首页|预防性心理干预记录单在RICU中的应用

预防性心理干预记录单在RICU中的应用

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目的 在呼吸重症监护室设计并应用预防性心理干预记录单,以期达到减少患者应激反应提高护理记录书写质量的目的.方法 随机选取2019年1月1日-2022年10月31日某院呼吸科重症监护室收治的184例患者.采用字表格法分组,对照组92例接受常规护理并记录,观察组92例实施预防性心理干预记录单,并采取基础性心理护理、支持性心理护理、认知干预等护理措施.比较两组患者应激障碍症状、心理状态、护理记录书写质量.结果 干预后对照组创伤后应激障碍检查量评分表(45.62±4.07)分高于观察组(36.56±3.40)分;干预后观察组乐观项(14.86±1.53)分、自强项(27.12±2.40)分、坚韧项(38.61 ±3.02)分与心理弹性问卷总分(77.49±3.54)分高于对照组(10.70±1.32、20.86±2.30、30.59±2.48、60.81±3.57)分;观察组专科知识得分(94.06±7.41)分,护理记录书写质量得分(97.13±6.56)分,均高于对照组(88.69±78.76、89.07±7.69)分,3组数据P均<0.05,差异具有统计学意义.结论 预防性心理干预记录单在呼吸重症监护室患者中应用,可加强护士对患者重点症状的观察,及时给予干预措施,可降低患者应激障碍发生.
Application of Preventive Psychological Intervention System Record Sheet in RICU
Objectives This study aims to design and apply a preventive psychological system record sheet in the respiratory intensive care unit,in order to reduce patient stress reactions and improve the quality of nursing record writing.Method 184 patients admitted to the respiratory intensive care unit of a certain hospital from January 1,2019 to October 31,2022 were randomly selected.Grouping was performed using the word table method.92 cases in the control group received routine care and recorded,while 92 cases in the observation group implemented preventive psychological intervention record sheets,and adopted basic psychological care,supportive psychological care,cognitive intervention,and other nursing measures.The symptoms,psychological status,and nursing record writing quality of two groups of patients with stress disorder were compared.Results After the intervention,the PLC-C score of the control group(45.62±4.07)was higher than that of the observation group(36.56± 3.40).After the intervention,the observation group had higher scores for optimism(14.86±1.53),self-strength(27.12±2.40),tenacity(38.61±3.02)and total psychological flexibility questionnaire score(77.49±3.54)than the control group(10.70±1.32、20.86±2.30、30.59±2.48、60.81±3.57).The observation group scored 94.06±7.41 points in specialized knowledge and 97.13±6.56 points in nursing record writing quality,which were both higher than those of the control group(88.69±78.76 and 89.07±7.69,respectively),with statistically significant differences(all P<0.05).Conclusions The application of preventive psychological intervention system record sheets in respiratory intensive care unit patients can reduce stress disorder symptoms,improve psychological status,and improve the quality of nursing record writing.

Stress disorderPrognostic resultsPreventive psychological interventionSevere patients with respiratory diseases

张旭燃、周向阳、安阳、孙鑫玉

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首都医科大学附属北京朝阳医院北京市呼吸疾病研究所,北京市,100020

河北燕达医院,河北省,廊坊市三河市,065200

应激障碍 预后结果 预防性心理干预 呼吸系统疾病重症患者

河北省医学科学研究重点课题

20180898

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(1)
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