CCU患者、家属及医护人员对限制陪护认知和需求的调查分析

Cognitive and demand analysis of CCU patients,family members and medical workers to limitation of accompanying

目的调查CCU患者、家属及医护人员对限制陪护制度认知的差异和需求情况。方法选取CCU病房收治的患者200例、患者家属200例、及CCU病房的医护人员85例。在患者入院48 h后采用自制设计调查表进行调查。结果 1在"限制陪护对病情是否有利"、"患者及家属能否配合限制陪护制度"方面患者、家属及医护人员3类人群认知差异有统计学意义(P<0.01)。2在"令患者产生不良情绪的主要原因"方面,患者和医护人员的调查结果差异有统计学意义(P<0.01),60.1%患者认为"亲人不在身边的孤独感和恐惧感等不良情绪"是产生不良情绪的主要原因,62.4%而医护人员认为是"紧张而忙碌的病房气氛"。387.2%的家属有担忧心理,而担忧的原因主要为"因为不能看见患者而缺乏安全感"和"担心护理人员因工作忙而忽略生活护理"。结论应重视CCU住院患者、家属对限制陪护的需求,开展以家庭为中心的关护模式,探索新型探视模式,提高患者的应对能力,以便更好地配合治疗。

Objective To investigate the cognition and demand of CCU patients, family members and medical workers to limitation of accompanying. Methods This study included 200 pa- tients, 200 family members and 85 medical staff. Self-designed questionnaires were distributed 48 hrs after admission. Results （!）There was a significant difference in cognition to ＂benefits of limitation of accompanying to recovery＂ and ＂ the adaptability of patients and family members to limitation of ac- companying＂ among CCU patients, family members and medical workers （ P 〈 0.01 ）. （~） In terms of main factor to negative motivation of patients, 119 patients considered ＂loneliness or fear caused by no family members nearby＂ and 53 medical workers chose ＂tense and busy situation in ward＂. ~） A total of 170 family members （87.2%） were worried about patients, and main reasons were ＂sense of inse- curity caused by limitation of accompanying＂ and ＂less nursing care offered by nursing staff which may caused by heavy workload＂. Conclusion The cognitive and demand of CCU patients, family mem- bers and medical workers should be taken seriously. Family-centered nursing model should be carried out to improve the coping capacity of patients and treatment compliance.