急诊患者全程护理中应用现代和传统医学模式进行心理干预的临床护理疗效对照研究  

Control Study of Treatment Intervention of the Patient with Emergence Disease to Complete With Modern and Traditional Medical Model in Care of Full Process.

作　　者：王玉玲 古力巴尔·托留夫 汪忠诚 

机构地区：[1]新疆伊犁哈萨克自治州友谊医院,伊犁835000

出　　处：《世界最新医学信息文摘》2012年第3期50-52,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨用现代生物-心理-社会医学模式，对急诊患者在全程护理中进行心理治疗干预的效果。方法通过对1500例不同病种急诊患者实施人性化与亲情和谐式的服务与否分为观察组和对照组。观察患者在急症应激反应的第一时间，生命体征与一系列症状在全程护理中的演变；评估1年的抱怨、纠纷发生例数及患者满意率。结果观察组呼吸、脉搏、血压、表情以及胸闷、气短心慌等自觉症状趋于平稳者大于对照组（P〈0．01）；观察组纠纷发生率2．4％，显著小于对照组（P〈0．01）；观察组对医方满意率88％，显著高于对照组（P〈0．01）。结论用现代医学模式对急诊患者进行心理干预，有利于其较快恢复在急症应激反应最强的第一时刻出现的生理紊乱状态。Objective To explore the effect to the patient with emergency disease to complete with modern and traditional medical model in care of full process. Methods To observe the Patient＇ s life sign of strongest first time of acute reaction of stress and series symptoms by giving service of humanization care, affection and kindness or not giving it to 1500 patients with emergency disease in care of full process.To evaluate he case of complaint and medical-tangles, the case of satisfaction, incidence of satisfaction throughout the year. Results Observation group： the patient＇ s pulse, respiration, blood pressure, expression and symptoms of chest distress, short breath, palpitation that the patients feel themselves tend to smoothing and stabilization more than control group （P 〈0.01）. Incidence rate of medical tangles of observation groups is 2.4 % （P〈0.01） to have significance difference. Satisfaction rate of the patients with emergency disease of observation group is 88（P〈0.01） to have significance difference. Conclusion Psychotherapy intervention of care of full process to complete with modern medical model is beneficial to recovery of physiological state of disturbance of patients with emergency disease to reduction of medical tangles and to rise of incidence to give satisfaction.

关 键 词：急诊患者 现代生物-心理-社会医学模式 全程人性化护理 随机对照研究 

分 类 号：R-4[医药卫生]