持续性人文关怀理念对ICU患者治疗依从性及家属满意度的影响

Effects of continuous humanistic care concept on treatment compliance of ICU patients and satisfaction of their family members

目的:探讨持续性人文关怀理念对重症监护病房(ICU)患者治疗依从性及家属满意度的影响。方法:选取2016年03月-2019年03月我院ICU收治的100例患者为对象,按照入院单双顺序分为对照组(n=50)和观察组(n=50),对照组实施ICU常规干预,观察组实施持续性人文关怀理念干预,比较两组治疗依从性、心理状态[汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、生活质量(SF-36)评分及患者家属满意度。结果:干预后观察组治疗依从率为94.00%显著高于对照组的76.00%(χ^2=6.353,P<0.05);干预后观察组HAMA、HAMD评分均显著低于对照组(t=6.980,12.260;P<0.05);干预后观察组生理职能、机体功能、社会功能、情感职能、精神健康及总体健康评分均显著高于对照组(t=-4.401,-3.619,-5.667,-4.018,-3.690,-6.400;P<0.05);干预后观察组患者家属满意度为96.00%,显著高于对照组的80.00%(χ^2=6.061,P<0.05)。结论:持续性人文关怀理念能够改善ICU患者心理状态,提高治疗依从性、生活质量及患者家属满意度。

Objective:To investigate the effects of continuous humanistic care concept on treatment compliance of patients in intensive care unit(ICU)and satisfaction of their family members.Methods:A total of 100 patients who were admitted to ICU of the hospital from March 2016 to March 2019 were enrolled.They were divided into control group(n=50)and observation group(n=50)according to even-odd order of admission.The control group was given routine ICU intervention,while observation group was given continuous humanistic care concept intervention.The treatment compliance,psychological status[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],score of short form 36 health survey(SF-36),satisfaction of their family members were compared between the two groups.Results:After intervention,treatment compliance rate of observation group was significantly higher than that of control group(χ^2=6.353,P<0.05).After intervention,scores of HAMA(t=6.210,P<0.05)and HAMD(t=8.077,P<0.05)in observation group were significantly lower than those in control group.After intervention,scores of physiological role(t=4.035,P<0.05),body function(t=5.517,P<0.05),social function(t=3.579,P<0.05),emotion role(t=3.839,P<0.05),mental health(t=3.792,P<0.05)and overall health(t=6.542,P<0.05)in observation group were significantly higher than those in control group.After intervention,satisfaction of family members in observation group was significantly higher than that in control group(χ^2=6.061,P<0.05).Conclusion:The concept of continuous humanistic care can improve psychological status of patients in ICU,improve treatment compliance,quality of life and satisfaction of their family members.