急诊危重患者家属病情保证需求和护士对其认知的研究

Analysis on difference between the demands of critical patients＇ families about assurance scale and the cognition of the nurses in emergency

目的了解急诊危重患者家属对病情保证（AS）的需求，以及护士对家属需求的认知。方法采用危重患者家属需求量表（CCFNI）对100例急诊抢救问／急诊监护室（EICU）的患者家属和100名急诊科护士进行调查。结果在7个条目中，家属组对AS的需求与护士组对其认知有4个条目差异无统计学意义（P〉0．05），如实回答家属问题、家属能知道病情变化的具体情况、让家属能感到病情有望好转等3个条目差异有统计学意义（P〈0．05）。结论急诊科护理人员对危重患者家属的需求大部分都能满足，但仍有需要进一步改善、提高的问题。

Objective To find out the demands of critical patients＇ families about assurance scale and the cognition of the nurses to families＇ need in Emergency. Methods By Critical Care Family Needs Inventory （CCFNI）, 100 family members of patients in Emergency Resuscitation Room / Emergency Intensive Care Unit （EICU） and 100 emergency nurses were surveyed. Results Among the 7 indexes, the differences of 4 indexes had no obviously statistical meaning in the family members＇ needs for AS and the nurses＇ congnition for AS （P 〉 0. 05）. The 3 indexes, e. g. , truly answering the family members＇ questions, knowing the situation of disease change and feeling the hopeful improvement of disease, had significantly statistical meanings （P 〈 0. 05）. Conclusions Emergency nurses can meet the majority need of the families of critical patients, but there still exist some questions that need to be improved and advanced.