39例危重神经介入患者家属心理状况、心理需要及护理干预

The Psychological Condition,Psychological Needs and Nursing Intervention of Family Members of 39 Patients with Critically Neurological Interventional Therapy

危重神经介入患者家属存在如下心理状况:震惊、否认、无助、沮丧、自责、抱怨;对医疗效果过高的期望;焦虑、恐惧、忧郁、绝望;对医务人员的不信任和敌对心理;对患者的厌烦、抵触。有以下心理需要:患者生命安全的需要;有及时获知准确疾病信息的需要;有守护于患者身边的需要;有获得社会支持的需要;有推诿责任的需要。我们采取如下护理干预:较强的责任心、应急能力,熟练的专业技能,坦率、诚恳的沟通方式;心理疏导;信息支持;允许亲属陪伴在患者身边;帮助其获得所需要的社会支持;临终患者家属的抚慰教育。

The psychological states of the family members of patients undergoing nerve intervention are as follows：shock,denial,helplessness,frustration,guilt,complaint;unreasonable expectations to medical effects;anxiety,fear,depression,despair;mistrust and hostility to the medical staff;boredom and resistance to the patients.The family members have the following psychological needs：patients＇ life safety needs;the needs of timely acquiring the accurate disease information;the needs of guard around the patients;the needs of acquiring social support;the needs for prevarication.We take the following nursing interventions：strong responsibility and emergency ability,proficient professional skills,fank and sincere communication;psychological counseling;information support;allowing relatives to accompany the patients;helping them gain the necessary social support;education comfort of the families of dying patients.