摘要
目的:探讨重症患者采用手绘思维导图结合人形图护理查房对培养护士评判性思维、患者满意度及睡眠质量的影响。方法:将心外科ICU的48名护士,按护理层级随机分配,于2017年8—11月设立对照组进行传统护理查房;2017年12月至2018年3月设立观察组,进行手绘思维导图结合人形图护理查房,2组均每个月底查房,各持续4个月。采用评判性思维测评量表(CTDI-CV),测量干预前后2组护士的评判性思维能力;采用本院ICU患者满意度调查表,比较干预前后ICU患者的满意度;采用匹兹堡睡眠质量指数(PSQI),评估干预前后ICU患者的睡眠质量。结果:观察组除了认知成熟度之外,其他条目分数及总分均高于对照组,2组比较差异有统计学意义(均P<0.05),比较实施前后ICU患者满意度,观察组总分及各条目分数均高于对照组,比较实施后ICU患者的睡眠质量,观察组PSQI总分低于对照组,2组比较差异有统计学意义(P<0.05)。结论:应用手绘思维导图结合人形图护理查房,可提高ICU护士的评判性临床思维能力,还可提高ICU患者的住院满意度及睡眠质量,是培养与提高ICU护士综合护理能力及自我价值体现的有效方法。
Objective:To investigate the effect of hand-drawn mind map combined with humanoid diagram on the critical thinking of nurses,the satisfaction and sleep quality of severe patients.Methods:48 nurses from the external cardiac ICU were randomly assigned according to the nursing hierarchy,control group was set up from August to November 2017 underwent traditional nursing rounds;experimental group was established from December 2017 to March 2018,underwent hand-drawn mind map combined with humanoid diagram nursing rounds,the two groups went the rounds of wards at the end of month,each lasting 4 months.The critical thinking ability of nurses in the two groups was measured before and after intervention,using the critical thinking assessment scale(CTDI-CV);the satisfaction of ICU patients was compared before and after intervention,using ICU patient satisfaction questionnaire in our hospital;the Pittsburgh sleep quality index(PSQI)was used to evaluate the sleep quality of ICU patients before and after intervention.Results:In addition to cognitive maturity,the scores and total scores of other items in experimental group were higher than those in control group,and the difference between the two groups was statistically significant(all P<0.05),the satisfaction of ICU patients before and after implementation were compared,the total scores and the scores of each item in experimental group were higher than those in control group,the sleep quality of ICU patients after implementation was compared,the total PSQI scores in experimental group was lower than those in control group,and the difference between the two groups was statistically significant(all P<0.05).Conclusion:The application of hand-drawn mind map combined with human-shaped chart nursing rounds,can improve the critical clinical thinking ability of ICU nurses,can also enhance the inpatient satisfaction and sleep quality of ICU patients,it is an effective way to cultivate and raise the comprehensive nursing ability and self-value of ICU nurses.
作者
叶美曲
周锦华
陈卫红
Ye Meiqv;Zhou Jinhua;Chen Weihong(Cardiac surgery department,Xiamen cardiovascular disease hospital affiliated to Xiamen University,Xiamen,361004)
出处
《世界睡眠医学杂志》
2018年第9期1101-1104,共4页
World Journal of Sleep Medicine
关键词
护理查房
思维导图
人形图
评判性思维能力
ICU患者满意度
睡眠质量
Nursing rounds
Mind mapping
Humanoid figure diagram
Critical thinking ability
ICU patient satisfaction
Sleep quality