy and nursing satisfaction, and can also reduce SDS and SAS scores, which is worthy of promotion and application.

    [Key words] Family nursing Department of intensive care Conscious

    First-author’s address: Fujian Provincial Hospital, Fuzhou 350001, China

    重症医学科收治的都是危重症患者,此类患者具有较高的残疾率和死亡率,除了有效的治疗外,还需要为患者提供有效的干预措施从而改善患者的身心状况,提高对临床治疗的配合度,从而确保治疗效果[1]。但是由于此类患者多需要隔离管理,缺乏家人支持,导致患者存在较大的心理压力。亲情化护理是一种新型护理模式,主要是为了改善患者的精神状况,构建和谐的护患关系,有助于提高患者对临床治疗的依从性[2]。为进一步观察亲情化护理的应用价值,文章选取2017年4月-2019年2月笔者所在医院重症医学科收治的60例神志清楚患者进行观察,研究如下。

    1 资料与方法

    1.1 一般资料

    选取2017年4月-2019年2月笔者所在医院重症医学科收治的60例神志清楚患者。纳入标准:20~80岁;神志清楚。排除标准:文盲;精神病史与认知障碍;转院及病情恶化;独居无家属。随机分为研究组(30例)与对照组(30例)。研究组男16例,女14例;年龄32~75岁,平均(46.8±6.5)岁;病程1~16年,平均(8.6±1.2)年。对照组男12例,女18例;年龄34~76岁,平均(47.2±5.8)岁;病程1~17年,平均(8.2±1.5)年。两组一般资料比较差异无统计学意义(P>0.05),具有可比性。家属对研究均知情同意。, http://www.100md.com(罗世樑 许艳秋 林桂)
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