神经内科重症监护患者的特点及护理体会

Characteristics and nursing of intensive care patients in neurological department

目的:总结神经内科重症监护患者的特点及护理经验,进一步提高护理质量。方法:2012年2月-2013年6月神经内科重症监护的患者80例,采用症状自评量表(SCL-90)进行调查,针对患者的存在的心理问题及时进行心理护理和专业护理。结果:本组患者SCL-90各因子与常模比较,神经内科重症监护患者的9个因子中焦虑、抑郁、人际关系焦虑、人际关系敏感、抑郁、强迫症、恐怖方面与国内常模比较,差异有统计学意义(P<0.05),精神病性、偏执、敌对、躯体化方面差异无统计学意义(P>0.05),针对患者存在的各种不良心理反应,加强对患者的心理护理。结论:多数神经内科重症监护患者存在较多的不良心理反应,加强心理护理和专业护理是提高护理质量的关键。

Objective:To summary characteristics and nursing experiences of intensive care patients in neurological department and further improve quality of nursing.Methods:Patients in neurological department from February 2012 to June 2013 are investigated with Symptom Checklist-90(SCL-90).Patients with mental problems are timely treated with psychological care and professional care.Results:Compared with normal model,factor scores of anxiety,interpersonal anxiety,interpersonal sensitivity,depression,obsessive compulsive disorder,terror are significantly higher(P<0.05),however there is no significant in factor scores of psychosis,paranoia,hostility,somatization aspects(P>0.05).We should strengthen the psychological care of patients with a variety of adverse psychological reactions.Conclusion:Most nerve Department of internal medicine patients in intensive care unit had many adverse psychological reaction.To strengthen the psychological nursing and professional nursing is the key to improve the quality of nursing.