摘要
目的探索一种有效的患者情绪管理方法,从而提高主动脉内球囊反搏术(IABP)治疗的依从性。方法选择2013年1月—之014年7月行IABP治疗的患者,采用医护合作策略程序化管理方法:医护共同参与培训、共同决策情绪管理、制订程序化管理流程、查找隐患等,对IABP患者的情绪进行管理,比较应用该策略前后的效果。结果应用医护合作策略的程序化管理方案后,医生、护士合作状况平均得分明显高于实施前[实施前医生(19.80±3.68)分,护士(19.20±3.79)分;实施后医生(25.83±1.85)分,护士(25.78±2.15)分,差异有统计学意义(P〈0.05)],IABP治疗期间相关不良事件发生率低于实施前:导管移位发生率由4.48%降至1.06%,过度镇静发生率由5.76%降至3.04%,IABP导管非计划性拔管发生率由0.03%降至0,差异有统计学意义(P〈0.05)。结论医护合作策略在IABP辅助治疗患者的情绪管理中具有一定优势,值得临床推广。
Objective To explore an effective emotion management method for patients treated with intra-aortie balloon pump (IABP), in order to improve treatment compliance. Methods We recruited the patients who performed IABP from January 2013 to July 2014. All patients were conducted the physician-nurse cooperative behavior of emotion management (physieiml-nurse co-participation mode, codetermination of emotion management, establishment of procedure management flow, detection of hidden danger ere). We Compared and evaluated the results of pre and post intervention of emotion management s^ategies in IABP patients. Results After implementing physician-nurse cooperative methods, the scores E before the implementation, doctors ( 19. 80 ±3.68) points, nurse ( 19.20 ± 3.79 ) points, after the implementation of doctors (25.83 ± 1.85 ) points, nurse (25.78 ± 2. 15) points] of physician-nurse collaboration increased signifieantly(P 〈 O. 05) ;the incidence of adverse events related to IABP treatment was below before implementation: catheter migration rate dropped from 4. 48% to 1. 06% ; the occurrence of excessive sedation rate decreased 5.76% to 3.04% ; IABP catheter unplanned extubation rate declined from O. 03% to 0 ( P 〈 0.05 ). Conclusions The application of physician- nurse cooperative behavior of emotion management can effectively improve the therapy of IABP. That plays an important role in IABP treatment, deserves the clinical expansion.
出处
《中华现代护理杂志》
2016年第1期62-65,共4页
Chinese Journal of Modern Nursing
基金
基金项目:广西壮族自治区卫生厅科研课题(Z2012297)
关键词
医生护士合作行为
主动脉内球囊反搏术
情绪管理
Cooperation behavior of physician-nurse
Intra-aortic balloon pump
Emotionmanagement