三级甲等综合医院急诊安宁疗护的实施与效果评价  

Application and effects evaluation of palliative care in the emergency department in a tertiary hospital

作　　者：柯菊青[1] 袁玲[2] 黄亦萱 周玉洁[3] 董珊 KE Juqing;YUAN Ling;HUANG Yixuan;ZHOU Yujie;DONG Shan(Emergency Department,The Affiliated Hospital of Nanjing University Medical School,Nanjing,210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院急诊医学科,南京市210008 [2]南京大学医学院附属鼓楼医院护理部,南京市210008 [3]南京大学医学院附属鼓楼医院肿瘤科,南京市210008 [4]南京大学医学院

出　　处：《中国护理管理》2022年第2期305-309,共5页Chinese Nursing Management

基　　金：南京大学医院管理研究所课题项目(NDYG2020005);2020年南京大学医学院附属鼓楼医院护理院内科研课题重点项目(ZSH209)。

摘　　要：目的:评价安宁疗护服务在三级甲等综合医院急诊实施的效果。方法:成立急诊安宁疗护多学科团队,根据急诊安宁疗护准入标准,采用便利抽样法选取2020年1月至2021年5月在急诊就诊并接受安宁疗护的64例患者为研究对象,采用急性症状控制、舒适护理、陪伴与心理支持、家属支持和哀伤辅导的急诊安宁疗护服务方案,并对安宁疗护患者需求的满足程度及满意度进行评价。结果:安宁疗护患者需求满足程度最高的是疼痛控制、呼吸困难症状控制和心理支持;急诊安宁疗护患者满意度平均分为99.23分,患者家属满意度平均分为99.85分,均高于本院急诊满意度平均分(96.41分)。结论:急诊安宁疗护的实施,将安宁疗护服务前移到急诊室,减轻了患者的身心痛苦,提高了患者的生存质量,优化了危重症抢救资源,为急诊安宁疗护工作的开展积累了经验。Objective:To explore the feasibility of palliative care applied in the emergency department of a tertiary hospital.Methods:A multidisciplinary emergency hospice care team was established.A total of 64 emergency hospice patients from January 2020 to May 2021 were recruited according to the standards of emergency hospice care.The emergency hospice care service program was developed including acute symptom control,comfort care,psychological care,family support and grief counseling.The satisfaction degree and the degree of needs meeting were evaluated.Results:The needs of pain management,dyspnea symptom control and psychological support ranked the highest.The average score of emergency hospice patient satisfaction was 99.23 points and the average score of patient’s family satisfaction rate was 99.85 points,both higher than average score of Emergency Department satisfaction(96.41 points).Conclusion:The implementation of emergency hospice care alleviates the physical and mental pain of patients,improves the quality of life of patients,optimizes the critical rescue resources,and increases the experience for the development of emergency hospice care.

关 键 词：综合性医院 急诊 安宁疗护 效果评价 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]