摘要
目的:探讨医护闭合式循环沟通在急性心肌梗死(AMI)患者救护中的应用效果。方法:选取2017年7月1日~2018年7月31日工作的心内科医护人员42名为研究对象,对其进行医护闭合式循环沟通培训,随机选取培训前后进行抢救治疗的AMI患者各67例,将培训前抢救的AMI患者纳入对照组,将培训后抢救的AMI患者纳入观察组;比较医护人员对护理方式的评价及两组护理效果、情绪状态[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、对护理工作的满意度、护理不良事件发生情况。结果:培训后,医护工作人员在团队配合相关性、团队沟通相关性、医嘱相关性、团队指挥者维度中的能力均显著高于培训前(P<0.05);观察组住院时间显著短于对照组(P<0.01),住院费用、病死率、护患纠纷发生率、护理投诉率均显著低于对照组(P<0.01,P<0.05),抢救成功率、健康知识掌握率均明显高于对照组(P<0.01,P<0.05);观察组HAMA、HAMD评分均显著低于对照组(P<0.01);观察组对满足需求时的及时性、服务态度、护患沟通、健康教育、业务水平等护理服务的满意度均显著高于对照组(P<0.01);观察组压力性损伤、输液脱出、输液渗漏、管道脱出等护理不良事件发生率显著低于对照组(P<0.01)。结论:医护闭合式循环沟通在AMI患者救护中的应用效果较佳,可显著提高临床抢救成功率,增强医护人员护理能力,缓解患者负性情绪,提高患者满意度,且护理不良事件发生率也显著降低,值得临床推广应用。
Objective:To explore the application effects of medical closed cycling communication in the rescue of patients with acute myocardial infarction(AMI).Methods:A total of 42 medical staff working in department of cardiology of our hospital from July 2017 to July 2018 were selected for the study.The medical staff were given medical closed cycling communication training,and each 67 AMI patients who were given rescue treatment before and after training were randomly selected.Patients with AMI who were rescued before training were included in control group,and patients with AMI who were rescued after training were included in observation group.The evaluation of nursing style of medical staff,nursing effects,emotional state(HAMA、HAMD),satisfaction with nursing work and occurrence of nursing adverse events were compared between the two groups.Results:After training,the abilities of medical staff in teamwork correlation,team communication correlation,doctor′s order correlation and team leader were significantly higher than those before training(P<0.05).The hospital stay in observation group was significantly shorter than that in control group,and the hospitalization cost,mortality rate,incidence of nurse-patient disputes and nursing complaint rate were significantly lower than those in control group(P<0.01,P<0.05),but the rescue success rate and health knowledge mastery rate were significantly higher than those in control group(P<0.01,P<0.05).The scores of HAMA and HAMD in observation group were significantly lower than those in control group(P<0.01).The satisfaction with nursing services of timeliness,service attitude,nurse-patient communication,health education and professional level in observation group were significantly higher than those in control group(P<0.01).The incidence rate of nursing adverse events such as pressure injury,emergence of infusion,infusion leakage and ductal outflow in observation group was significantly lower than that in control group(P<0.01).Conclusion:Medical closed cycling communication h
作者
管志敏
谢军娇
张婧
叶燕
周舸
Guan Zhimin;Xie Junjiao;Zhang Jing(Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430000,China)
出处
《齐鲁护理杂志》
2019年第21期6-9,共4页
Journal of Qilu Nursing
关键词
医护闭合式循环沟通
急性心肌梗死
护理满意度
Medical closed cycling communication
Acute myocardial infarction
Nursing satisfaction
