护患沟通管理流程应用于血液透析中心对血液透析患者的影响

Effect of Nurse-patient Communication Management Process in Hemodialysis Center on Hemodialysis Patients

目的:探讨护患沟通管理流程在血液透析中心的应用及对医患纠纷和患者情绪障碍、希望水平的影响.方法:选取2017年10月至2019年9月于本院进行血液透析治疗的260例患者作为研究对象.按照就诊时间,将其分为观察组(n=130,2018年10月至2019年9月就诊,采用护患沟通管理流程)和对照组(n=130,2017年10月至2018年9月就诊,采用常规护理).比较两组患者焦虑、抑郁程度、希望水平、医患纠纷发生率、医护投诉率、患者满意度.结果:观察组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、医患纠纷发生率和医护投诉率均低于对照组,差异具有统计学意义(P<0.05);观察组患者希望量表(HHI)总分与各项评分以及护理总体满意度均高于对照组,差异具有统计学意义(P<0.05).结论:护患沟通管理流程在血液透析中心应用可改善患者情绪障碍和希望水平,减少医患纠纷发生,提高患者满意度.

Objective:To explore the application of nurse-patient communication management process in hemodialysis center and its influence on doctor-patient disputes,emotional disorders and hope level of patients.Methods:A total of 260 patients with hemodialysis in our hospital from October 2017 to September 2019 were selected as the research objects and divided into observation group(n=130,treated from October 2018 to September 2019,using nurse patient communication management process)and control group(n=130,treated from October 2017 to September 2018,given routine treatment procedures)according to the treatment time.Anxiety,depression level,hope level,incidence of doctor-patient disputes,medical complaints rate and satisfaction of patients were compared between the two groups.Results:The Hamilton anxiety scale(HAMA)scores and the Hamilton depression scale(HAMD)scores in observation group were lower than those of control group,and the differences were statistically significant(P<0.05).The total Herth hope index(HHI)scores and various scores of the HHI scale in observation group were higher than those of control group,and the diferences were statistically significant(P<0.05).The incidence of doctor-patient disputes and medical complaint rate in observation group were lower than those of control group,and the differences were statistically significant(P<0.05).The overall satisfaction of nursing care in observation group was higher than that of control group,and the differences were statistically significant(P<0.05).Conclusion:The application of nurse-patient communication management process in the hemodialysis center can improve the emotional disorder and hope index of patients,reduce the occurrence of doctor-patient disputes,and improve satisfaction of patients.