综合医院急性药物中毒患者“医健心管”模式探索  

Exploration of the“Medical-Education-Psychology-Health”model for acute drug poisoning patients in comprehensive hospitals

作　　者：谭凤玲 张帅 吴祥超 夏红 田露 TAN Fengling;ZHANG Shuai;WU Xiangchao;XIA Hong;TIAN Lu(Department of Emergency,Wulong District People′s Hospital,Chongqing 408500,China;Ji′nan Zhangqiu District People′s Hospital,Ji′nan,Shandong 250200,China)

机构地区：[1]重庆市武隆区人民医院急诊科,重庆408500 [2]济南市章丘区人民医院,山东济南250200

出　　处：《现代医药卫生》2025年第4期912-915,共4页Journal of Modern Medicine & Health

基　　金：重庆市卫生健康委员会医学科研项目(2023WSJK092);济南市卫生健康委员会科技发展计划项目(2024301029)。

摘　　要：目的对急性中毒患者实施“医健心管”闭环模式,并探索应用效果,为药物中毒防治提供重要依据。方法将2022年1月至2023年6月200例急性自服药物中毒患者分为对照组和观察组。2组患者均给予洗胃等规范治疗,对照组给予常规护理,观察组按“医健心管”全闭环式模式管理,均在入院后24 h内和出院90 d后完成随访及躯体化症状自评量表(SSS-CN)、焦虑自评量表(GAD-7)及抑郁自评量表(PHQ-9)心理量表评估。分析住院时间、患者入院和出院随访时的心理状况、满意度。结果观察组平均住院时间[(3.01±2.88)d]明显短于对照组[(5.11±2.26)d],差异有统计学意义(P<0.05);随访时,观察组SSS-CN评分[(35.38±10.12)分]低于对照组[(40.22±15.49)分]、GAD-7评分[(6.44±5.16)分]低于对照组[(8.40±6.48)分],差异均有统计学意义(P<0.05);2组随访时PHQ-9评分差异无统计学意义(P>0.05)。观察组满意度[97.0%(97/100)]高于对照组[77.0%(77/100)],差异有统计学意义(P<0.05)。结论对急性药物中毒患者采取“医健心管”模式管理,能够为患者提供全方位、多层次的医疗服务,并满足患者多元化和个性化的需求,能够缩短住院时间,提升治疗效果,就医体验感明显改善。Objective To implement the closed-loop model of“Medical-Education-Psychology-Health”for acute poisoning patients and explore the application effect,so as to provide important basis for drug poisoning prevention and treatment.Methods A total of 200 patients with acute self-administered drug poisoning from January 2022 to June 2023 were randomly divided into the control group and the observation group.All the patients in both groups were given standard treatment such as gastric lavage,the control group was given routine nursing,and the observation group was managed by“Medical-Education-Psychology-Health”in a fully closed-loop model.All the patients were followed up within 24 h after admission and 90 d after discharge,and were evaluated with Somatic Symptom Scale-China(SSS-CN),Generalized Anxiety Disorder7(GAD-7)and Patient Health Questionnaire-9(PHQ-9).The length of hospital stay,psychological status and satisfaction of the patients at admission and discharge were analyzed.Results The average length of hospital stay in the observation group[(3.01±2.88)d]was significantly shorter than that in the control group[(5.11±2.26)d],and the difference was statistically significant(P<0.05).During follow-up,the SSS-CN score[(35.38±10.12)points]of the observation group was lower than that of the control group[(40.22±15.49)points],and the GAD-7 score[(6.44±5.16)points]of the control group was lower than that of the control group[(8.40±6.48)points],and the differences were statistically significant(P<0.05);there was no statistically significant difference in PHQ-9 scores between the two groups at follow up(P>0.05).The satisfaction rate of the observation group[97.0%(97/100)]was higher than that of the control group[77.0%(77/100)],and the difference was statistically significant(P<0.05).Conclusion Adopting the model of“Medical-Education-Psychology-Health”for acute drug poisoning patients can provide patients with all-round and multi-level medical services,meet the diversified and personalized needs of patients,sh

关 键 词：急性药物中毒 “医健心管”模式 综合治疗 健康宣教 心理护理 

分 类 号：R595.4[医药卫生—内科学]