护士参与的决策辅助方案在急性脑梗死静脉溶栓获取知情同意中的应用  

Application of nurse involved in aid decision-making in informed consent for intravenous thrombolysis patients with acute cerebral infarction

作　　者：潘习 徐岚[2] 李小勤[1] 王稚[1] PAN Xi;XU Lan;LI Xiaoqin;WANG Zhi(Department of Neurology,the First Affiliated Hospital of Soochow University,Jiangsu province,215000,China)

机构地区：[1]苏州大学附属第一医院神经内科,江苏省215000 [2]苏州大学附属第一医院护理部,江苏省215000

出　　处：《中国护理管理》2019年第12期1904-1909,共6页Chinese Nursing Management

基　　金：苏州市民生科技计划项目（SYS201743）;苏州大学附属第一医院周氏院级科研项目

摘　　要：目的:分析护士参与的决策辅助方案在获取急性脑梗死静脉溶栓治疗知情同意中的应用效果。方法:连续选取2015年10月至2018年7月于我院急诊绿色通道就诊的急性脑梗死患者及家属为研究对象。2015年10月至2017年8月为对照组,共220例,2017年9月至2018年7月为干预组,共208例。干预组采用护士参与的决策辅助方案,对照组采用传统的健康教育方法。比较两组患者获取知情同意的时间及决策困境量表得分。结果:干预组在静脉溶栓过程中获取知情同意的时间及决策困境得分低于对照组(P<0.05)。结论:护士参与的决策辅助方案在缩短溶栓决策时间的同时可改善决策者的决策困境,兼顾信息需求与溶栓治疗的时间紧迫性。Objective:To investigate the effects of nurse involved in aid decision-making in informed consent for intravenous thrombolytic patients with acute cerebral infarction.Methods:Patients with acute cerebral infarction and their families in the emergency green channel in one hospital in Suzhou from October 2015 to July 2018 were included,and 220 cases from October 2015 to August 2017 were selected as the control group,another 208 cases from September 2017 to July 2018 were selected as the intervention group.The patients and their families in the intervention group were with the nurse involved in decision-making assistance program,while those in the control group were with the traditional health education.The time to complete informed consent and the score of decision dilemma scale were compared between the two groups.Results:There were significant differences between the two groups in the time of informed consent and the score of decision dilemma scale during intravenous thrombolysis(P<0.05).Conclusion:The nurse involved aid decision-making is benefit to decrease the decision-making time for treatment measure of thrombolysis patients and their families,and to reduce the decision-making dilemma for them,and nurse involved in aid decision-making is helpful to balance the information needs of patients and their families and the time urgency of thrombolysis treatment.

关 键 词：脑梗死 决策辅助 静脉溶栓 知情同意 护士 

分 类 号：R47[医药卫生—护理学]