首页|以ICU患者家属需求为导向的电子健康教育的研究及应用分析

以ICU患者家属需求为导向的电子健康教育的研究及应用分析

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目的:了解1CU患者家属的需求,建立以ICU家属需求为导向的健康教育方法并应用.减少护士反复宣教的时间,让护士更多时间关注患者,提高护理质量.建立完善的电子化健康教育方法,解决患者家属需求,缓解家属焦虑,增进医患关系.方法:2020年12月1日-2021年5月31日,初次入住中心ICU大于72小时患者家属为研究对象.根据时间段把研究对象随机分为对照组及干预组.2020年12月1日-2021年2月28日为对照组,2021年3月1日-2021年5月31日为干预组.实施:对照组常规宣教,干预组在常规宣教基础上使用患者家属需求为导向的宣教视频及手册对患者家属进行宣教.病人入ICU的第4天,对照组及干预组家属都完成中文版危重症患者家属满意度量表(C-CCFSS)及第二次状态焦虑量表.分析两组患者家属的人口统计学资料、状态—特质焦虑问卷、重危病人家属满意度量表情况,分析两组患者家属发生的焦虑及满意度差异.结果:共纳入97例患者家属,其中对照组48例,干预组49例,对照组1例中途退出实验,干预组1例无法联系失访.入选97例家属中男性53例,女性42例,对照组年龄(45.69±15.32)岁,对照组年龄(47.21±16.21)岁,两组患者家属在状态焦虑因子、非状态焦虑因子、特质焦虑因子、非特质焦虑因子、STAI总分方面,两组患者家属状态-特质焦虑评分,(P小于0.01)具有统计学意义.两组患者家属满意度各评分指标比较病情保证因子、获取信息因子、被接纳因子、支持因子、舒适因子,两组患者家属状态-特质焦虑评分,(P小于0.01)具有统计学意义.而两组患者家属一般资料差异以及两组患者家属在能让我了解患者的预后结果、希望每天和医生进行交流、医护人员能如实回答我的问题、了解患者正接受的治疗、确信患者得到最佳的救治、清楚患者目前接受的治疗、医护人员不回避病情,能与我谈论患者有医治无效死亡的可能、计划改变治疗方案时,能被告知、当病情变化时,能有人打电话通知家人、每天都能得到有关患者病情的相关消息项目上差异无统计学意义,(P大于0.05)具有可比性.结论:在ICU进行以家属需求为导向的电子健康教育可以降低患者家属的焦虑,提高家属对医护的满意度.
Objective To understand the needs of ICU patients'family members,establish the method of health education oriented to the needs of ICU family members and apply it.Reduce the time of repeated education,so that nurses more time to pay attention to patients,improve the quality of care.Establish a sound electronic health education method to solve the needs of patients'family members,alleviate their anxiety,and enhance the doctor-patient relationship.Methods From December 1,2020 to May 31,2021,family members of patients with initial ICU admission greater than 72 hours were enrolled.The subjects were randomly divided into control group and intervention group according to the time period.December 1,2020 to February 28,2021 as the control group,March 1,2021 to May 31,2021 as the intervention group.Implementation:The control group received routine education,and the intervention group used the video and manual of family members'needs oriented education on the basis of routine education.On the fourth day of ICU admission,family members of the control group and intervention group completed the Chinese version of Family Satisfaction Scale(C-CCFSS)and the second state anxiety scale.Demographic data,state-trait anxiety questionnaire and satisfaction scale of family members of critically ill patients were analyzed,and the differences of anxiety and satisfaction between the two groups were analyzed.Results A total of 97 patients'families were included.completed the Chinese version of the Family Satisfaction Scale(C-CCFSS)and the second state Focal Deficiency ScaleDemographic datastate-trait anxiety questionnaire and satisfaction scale of family members of critically ill patients were analyzedand the differences of anxiety and satisfaction between the two groups were analyzedA total of 97patientsfamiies were included.here were 48 cases in the control group,49 cases in the intervention group,1 case in the control group and 1 case in the intervention group.There were 53 males and 42 females,the age of the control group was(45.69±15.32)years,and the age of the control group was(47.21±16.21)years.There were significant differences in the total scores of state anxiety factor,non-state anxiety factor,trait anxiety factor,non-trait anxiety factor and STAI between the two groups.The scores of family satisfaction between the two groups were statistically significant(P<0.01).The scores of condition assurance factor,information acquisition factor,acceptance factor,support factor and comfort factor were compared between the two groups.However,the general data of the family members of the two groups are different,and the family members of the two groups can let me know the prognosis of the patients,hope to communicate with the doctor every day,the medical staff can answer my questions truthfully,understand the treatment that the patients are receiving,be sure that the patients are receiving the best treatment,be clear about the treatment currently received by the patients,and the medical staff do not avoid the condition.When you can talk to me about the possibility of ineffective death and plan to change the treatment plan,you can be told that when the condition changes,someone can call your family and get information about the patient's condition every day.There is no significant difference in the items(P>0.05).Conclusion E-health education in ICU based on the needs of family members can reduce the anxiety of family members and improve the satisfaction of family members.

ElectronicICUhealth educationsatisfaction

刘对婵

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广州市第一人民医院·广东广州 5180180

电子化 ICU 健康宣教 满意度

广州护理学会科研计划

A2021055

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(6)
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