晨間人文關懷護理在血液病住院患者中的應用效果

夏艷玲 楊梅香 李麗

[摘要]目的 探討晨間人文關懷護理在血液病住院患者中的應用效果。方法 選取2017年6～12月宜春市人民醫院血液內科的82例血液病住院患者作為研究對象，按照隨機數字表法將其分為對照組與研究組，每組各41例。對照組患者行臨床常規護理模式，研究組患者在對照組基礎上給予晨間人文關懷護理。比較兩組患者的護理滿意評分、臨床護理效果與護理舒適度。結果 研究組患者主動服務、病情觀察、生活護理、服務態度及病區環境方面的護理滿意評分均高于對照組，差異有統計學意義（P<0.05）。研究組患者的疾病治療信心、管床護士知曉及自我觀察意識評分均高于對照組，心理焦慮狀態評分低于對照組，差異有統計學意義（P<0.05）。研究組患者的護理舒適度高于對照組，差異有統計學意義（P<0.05）。結論 臨床上，血液病住院患者應用晨間人文關懷護理的效果更加明顯，可改善患者心理狀態，提高護理滿意度，值得推廣應用。

[關鍵詞]血液病；人文關懷；晨間；護理效果

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1674-4721（2018）11（b）-0191-03

[Abstract] Objective To explore the application effect of morning humanistic care in hospitalized patients with blood diseases. Methods A total of 82 hospitalized patients with blood diseases treated in the hematology department of people′s hospital in Yichun City from June to December 2017 were selected as objects. They were divided into the control group and the study group， with 41 cases in each group. The control group was given clinical routine nursing， and the study group was given morning humanistic care on the basis of the control group. The nursing satisfaction score， clinical nursing effect and nursing comfort degree of patients were compared between the two groups. Results The nursing satisfaction scores in the aspects of active service， condition observation， life care， service attitude and ward environment in the study group were higher than those in the control group， and the differences were statistically significant （P<0.05）. The scores in the aspects of disease treatment confidence， tube bed nursing awareness and self-observation consciousness in the study group were higher than those in the control group， the score of psychological anxiety was lower than that in the control group， and the differences were statistically significant （P<0.05）. The degree of nursing comfort in the study group was higher than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion Clinically， the effect of morning humanistic care is more obvious in hospitalized patients with blood diseases， which can improve the psychological state of patients and improve the satisfaction of nursing. It is worthy of promotion and application.

[Key words] Blood diseases； Humanistic care； Morning； Nursing effect

血液病是由造血系統、血液異常改變所引起的一種原發性疾病，患者的臨床癥狀通常表現為發熱、貧血以及出血等，經治療后的預后效果差，且容易反復發作，治療病程長，對患者的生理、心理造成較大的影響[1]。隨著我國社會經濟的不斷進步、工業的快速發展，環境污染、生物與化學因素等的副產物逐漸加重，這些因素均是導致血液疾病發生的主要原因。臨床上除對患者實施對癥治療外，還應重視科學合理臨床護理措施的實施，充分發揮護理的輔助治療作用。人文關懷護理提倡對患者實施個性化護理服務，除生理護理外，對患者的心理護理同樣十分重視，以此來不斷改善患者的生存狀態[2]。總體而言，人文關懷是對患者生存狀態的一種關懷護理措施，是一種個性化護理服務。……