摘要
目的探索更为科学有效的护理方法,体现以人为本、以病人为中心的服务理念。方法将200例病情、病程、家庭条件相当的初次住院病人随机分为对照组(98例)和观察组(102例)。对照组由护士根据病人情况制定、实施护理计划;观察组在护理过程中病人和/或家属参与护理计划工作。采用问卷调查法对病人从心理压力、角色适应,文化休克、对不良生活方式的认知和改变状况4个方面进行调查对比。结果 观察组病人心理压力、文化休克缓解率、角色适应良好率及对不良生活方式持积极态度者高于对照组(P<0.05,P<0.01);在不良生活方式的改变方面两组病人参与前后比较,差异均无显著性意义(均P>0.05)。结论 病人和/或家属参与护理计划工作改变了病人被动接受护理服务的局面,有利于促进病人的康复,同时也满足了病人的知情同意权和选择决策权。
Objective To search for the better effectual and scientific nursing methods and express the service concept of all for patients , uninterrupted leading nursing care plan (NCP) to depth. Methods Two hundred cases of first-time-inpatient with similar patient's condition, progress and family term were randomly divided into control group (n=98) and observation group(n=102). In the former, the NCF was drawn and implemented by nurses, while in the latter, nurses and patients and/or family members drew the NCP together. By using questionnaire survey method, mind pressure, role adaptation, and culture shock and the recognition and alternation for negative living style were investigated comparatively. Results Between observation group and control group, there was significant difference in the role adaptation, the remission degree of mind pressure, the remission degree of culture shock and the recognition of negative living style (P<0. 05,P<0. 01). There was no significant difference in changing the negative living style between the two groups (all P>0. 05). Conclusion Patients' and/or family members' participation in NCP can change the situation of the patients' passively receiving nursing service and benefits to patients' recovery.
关键词
病人参与
家庭关系
护理计划
patient participation
family relation
nursing care plan
