摘要
目的针对高海拔对患者产生的心理影响,从循证护理出发,提供个性化的心理护理对疾病的转归和患者的影响,从而强化循证心理护理的作用,国内尚无报道。方法筛选2012年1月~12月入住我院内科的高山病患者(世居高山地区、从高山地区移居低山地区1年及以上、从低山地区移居高山地区一年及以上)100例,将100例随机平均分成(A、B)两组,A组实施优质护理+循证个性化心理护理院在优质护理服务时除遵医嘱按照疾病护理常规对患者进行全面、全程、连续、专业的护理外,针对患者的情绪反映和对情感的需求,突出进行个性化的心理护理。 B组实施优质护理。结果两组患者在治疗的基础上,通过护理,观察组平均住院日缩短至10d、情绪反映和情感结特征恢复正常、护患关系密切、无护理纠纷投诉发生、对护理工作满意度为98%,高于对照组的89%。讨论高海拔对人的心理有明显负面的影响。针对这类住院人群,在遵医嘱进行躯体疾病治疗的同时,循证进行个性化的心理护理,对促进患者的康复,培养积极的情绪形式和情绪状态有很大作用。通过心理护理,护患沟通良好,密切了护患关系,护理纠纷、投诉明显减少,患者满意度较高。优质护理服务工作中疾病护理基础上循证个性化心理护理值得在临床护理工作中推广。
Objective The present paper examined the impact of individualized evidence-based psychological care on patients who psychologically suffered from high altitude,and the effect of this practice on their disease recovery,so as to prove the role of evidence-based psychological nursing.The present study has filled the gap of research on individualized evidence-based psychological nursing,as there has been no relevant research report on this so far in China.Methods Participants were randomly assigned into experimental group(Group A)and control group(Group B).Group A received individualized evidence-based psychological care in addition to quality care.Group B had quality care only.Results Experimental group outperformed control group with reduced mean hospitalization and closer relationship between nurses and patients.During the research period,experimental group had higher patients’satisfaction,with no nursing complaints and disputes reported.Conclusion It is worthwhile to promote in clinical nursing the practice of individualized evidence-based psychological care on the basis of quality disease nursing.
作者
任国艳
REN Guo-yan(The Affiliated Hospital of Ya’an College of Vocational and Technical,Ya’an 625000,Sichuan,China)
关键词
循证护理
个性化
作用
Evidence-based psychological care
Individuality
Effect
