灵活性预约式探视在重症监护病房中的应用研究  

Application research of flexible appointment visit in intensive care unit

作　　者：黄凡[1] 闵小彦[1] 王密芳[1] 朱依筠 Huang Fan;Min Xiaoyan;Wang Mifang;Zhu Yiyun(Department of Critical Care Medicine,the Second Affiliated Haspital of Wenzhou Medical University,Wenzhou 325027,Zhejiang,China)

机构地区：[1]温州医科大学附属第二医院重症医学科,浙江温州325027

出　　处：《中国中西医结合急救杂志》2020年第6期720-724,共5页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省温州市科技局项目(Y20180366)。

摘　　要：目的观察灵活性预约式探视在重症监护病房(ICU)中的应用效果.方法①患者:选择温州医科大学附属第二医院ICU 2019年1月至2020年4月收治的434例清醒患者为研究对象.其中2019年1月至6月实施常规探视管理期间收治的216例患者作为常规探视组;2019年7月至2020年4月实施灵活性预约式探视干预管理期间收治的218例患者作为灵活性预约式探视组.②患者家属:选择近1周内有进入ICU内探视经历、患者直系家属、有一定沟通和理解问卷能力的患者家属,包括实施常规探视管理期间ICU患者家属214例,实施灵活性预约式探视管理期间ICU患者家属216例.③医护人员:选择本院ICU自愿参与本次研究且ICU工作年限≥1年的医护人员228名.比较两组患者ICU环境压力感受程度、两组患者家属及医护人员的探视信念及态度调查结果和两组患者及其家属探视满意度的差异.结果接受灵活性预约式探视管理的ICU清醒患者中重度压力感受发生率明显低于接受常规探视患者〔23.85%(52/218)比77.78%(168/216),P<0.05〕;患者家属及医护人员对探视的信念及态度均得到显著改善,接受灵活性预约式探视管理的患者家属、干预后医护人员对该制度持积极态度的比例分别高于接受常规探视管理患者家属、干预前医护人员对常规探视制度持积极态度的比例(患者家属:95.37%比79.44%,医护人员:96.05%比76.32%,均P<0.05);接受灵活性预约式探视管理的患者〔97.25%(212/218)比86.57%(187/216)〕及其家属〔95.83%(207/216)比85.51%(183/214)〕的探视满意度均较接受常规探视管理者明显提高,差异均有统计学意义(均P<0.05).结论灵活性预约式探视在ICU中的应用,能降低ICU清醒患者中重度压力感受的发生率,有效改善患者家属及医护人员对探视的信念及态度,显著提升患者及其家属的探视满意度,有助于推动ICU探视制度的优化.Objective To observe the application effect of flexible appointment visit in intensive care unit(ICU).Methods①Patients:The 434 sober patients admitted to ICU of the Second Affiliated Hospital of W enzhou Medical University during January 2019 to April 2020 were selected as research objects.Among them,the 216 sober patients admitted during the period of routine visit management from January to June 2019 were taken as the routine visit group;the 218 patients admitted during the period of flexible appointment visit intervention management from July 2019 to April 2020 were taken as the flexible appointment visit group.②Family members of patients:The family members of patients who had visited ICU within 1 week,patients'immediate family members,and the family members with the ability to communicate and understand the questionnaire were selected,including 214 family members of ICU patients during the period of routine visit management and 216 family members of 1CU patients during the period of flexible appointment visit management.③Medical staff including doctors and nurses:The 228 medical staffs who voluntarily participated in the study and had worked in ICU for≥1 year in our hospital were selected.④The differences in degree of perception of environmental pressure sources in ICU,investigation results of visiting beliefs and attitudes of family members and medical staff,and visiting satisfaction of patients and their families were compared between the two groups.Results The incidence of moderate and severe stress perception in conscious patients in ICU undergoing flexible appointment visit management was significantly lower than that undergoing routine visit management[23.85%(52/218)vs.77.78%(168/216),P<0.05];the patients'family members'and medical staffs'beliefs and attitudes towards visiting were significantly improved,and the proportions of family members and medical stafs with positive attitude to flexible appointment visit undergoing flexible appointment visit management were significantly higher than tho

关 键 词：灵活性预约式探视 重症监护病房 压力感受 探视满意度 

分 类 号：R47[医药卫生—护理学]