摘要
目的了解植入永久起搏器术后24 h内的患者家属的需求,为该特殊人群的护理提供科学依据,为改进医院护理管理和提高护理质量提供参考依据。方法选取149名植入永久起搏器术后24 h内的患者家属为调查对象,采用家属一般情况调查表和危重患者家属需求量表进行调查,包括病情保证、获取信息、接近患者、获得支持和自身舒适5个维度的需求。结果植入永久起搏器的患者家属最重要的需求是病情保证的需求(3.44±0.33)分,其次为接近患者的需求(3.08±0.34)分,获取信息的需求(3.00±0.37)分,自身舒适的需求(2.38±0.50)分和获得支持的需求(2.34±0.43)分。多元回归分析(stepwise法)结果显示家庭月收入是患者家属的总体需求、接近患者需求及获得支持需求的影响因素(P<0.01);此外,患者有无起搏器植入的经历为家属自身舒适需求的影响因素(P<0.05)。结论心律失常中心护士应理解和重视植入永久起搏器术后24 h患者家属的不同需求,针对每位家属实行个体化护理,使其更好配合患者的治疗护理,促进患者康复。
Objective To explore the needs of family-members of patients with implantation of permanent pacemaker within 24 h. Methods With Critical Cases Family-members Needs Inventory （CCFNI） and a general information questionnaire, 149 familymembers of patients with implantation of permanent pacemaker were investigated. Results The most important needs was the assurance of patient＇s condition （3.44±0.33）, and then the needs of getting close to patients （3.08±0.34）, treatment information （3.00±0.37）, self comfort （2.38±0.50） and support acquisition （2.34±0.43）. Multiple regression analyses indicated that family income was the influencing factor of total needs, getting close to patients and support acquisition （P〈0.01）. And whether patients experienced implantation of pacemaker or not was the influencing factor of self comfort （P〈0.05）. Conclusion Nurses should make efforts to satisfy different family-members＇ needs and improve quality of nursing.
出处
《护理学报》
2013年第9期44-47,共4页
Journal of Nursing（China）
关键词
永久起搏器植入术
患者家属
需求
影响因素
implantation of permanent pacemaker
family-member
need
influencing factor
