CICARE 沟通模式结合人文关怀在危重症患者家属探视沟通中的应用  

Application of CICARE Communication Mode Combined with Humanistic Care in Visit and Communication of Family Members of Critically Ⅲ Patients

作　　者：白玉玲[1] 刘振峰 焦莹莹 王宁[1] 王丹丹[1] BAI Yuling;LIU Zhenfeng;JIAO Yingying;WANG Ning;WANG Dandan(Respiratory Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Emergency Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院呼吸重症监护室,河南郑州450000 [2]郑州大学第一附属医院急诊重症监护室,河南郑州450000

出　　处：《河南医学研究》2023年第19期3612-3616,共5页Henan Medical Research

摘　　要：目的研究危重症患者家属探视沟通中实施CICARE沟通模式结合人文关怀的效果。方法选择郑州大学第一附属医院2019年4月至2022年4月430例危重症患者家属作为研究对象,随机分为观察组和对照组,各215例。对照组接受人文关怀,观察组接受人文关怀和CICARE沟通模式。观察两组患者家属干预前后心理状态变化情况[焦虑自评量表(SAS)、抑郁自评量表(SDS)],护理干预后家属需求满足情况(病情动态信息、救治方案及预后、自身舒适、安抚患者、明确治疗费用)、护理满意度及投诉率。结果观察组护理干预后SAS、SDS评分均低于对照组(P<0.05);观察组护理干预后,病情动态信息、救治方案及预后、自身舒适、安抚患者、明确治疗费用评分均高于对照组(P<0.05);观察组护理干预后护理满意率为93.96%,高与对照组(86.98%),投诉率为0.93%低于对照组(6.98%)(P<0.05)。结论危重症患者家属探视沟通中实施CICARE沟通模式结合人文关怀能有效改善患者家属不良情绪,同时改善家属需求满足情况,进而提升护理满意度,降低投诉率,临床应用价值较高。Objective To study the effects of CICARE communication mode and humanistic care on visit and communication of family members of critically ill patients.Methods The family members of 430 critically ill patients in the First Affiliated Hospital of Zhengzhou University from April 2019 to April 2022 were enrolled as study subjects.They were randomly divided into observation group and control group,with 215 cases in each group.Control group received humanistic care,while observation group received humanistic care and CICARE communication mode. The changes in psychological status [self - rating anxiety scale( SAS) ,self - rating depression scale ( SDS) ] before and after intervention,needs satisfaction conditions of family members( dynamic information about condition,treatment plan and prognosis,self - comfort,appeasing patients,definitude to treatmentcosts) after nursing intervention,nursing satisfaction and complaint rate in both groups were observed. Results After nursingintervention,SAS and SDS score in observation group were lower than those in control group ( P < 0. 05 ) . After nursingintervention,scores of dynamic information about condition,treatment plan and prognosis,self - comfort,appeasing patients,anddefinitude to treatment cost in observation group were higher than those in control group ( P < 0. 05) . After nursing intervention,nursing satisfaction rate of observation group was 93. 96%,which was higher than that of control group ( 86. 98%) complaint rate ofobservation group was 0. 93%,which was lower than that of control group ( 6. 98%) ( P < 0. 05 ) . Conclusion Theimplementation of CICARE communication mode and humanistic care in visit and communication of family members of criticallyill patients can effectively improve negative emotions of family members,and improve their needs satisfaction conditions,thusimproving nursing satisfaction,reduce incidence of complaints,with relatively higher clinical application value.

关 键 词：重症监护 家属探视 CICARE沟通模式 人文关怀 

分 类 号：R473.5[医药卫生—护理学]