沟通程序表应用于四肢合并头面烧伤患者的效果观察

Effect of applying communication table on the limbs and head burned patients

目的 :评价沟通程序表应用于四肢合并头面烧伤患者的效果。方法 :设计四肢合并头面烧伤患者沟通程序表,确立生命体征、生理需求、舒适度、自身家庭琐事、个人意愿等沟通项目,护理人员根据患者的危急程度、生命体征的变化及年龄、文化程度、经济状况等方面确定评估的优先等级项目,从而确认患者需求,并落实护理干预措施。观察组使用沟通程序表进行沟通和病情评估,对照组采取常规的沟通方法。结果 :实验组较对照组患者满意度提高(93.0%?vs?62.9%),沟通时间缩短[(4.23±1.94)分钟?vs?(11.52±2.43)分钟?],差异均有统计学意义(P<0.01)。结论 :沟通程序表作为烧伤科专科护理管理工具,可提高沟通效率,达到准确获取信息、及时解决患者需求的目的,从而提升病情观察能力和护理问题的解决能力,进一步提高优质护理服务质量,保障医疗安全。

Objective： To examine the effect of a communication table for the limbs and head burned patients. Methods： We designed a communication table for burn patients with limbs and head injuries. The table contained the vital signs, physical needs, comfort degree, household chores and personal willingness. The table could be used by nurses to understand the patients＇ needs, to make decisions on the patients＇ priority of care and to apply nursing interventions by assessing their health condition, vital signs changes as well as the information such as patient＇s age, education level, and economic status, etc. The treatment group was given the communication table, while the control group was received the conventional communication method. Results： Compared with the control group, the satisfaction of the treatment group increased（93.0% vs 62.9%）, and the average communication time decreased [（4.23±1.94） min vs（11.52±2.43） min ]（P〈0.01）. Conclusion： The communication table could be a specific management tool to take care of burn patients. The table appears to be useful in enhancing communication efficiency, obtaining accurate information and meeting needs of patients. Thereby, the table helps nurses in observing health condition and nursing problems and this could lead to better quality of nursing care and medical safety.