基于“避风港”模式的ICU患者人文关怀方案的构建

Development of a humanistic care program for patients in ICU based on HAVENS model

目的 :构建基于“避风港”模式的ICU患者人文关怀方案,为开展人文关怀提供借鉴。方法 :基于前期研究构建的HAVENS人文关怀框架,采用文献回顾初步形成ICU患者人文关怀方案;通过德尔菲法对21名专家进行2轮函询,最终确立ICU患者人文关怀方案。结果 :2轮专家函询的权威系数分别为0.791和0.813,均>0.75,重要性和可行性的专家协调系数分别为0.279、0.311和0.331、0.354(P<0.05)。最终构建了涵盖家庭、活动、访视、环境、护理和安全共6个一级条目、16个二级条目、48个三级条目的 ICU患者人文关怀方案。结论:本研究构建的ICU患者人文关怀方案有较强的科学性和可靠性,结合临床情境可进行实践推广,以提高患者和家属的就医体验。

Objective: To develop a humanistic care program for ICU patients based on HAVENS model. Methods:Based on the HAVENS humanistic care framework constructed in the previous study, we developed the initial humanistic care program for ICU patients by literature review. A total of twenty-one experts were invited to participate in a two-round consultation to finalize the program. Results: The humanistic care program consisted of 6 first-level items(family, activities,visits, environment, nursing and safety), 16 second-level items and 48 third-level items. The expert authority scores of two rounds were 0.791 and 0.813, respectively. The expert coordination coefficients in importance of two rounds were 0.279 and 0.311(P<0.05). The expert coordination coefficient in operability of two rounds were 0.331 and 0.354(P<0.05). Conclusion:The humanistic care program is developed with high reliability for ICU patients. It can be used to improve the medical experience of patients and their families.