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ICU人文关怀查检单的设计及应用

         

摘要

Objective To design an ICU humanistic nursing communication table, to improve the quality of nursing service and to promote patients' and their families' satisfaction. Methods An ICU humanistic nursing communication table covering patient's basic information, patient's daily requirement and requirement information of doctor-nurse-family communication was designed and applied among patients from April to June 2016. Patients were supposed to fill in the table carefully. Patients ' and their families' requirements and their satisfaction with the medical service during hospital stay (≥1 d) were recorded. Results After the application of the table,the communication among patients and their families and medical staff was effective and patients and their families were more satisfied with the service in the second quarter of 2016 when compared to that in 2015 and in the first quarter of 2016. Conclusion Humanistic nursing communicate table can help hospital staff communicate with critically ill patients and its families better, improve the quality of nursing service in ICU and promote critically ill patients ' satisfaction.%目的 通过设计一种符合ICU特色的人文关怀查检单,搭起医护人员-患者及家属之间的沟通桥梁,进一步指导医护人员在临床实践中进行更全面的与患者及家属沟通,以提高ICU护患沟通的准确性和有效性,更加精准地为患者提供人性化、个性化的优质护理服务,最终提升护理服务质量和患者住院的满意度.方法 参照相关文献并结合科室实际情况设计ICU人文关怀查检单,2016年4—6月将其应用于入住ICU的危重患者,对重症患者的基本信息、患者日常的需求信息、医护-家属沟通需求信息进行如实填写,每班进行交接,并动态的根据患者及家属需求的变化而进行调整,观察患者及家属的需求情况,以及在ICU住院期间(≥1 d)的满意度.结果 重症医护团队对人文关怀查检单进行100%实施,有效地指导医护人员与患者及家属之间的沟通,同2015年全年(4个季度)的住院满意度、2016年第1季度的住院满意度相比,2016年第2季度的患者住院满意度最高.结论 将人文关怀查检单应用于ICU重症患者,有助于更好地实现医护-患者及家属之间的沟通,提升ICU的护理服务质量和ICU患者住院满意度.

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