| 钱华.分阶段心理干预在急诊院前猝死患者家属中的应用效果研究[J].上海护理,2022,22(S1): |
| 分阶段心理干预在急诊院前猝死患者家属中的应用效果研究 |
| Effect of Phased Psychological Intervention on Relatives of Patients with Sudden Death before hospitalization in Emergency |
| DOI： |
| 中文关键词: 分阶段心理干预 急诊 院前猝死 家属 救治满意度 医疗纠纷 |
| 英文关键词:Staged Psychological Nursing Intervention Emergency Pre-hospital Death Family Satisfaction Medical Dispute |
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| 中文摘要: |
| 目的 探讨分阶段心理干预对急诊院前猝死患者家属的满意度和医疗纠纷发生情况的影响。方法 将2020年5月至2021年4月我院急诊接收的93例院前猝死患者家属行分阶段心理干预,回顾性对照2019年5月至2020年4月院前猝死患者家属87例,比较两组家属满意度、家属对救治过程中不满意因素及医疗纠纷发生率。结果 干预组家属满意度平均分为91.35±7.26,高于对照组84.87±6.79,差异有统计学意义(P＜0.01),其中干预组家属对接诊流程、急救技术、有效沟通、抢救费用、尸体料理满意均高于对照组(P＜0.05)；干预组家属投诉发生率为8.60%(n=8),低于对照组的12.64%(n=11),差异有统计学意义(P＜0.01)。结论 对急诊院前猝死患者家属实施分阶段心理护理干预能够使家属在短时间内正确面对患者已死亡的现实,提高家属对救治满意度,改善猝死患者家属悲伤体验,最大限度减少医疗纠纷发生,值得临床推广。 |
| 英文摘要: |
| Objective To investigate the effect of phased psychological nursing intervention on family members" satisfaction and medical disputes in the sudden death before hospitalization. Methods From May 2020 to April 2021, the family members of 93 patients with sudden death received by the emergency department of our hospital were subjected to phased psychological intervention. Retrospectively compared with the family members of 87 patients with sudden death from May 2019 to April 2020, to compare the satisfaction of the family members, the dissatisfaction factors of the family members in the treatment process and the incidence of medical disputes of the two groups. Results The average score of family satisfaction in the intervention group was 91.35 ± 7.26, which was higher than that in the control group (84.87 ± 6.79), and the difference was statistically significant (P < 0.01). The family members in the intervention group were more satisfied with the receiving process, first-aid technology, effective communication, rescue cost and corpse care than those in the control group (P < 0.05). The incidence of family complaints in the intervention group was 8.60% (n = 8), which was lower than that in the control group (12.64% (n = 11), and the difference was statistically significant (P < 0.01). Conclusion The implementation of phased psychological intervention for the patients’ family with sudden death can make family members properly face the reality of patients" death in a short time, improve the satisfaction of family members and the grief experience of family members because of the patients‘ sudden death,minimize the medical disputes. Phased psychological intervention is worthy of clinical promotion . |
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