行为决策系统模式在急诊急腹症患者中的应用  

Application of Decision-making System Model Based on Patient Behavior in Emergency Patients with Acute Abdominal Syndrome

作　　者：李姣[1] 游倩[1] 严辉[1] Li Jiao;You Qian;Yan Hui(Tongji Hospital Affiliated to Tongji Medical School of Huazhong University of Science and Technology,Wuhan Hubei 432000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉432000

出　　处：《齐鲁护理杂志》2022年第2期1-3,共3页Journal of Qilu Nursing

摘　　要：目的:探讨基于患者行为决策系统模式在急诊急腹症患者中的应用效果。方法:将2019年1月1日~2021年1月31日收治的104例急诊急腹症患者随机分为对照组和观察组各52例,对照组采用常规护理干预,观察组实施基于患者行为决策系统模式的护理干预。比较两组患者就诊时间,汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分及护理后恢复情况。结果:观察组分诊时间、确诊时间、手术准备时间及急诊观察时间均短于对照组(P<0.01),护理后观察组HAMA、HAMD评分均低于对照组(P<0.01),对照组肠鸣音恢复时间、首次下床活动时间、术后首次进食时间及总住院时间均短于对照组(P<0.01)。结论:对急诊急腹症患者实施基于患者行为决策系统模式干预,可减少患者就诊时间,缓解患者负性情绪,促进患者恢复。Objective:To explore the application effect of decision-making system model based on patient behavior in emergency patients with acute abdominal syndrome.Methods:A total of 104 patients with acute abdomen were admitted duringm January 1,2019 to January 1,2021 were randomly divided into the control group and the observation group with 52 cases each.The control group was given routine care,and the observation group was given nursing intervention of decision-making system model based on patient behavior,comparison was made between the two groups on visit time,HAMA,HAMD scores and recovery after nursing.Results:The time of diagnosis,the time of triage,the time of operation preparation and the time of emergency observation in the observation group were shorter than those in the dontrol group(P<0.01),the HAMA and HAMD scores in the observation group were lower than those in the control group(P<0.01),the recovery time of bowel sounds,the first time of getting out of bed,the first time of eating and the time of total hospitalization were shorter in the observation group than those in the control group(P<0.01).Conclusion:Implementation of nursing intervention of decision-making system model based on patient behavior in emergency patients with acute abdominal syndrome can reduce their time of visit,reduce their bad mood,and benefit their prognosis.

关 键 词：行为决策系统模式 急诊 急腹症 护理 

分 类 号：R473.6[医药卫生—护理学]