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持续人文关怀理念应用于ICU患者护理中的临床分析(1)
http://www.100md.com 2019年12月5日 《中外医疗》 2019年第34期
     [摘要] 目的 探讨持续人文关怀理念应用于ICU患者护理中的临床效果。方法 方便收集该院ICU 2017年1—5月未实施持续人文关怀期间接诊的50例患者为对照组,方便收集该院ICU 2017年6月—2018年3月实施持续人文关怀期间接诊的50例患者为观察组,观察两组患者护理满意度、SAS评分、SDS评分。 结果 观察组护理满意度(96.00%)明显比对照组护理满意度(78.00%)更高,差异有统计学意义(χ2=7.162,P=0.007<0.05);观察组SAS及SDS评分明显比对照组低,差异有统计学意义(P<0.05)。结论 在ICU患者中应用持续人文关怀理念,可有效提高患者护理满意度,改善患者焦虑、抑郁等不良情绪,值得临床推广及应用。

    [关键词] ICU;持续人文关怀理念;满意度;负面情绪;护理效果

    [中图分类号] R544 [文献标识码] A [文章编号] 1674-0742(2019)12(a)-0137-03

    [Abstract] Objective To explore the clinical effect of continuous humanistic care concept in ICU patient care. Methods A total of convenient election 50 patients who were not treated with continuous humanistic care in the hospital from January to May 2017 were collected as the control group, and 50 patients who were treated with continuous humanistic care in the hospital from June 2017 to March 2018 were collected as the observation group. Nursing satisfaction, SAS score, SDS score and ICU syndrome in the two groups were observed. Results Nursing satisfaction in the observation group (96.00%) was significantly higher than that in the control group (78.00%), and the difference was statistically significant (χ2=7.162, P=0.007 <0.05). The incidence of ICU syndrome in the observation group and the control group was 10% and 28%, respectively. The SAS and SDS scores in the observation group were significantly lower than those in the control group, and the difference was statistically significant (P<0.05). Conclusion The application of the concept of continuous humanistic care in ICU patients can effectively improve patients' nursing satisfaction, improve patients' anxiety, depression and other adverse emotions, which is worthy of clinical promotion and application.

    [Key words] ICU; Continuous humanistic care concept; Satisfaction; Negative emotions; Nursing effect

    重癥监护室(ICU)是医院重要组成部分,收治患者大多病情较为危重,许多患者因担心病情容易出现焦虑、烦躁等不良情绪,治疗依从性相对较差,且患者长期处于负性情绪,对饮食及睡眠也具有一定影响,因此,在ICU护理人员应加强护理力度,为患者提供更优质的护理服务,以改善患者负面情绪,提高预后效果[1]。该研究方便收集该院2017年1—5月未实施持续人文关怀期间接诊的50例患者和2017年6月—2018年3月实施持续人文关怀期间接诊的50例患者为研究对象,对其采取常规护理及人文关怀护理,现报道如下。

    1 资料与方法

    1.1 一般资料

    方便收集该院ICU 2017年1—5月未实施持续人文关怀期间接诊的50例患者为对照组,男性、女性分别为27例、23例,年龄22~73岁,平均年龄(47.5±5.8)岁,入院时间1~3 d,平均入院时间(2.1±0.6)d;方便收集该院ICU2017年6月—2018年3月实施持续人文关怀期间接诊的50例患者为观察组,男性、女性分别为29例、21例,年龄24~71岁,平均年龄(47.5±5.5)岁,入院时间1~5 d,平均入院时间(3.2±0.8)d;所有患者基线资料均差异无统计学意义(P>0.05),有可比性。所有患者及其家属均对该研究知情同意,并签署知情同意书,该研究已获该院伦理委员会批准。, http://www.100md.com(陈碧霞)
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