目的 探討人性化護理,其本質就是“以病人為中心”,與現代醫學模式的視病人為一個生物、心理、社會的完整的人相符合護理理念,穩定和調動患者積極有益的情緒,幫助患者從失落、痛苦、不安、孤獨等消極情緒中解脫出來,縮短住院時間,提高患者的滿意度。方法 將我科2008年10月至2009年4月住院患者,符合1995年第四屆腦血管病學術會議通過的腦血管病診斷標準,并經頭顱CT或MRI確診。隨機分為對照組和觀察組各40例。分別給予常規護理方法及外加人性化護理方法,對兩組護理前后有效率進行比較,并比較分析兩組的住院時間及患者滿意度,根據評分標準分型情況判斷療效,如分型減輕則為有效,分型不變甚或加重則為無效。結果 人性化護理,它讓我們轉變了“以我為中心”的慣性思維模式,將“以病人為中心”作為了我們整個護理工作的中心。它讓我們改變了以往的護理工作程序,在細微之處來處處體現人性化護理對生命健康的關愛,體現人性化護理在我們臨床護理工作中的真實意義。通過人性化護理使治療的有效率達到85%,較對照組65%顯著提高 (P<0.05)、住院時間也比對照組明顯縮短(30.9±3.7 VS 35.4±4.3,P<0.05);患者非常滿意和滿意的均高于對照組(30% vs 5%,47.5% vs 35%,P均<0.05)。結論 我們要把“以人為本”的服務理念和實踐貫穿于整個臨床護理工作中,用愛心和責任心去關愛每一位患者,使患者感到了人性關懷的溫暖與人性的回復,獲得了滿足感和安全感,通過人性化的護理服務,不斷推進和提高整體護理質量,提高了患者的生存質量,促進患者恢復健康;有利于護患關系的協調與溝通,減少醫療糾紛。它讓我們改變了以往的護理工作程序,在細微之處來處處體現人性化護理對生命健康的關愛。
【關鍵詞】人性化護理;腦卒中; 調查研究
論文類型:應用研究
Title: Human care and rehabilitation for stroke-related factors affect the investigation and research ABSTRACT
Human care and rehabilitation for stroke-related factors affect the investigation and research Purpose: Expore the human care since that is the essence of “Patient-Centered”, with the morden medical model as the patient as a biological、psychological、social person with a complete ideal of the care。Stability and mobility in patients with positive and useful emotion, to help patients from the loss、pain、anxiety、loneliness and other negative emotions out to shorten the length of stay, improve the patient satisfaction。Methods:patients from October 2008 to April 2009,in line with the 1995 Fourth Symposium on Cerebrovascular disease through diagnostic criteria of Cerebrovascular disease,and by head CTor MRI confirmed。Divided into control group (n=40)and observation group(n=40),randomly。40 cases were given in addition to conventional care and human care,care of the two groups before and after comparison of the efficiency and comparative analysis of two sets of in-patient time and patient satisfaction。According to criteria determine the effect of sub-type situations,such as sub-type to reduce the effective,or even add to the same type would be invalid。Results:Human care and let us change it a “self-centered” mode of thinking of inertia will be “patient-centered” as the care of our entire work.。It let us change the care of previous procedures, the subtleties of human nature to reflect on the life and health of nursing care in our work, the true significance。There are two sets of efficency、length of stay and patients satisfaction were significant differences exist。Conclusions:“People-Oriented”service philosophy and practice of clinical care throughout the work,the concept of love and sense of responsibility to love each and every patient,feeing the warmth of human caring and human response、satisfaction and a sense of security gained。through human care services,Promoting and improving the quality of care、life and the health of patients,continously。Nurse-Patient relationship conductive to communicateon and coordination,reducing medical disputes。Changing the care of working procedures of the part,the subtleties of human nature to reflect on the life and health of nursing care in our work。