关怀日记在ICU患者人文护理中的应用  

Practice of caring diary in intensive care patients

作　　者：郭慧玲[1] 刘义兰 黄海燕[1] 李菠[1] 陈卉[1] 胡恩华 尹炜[1] 吴香花[1] 宋春燕 Guo Huiling;Liu Yilan;Huang Haiyan;Li Bo;Chen Hui;Hu Enhua;Yin Wei;Wu Xianghua;Song Chunyan(ICU,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院重症医学科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022

出　　处：《护理学杂志》2021年第7期66-68,共3页Journal of Nursing Science

基　　金：2017年华中科技大学同济医学院附属协和医院药技护专项基金项目(2017-242)。

摘　　要：目的探讨关怀日记在ICU患者人文关怀中的实施效果。方法将2018年综合ICU收治的患者按时间顺序分为对照组318例和干预组403例。对照组接受ICU常规护理,干预组在此基础上,聚焦人文关怀护理,将ICU日记调整为ICU关怀日记并应用。比较两组入ICU 24 h内及转出ICU时焦虑、抑郁发生率,并收集干预组患者及家属对ICU关怀日记实施的满意度。结果干预组转出ICU时,焦虑、抑郁发生率显著低于对照组(P<0.05,P<0.01);干预组患者及家属对ICU关怀日记满意度得分8.75±0.56。结论记录ICU关怀日记能帮助危重患者及家属降低焦虑、抑郁发生率,提升对危重护理工作满意度。Objective To explore the effect of caring diary applied in ICU patients.Methods ICU patients admitted in 2018 were divi-ded into a control group of 318 and an intervention group of 403 chronologically,receiving either routine care or additional caring diary intervention focusing on humanistic caring,with the caring diary being modified from ICU diary.The incidence rates of anxiety and depression within 24 hours of ICU admission and at transferring out of ICU were compared between the two groups,and patient and family satisfaction with the implementation of caring diary in the intervention group was collected.Results The incidence rates of anxiety and depression in the intervention group were significantly lower than those in the control group at transferring out of ICU(P<0.05,P<0.01).Patient and family satisfaction score was 8.75±0.56.Conclusion Writing caring diary in ICU can help critically ill patients and their families reduce the incidence of an-xiety and depression and improve their satisfaction with critical care.

关 键 词：ICU 重症监护 人文关怀 日记 焦虑 抑郁 

分 类 号：R47[医药卫生—护理学] C931[医药卫生—临床医学]