CICARE 沟通模式对中下段尿路结石患者手术室注意事项知晓程度及沟通满意度的影响  

The influence of CICARE communication mode on the awareness of the operating room precautions and communication satisfaction of patients with middle and lower urinary tract stones

作　　者：伍伟红 江敏仪 甘蔚明[1] WU Weihong;JIANG Minyi;GAN Weiming(Guangzhou First People’s Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院,广州510180

出　　处：《广州医药》2020年第6期98-100,112,共4页Guangzhou Medical Journal

摘　　要：目的探讨流程化(CICARE)沟通模式在中下段尿路结石患者中的应用价值。方法回顾性分析2018年8月—2019年11月我院80例中下段尿路结石患者,均行输尿管镜下钬激光碎石术,2018年8月—2019年5月的37例患者作为对照组,采用常规沟通流程,2019年6月—2019年11月的43例患者作为研究组,采用CICARE沟通模式。对比两组手术时间、沟通满意度及干预前后手术室注意事项知晓程度、贝克焦虑量表(BAI)、贝克抑郁量表21项版(BDI-21)评分。结果研究组手术时间较对照组短(P<0.05);干预后,研究组手术室注意事项知晓程度较对照组高(P<0.05);干预后,研究组BAI、BDI-21评分较对照组低(P<0.05);研究组沟通满意度95.35%(41/43)较对照组81.08%(30/37)高(P<0.05)。结论CICARE沟通模式应用于中下段尿路结石患者,可提高患者手术室注意事项知晓程度,减轻负性情绪,缩短手术时间,且具有较高沟通满意度。Objective To explore the application value of CICARE communication model in patients with middle and lower urinary calculi.Methods From August 2018 to November 2019,eighty patients with middle and lower urinary calculi in our hospital were analyzed retrospectively.All patients underwent ureteroscopic holmium laser lithotripsy.Thirty-seven patients from August 2018 to May 2019 served as a control group,using a routine communication process,forty-three patients from June 2019 to November 2019 served as the study group and adopted the CICARE communication model.The two groups were compared in surgical time,communication satisfaction,awareness of operating room precautions before and after intervention,Baker Anxiety Scale(BAI),and Baker Depression Scale 21 item(BDI-21)scores.Results The operation time in the study group was shorter than that in the control group(P<0.05).After the intervention,the awareness degree of the operating room precautions in the study group was higher than that in the control group(P<0.05).After the intervention,the BAI and BDI-21 scores in the study group were lower than those in the control group(P<0.05).The communication satisfaction of the study group was 95.35%(41/43),higher than the control group of 81.08%(30/37)(P<0.05).Conclusion The application of CICARE communication mode in patients with middle and lower urinary calculi may improve patient’s awareness of precautions in the operating room.It may reduce negative emotions,shorten the operation time,and has higher communication satisfaction.

关 键 词：流程化沟通模式 中下段尿路结石 沟通满意度 并发症发生率 手术室注意事项知晓程度 

分 类 号：R473.6[医药卫生—护理学]