肿瘤内科病人住院期间外出不归的心理需求分析及护理对策  

Analysis of psychological needs of oncology inpatients during hospitalization for going-out no return and its nursing interventions

作　　者：刘清娥[1] 薛淑枝[1] 

机构地区：[1]陕西省人民医院

出　　处：《全科护理》2015年第14期1261-1263,共3页Chinese General Practice Nursing

基　　金：国家临床重点专科建设项目;编号:2013544

摘　　要：[目的]通过分析肿瘤内科病人住院期间外出不归的心理需求,探寻相应的护理对策,减少病人外出不归的现象,从而降低医疗纠纷的发生。[方法]采用自行设计问卷调查,对我科2014年1月—2014年10月住院期间有外出史的180例病人进行心理需求的分析,根据不同的心理需求,探索相应的护理对策,对不听劝说,坚决要求外出而不归者,设计并使用住院病人外出请假协议书。[结果]对180份问卷进行整理,总结出住院病人外出不归的心理需求有对亲人的依恋、需要安静舒适的环境、睡眠障碍、角色转换与适应、躯体不适需要家人照顾、不习惯医院饮食、保护隐私等7个方面,并且各年龄段的病人心理需求也有所不同。[结论]根据肿瘤病人住院期间外出不归的心理需求,因人而异采取相应的护理对策,在一定程度上满足了病人的心理需求,降低了病人外出期间的安全隐患,减少医疗纠纷的发生。Objective：through analyzing the psychological needs of oncology inpatients during hospitalization for going out no return,so as to seek for the comprehending nursing countermeasures and reduce the going out phenomenon and medical disputes.Methods：A self questionnaire survey was used in this study.The subjects of this study included A total of 180 oncology inpatients with going out behavior during hospitalization in depart-ment of Oncology in Shaanxi province people’s hospital from January 2014 to October 2014.Depending on the psychological needs,to explore the appropriate care measures for patients who didn’t not listen to persuasion and insisted on going out no return,design and use the inpatient going out agreement.Results：Qualitative analy-sis on the data from the questionnaires suggested that several psychological needs involved in the going out be-havior of oncology inpatients,including dependences on family members,a quiet and comfortable environment, sleep disorders,role change and adaptation,eager for a sense of security,dissatisfaction with the hospital diet and privacy protections.And the psychological needs of patients of all ages were different.Conclusion：Psycho-logical needs analysis of going out behavior of oncology inpatients during hospitalization is necessary and help-ful to seek for the effective nursing interventions.Individual nursing interventions would meet the psychological needs of the patients,reduce the medical disputes and security risks during hospitalization.

关 键 词：肿瘤内科 外出不归 心理需求 护理对策 

分 类 号：R473.73[医药卫生—护理学]