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  【摘要】目的:探讨护理人文关怀在监护室护患沟通中的作用,对病人实施人性化护理服务的效果。方法:选取心胸外科择期手术病人420例,随机分成观察组和常规组各210例,观察组采用人文关怀护理,常规组采用传统方法,比较两组患者术前心理状态、遵医行为结果,对ICU护理服务的满意度。结果:观察组与常规组有显著差异,且满意度为98%,明显高于常规组。 结论: 重症监护术前访视及术后随访能有效缓解病人紧张焦虑情绪,以及患者的遵医行为,密切了护患关系,提高了整体护理质量,减少了并发症,利于病人术后康复,缩短了住院时间。【关键词】监护室;术前访视;术后随访;护理

 【中图分类号】R197.323 【文献标识码】B 【文章编号】1008-6455(2010)07-0249-02

 The importance of communication humanistic care of Nursing inthoracic surgery Intensive Care UnitWen Hongying Yang Yan Wang Yali et al.

 7【Abstract】Objective:To explore the nursing care the humanistic solicitude in the role of communication, the patient actualizing nursing service. Methods: 420 patients with thoracic surgeons electie colorectal surgery were randomly divided into observationgroup and conventional group, the group using 210 humanistic care, adopting the traditional method, the conventional group comparison of two groups of patients, and according to the psychological state of preoperative medical behavior in the ICU, nursing service satisfaction. Results: the observation group and conventional group there were significant differences, and satisfaction, obviously higher than conventional for 98%. Conclusion: the critical care preoperative and postoperative follow-up visit can effectively relieve patients nervous anxiety, and the patient’s medical act as a shield, closing relationship between the holistic nursing ,quality improving, reducing complications, benefiting to the patient postoperative rehabilitation, shortening the length of hospitalization.

 【Key words】Intensive Care Unit;Before surgery;After surgery;nursing

 随着人类文明的进步,人文关怀式的服务已成为现代医学文明和现代医院的一个重要标志[1]。如何将人文关怀融汇到护患沟通中,构成人文关怀式护理服务环境,从而使病人对护理服务的满意度得到整体的提升, 这将对ICU护理工作和护理技术提出更高和更多的要求。针对心胸外科大型择期手术病人,我科自2009.6-12月开展术前访视及术后随访工作,了解患者心理需求,消除紧张焦虑情绪,介绍有关手术情况,及术后如何配合治疗等,既提高了护理质量,又减轻家属的负担,受到病人及家属的好评,现报告如下:

 1 临床资料

 选取心胸外科择期手术病人420例。入组条件为:年龄7-75岁,思维正常,能与护士进行正常交流。其中男262例,女158例。临床诊断:先天性心脏病25例、风湿性心脏瓣膜病58例、冠状动脉旁路移植手术3例、食管癌224例、肺癌59例、纵隔肿瘤7例、脓胸8例、气胸36例。随机分成两组,观察组和常规组各210例。

 2 方法

 2.1 观察组

 2.1.1 手术前

 2.1.1.1 每天参加科室医疗的术前讨论,初步了解患者各项检查指标、手术方式等,并作好记录。手术前1天由白班护士到病房进行交流。首先向患者做自我介绍,并说明此行目的,做到仪表端庄,态度和蔼,语言亲切,使患者对监护室消除恐惧感,并对监护室护士有初步的了解。

 2.1.1.2 根据不同的手术,重点讲解手术后各种管道的重要性及作用,如:患者手术后多数会使用呼吸机作过渡支持,因此指导患者顺应呼吸机,不要“人机对抗” ......