親情化護理在ICU神志清楚患者護理中的應用效果及護理滿意度分析

羅世樑　許艷秋　林桂

【摘要】 目的：分析親情化護理在重癥醫(yī)學科神志清楚患者護理中的應用價值。方法：選取2017年4月-2019年2月筆者所在醫(yī)院重癥醫(yī)學科收治的60例神志清楚患者，隨機分為研究組（30例）與對照組（30例）。對照組采取常規(guī)護理，研究組在對照組基礎上加入親情化護理。比較兩組護理滿意度、SDS及SAS評分、自我效能。結果：研究組護理滿意度高于對照組，差異有統(tǒng)計學意義（P<0.05）;研究組護理后SDS及SAS評分均低于對照組，差異均有統(tǒng)計學意義（P<0.05）;研究組自我效能評分高于對照組，差異有統(tǒng)計學意義（P<0.05）。結論：親情化護理在ICU神志清楚患者護理中的應用效果顯著，有助于提高患者自我效能和護理滿意度，還能降低SDS及SAS評分，值得推廣應用。

【關鍵詞】 親情化護理 重癥醫(yī)學科 神志清楚

doi：10.14033/j.cnki.cfmr.2020.16.039 文獻標識碼 B 文章編號 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-authors address： Fujian Provincial Hospital， Fuzhou 350001， China

重癥醫(yī)學科收治的都是危重癥患者，此類患者具有較高的殘疾率和死亡率，除了有效的治療外，還需要為患者提供有效的干預措施從而改善患者的身心狀況，提高對臨床治療的配合度，從而確保治療效果[1]。但是由于此類患者多需要隔離管理，缺乏家人支持，導致患者存在較大的心理壓力。親情化護理是一種新型護理模式，主要是為了改善患者的精神狀況，構建和諧的護患關系，有助于提高患者對臨床治療的依從性[2]。為進一步觀察親情化護理的應用價值，文章選取2017年4月-2019年2月筆者所在醫(yī)院重癥醫(yī)學科收治的60例神志清楚患者進行觀察，研究如下。

1 資料與方法

1.1 一般資料

選取2017年4月-2019年2月筆者所在醫(yī)院重癥醫(yī)學科收治的60例神志清楚患者。納入標準：20～80歲;神志清楚。排除標準：文盲;精神病史與認知障礙;轉院及病情惡化;獨居無家屬。隨機分為研究組（30例）與對照組（30例）。研究組男16例，女14例;年齡32～75歲，平均（46.8±6.5）歲;病程1～16年，平均（8.6±1.2）年?！?br>