基于ICU住院好转转出患者及家属意见进行持续护理质量改进对护理质量和患者舒适度的影响

目的探讨基于ICU住院好转转出患者及家属意见进行持续护理质量改进对护理质量和患者舒适度的影响。方法我科于2016年6月对ICU住院好转转出患者进行出科后回访,根据患者和家属意见进行持续护理质量改进,分别于干预前3个月、干预后3个月内各选取50例好转转出患者作为常规组和改进组,比较两组的护理质量、患者舒适度及护理满意度。结果改进组患者的护理质量优良率显著高于常规组(94.00%vs.76.00%,P<0.05)。改进组患者的舒适度显著高于常规组(64.00%vs.30.00%,P<0.05)。改进组患者的护理满意度显著高于常规组(92.00%vs.70.00%,P<0.05)。结论基于ICU住院好转转出患者及家属意见进行持续护理质量改进可提高ICU护理质量,提高患者的舒适度及护理满意度。     

心理护理对提高ICU护理质量的影响

目的:探究心理护理对提高ICU护理质量的影响.方法:本文通过对2014年2月~2015年2月我院接收的ICU重症患者110例作为临床研究对象,并随机将其分为对照组和观察组各55例,对照组采取常规ICU重症护理,而观察组则在对照组基础上应用心理护理.然后比较两组患者的护理满意度及汉密尔顿焦虑量表评分状况.结果:观察组护理满意度为93.36%,对照组为74.54%,数据对比存在差异(P<0.05);此外,观察组患者焦虑改善情况明显优于对照组,差异具有统计学意义(P<0.05).结论:将心理护理应用在ICU护理中能明显改善患者的焦虑状态,且提升护理满意度,值得临床推广.     

心理护理对ICU重症护理质量的影响

目的:分析心理护理对ICU重症护理质量的影响.方法:选取我院收治的63例ICU重症患者作为此次研究的分析对象,并按抽签分配法将其分为研究组与对照组.其中,对照组的总例数为31例,给予该组患者常规专科护理与重症护理;研究组的总例数为32例,给予该组患者心理护理进行干预,观察并比较两组的护理质量.结果:对照组的焦虑与抑郁评分高于研究组(P<0.05).结论:对ICU重症患者进行心理护理,能有效提高患者的护理质量,建议推广.     

心理护理对ICU重症患者护理质量的影响

目的探讨心理护理对ICU重症患者护理质量的影响,以总结有价值的护理经验指导临床实践。方法选取2013年11月~2014年2月本院ICU收治的重症患者300例作为观察对象,随机分为对照组和观察组,每组150例;对照组患者予以常规基础护理,观察组在此护理基础上加施人性化心理护理;4周后,统计两组患者的相关资料,采用汉密尔顿焦虑量表（HAMD）对患者进行评分,并比较两组的护理满意度。结果两组护理后的HAMD评分均明显降低,且差异具有统计学意义（P〈0．05）,观察组前后差异更为显著（P〈0．01）。结论人性化心理护理方式可改善ICU重症护理质量,有助于促进患者的康复,对提高护理满意度具有重要意义。     

护理干预对ICU患者术后睡眠质量的影响

目的探讨护理干预对ICU患者术后睡眠质量的的影响。方法将100例ICU患者随机分为干预组和对照组（各50例）,对照组进行常规护理;干预组在对照组基础上进行护理干预,包括健康教育、疼痛护理、改善环境和心理护理等,并在干预前后采用匹兹堡睡眠质量指数（PSQI）量表进行睡眠质量评价和比较。结果干预后干预组的PSQI的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍和总分低于对照组,两组比较差异有统计学意义（P〈0.05）。结论针对影响ICU患者的睡眠因素,对患者实施健康教育,以改善其睡眠,提高睡眠质量,有助于促进患者早日康复。     

心理护理对ICU重症护理质量的影响

目的:对ICU重症患者加强心理护理的效果进行分析探讨.方法:选取我院2016年3月至2017年3月收治的80例ICU重症患者中作为研究对象,并按照数字表法分为对照组和观察组,各组40例.对照组使用常规护理方法,而观察组在使用常规护理之外,加强心理护理,对比两组患者的护理效果.结果:观察组的焦虑程度和满意度均优于对照组,两组差异具有统计学意义(P<0.05).结论:对于ICU重症患者,加强心理护理措施,有助于改善患者的焦虑情绪,提高患者对护理的满意度.     

心理护理对ICU重症护理质量的影响研究

目的:研究心理护理对ICU重症护理质量的影响.方法:选择2015年12月～2016年12月我院收治的ICU重症患者132例展开本次研究,按照不同的护理方法随机分为常规护理组与心理护理组,使用汉密尔顿焦虑量表评价两组患者的焦虑情况,并对比两组患者护理满意度.结果:护理后,两组患者焦虑评分皆有所改善,且心理护理组焦虑评分明显要比常规护理组低(P＜0.05),另外心理护理组护理满意度要显著高于常规护理组(P＜0.05),差异检验都存在明显的统计学意义.结论:心理护理对ICU重症护理质量有着非常好的影响,可明显改善患者的焦虑心理,提高护理满意度、和谐护患关系,有助于帮助其提高治疗、护理的依从性.     

质量控制护理干预在ICU中实施对持续质量改进的影响

目的探讨质量控制护理干预在ICU中实施对持续质量改进的影响。方法选取2017年1月至2017年12月我院ICU收治的110例患者,随机分为观察组和对照组各55例。对照组予以常规护理,观察组在对照组基础上予以质量控制护理干预。比较两组的护理质量考核评分及护理满意度。结果观察组的基础护理、监护记录、护理管理、护理安全等护理质量考核评分均高于对照组(P <0.05)。观察组对就医环境、就诊流程、服务态度及专业技能的满意度分别为92.7%、 94.5%、 94.5%、96.4%,均高于对照组的76.4%、 78.2%、 80.0%、 83.6%(P <0.05)。结论质量控制护理干预可全面提高ICU的护理质量水平,患者对就医环境、就诊流程、服务态度、专业技能等护理工作的满意度较高,值得临床推广应用。     

建立ICU护患沟通制度预防护理纠纷

1ICU护患沟通制度1.1护患沟通的时间1.1.1危重患者转入后的沟通危重患者转入ICU后精神高度紧张,首次沟通主要是为了稳定病人紧张焦虑的情绪,告诉病人入ICU是为了更安全更有效、更及时地治疗。操作时先告知病人,以亲切轻柔的话语缓解病人的紧张、恐惧心理。待病人平稳、抢救结束后,再与病人家属进行沟通。     

沟通技巧对精神科护理质量的影响研究

目的:分析在精神科护理中人性化护理沟通技巧应用效果.方法:随机选择2019年1月到2020年1月98例住院患者为分析对象,将其分为两组,对照组采用常规护理,试验组采用沟通技巧.对两组患者的护理满意度进行对比.结果:试验组在护理效果明显高于对照组.结论:沟通技巧可以帮助提高护理效果.     

The need for still-image transfer during home nursing visits

We investigated home-care needs in Ikaalinen, a small Finnish town. Two nurses completed questionnaires during all their home visits. During the 17 weeks of the study, the two nurses made 313 home visits, most to people aged 70-90 years. According to the questionnaire results, a visit by a general practitioner (GP) to the patient's house could not have been replaced by still-image transmission from a digital camera in any of the cases. Thus there was no need for image transfer by e-mail between nurse and GP. The nurses did take pictures and showed them to the GP during their weekly meetings, but they nonetheless felt that they did not need to transfer them from the patient's home. When the reasons for the visits were classified as service delivery (no nursing required), check-up visit or drug service (no nursing required), blood test or other treatment test (nurse required) or nursing work, it became apparent that 38% of the visits would not have required someone with nursing skills. If these visits had been made by the home-help service instead, the annual saving for the Ikaalinen district would have been nearly FM240,000.     

Patient race/ethnicity and quality of patient-physician communication during medical visits

OBJECTIVES: We examined the association between patient race/ethnicity and patient-physician communication during medical visits. METHODS: We used audiotape and questionnaire data collected in 1998 and 2002 to determine whether the quality of medical-visit communication differs among African American versus White patients. We analyzed data from 458 African American and White patients who visited 61 physicians in the Baltimore, Md-Washington, DC-Northern Virginia metropolitan area. Outcome measures that assessed the communication process, patient-centeredness, and emotional tone (affect) of the medical visit were derived from audiotapes coded by independent raters. RESULTS: Physicians were 23% more verbally dominant and engaged in 33% less patient-centered communication with African American patients than with White patients. Furthermore, both African American patients and their physicians exhibited lower levels of positive affect than White patients and their physicians did. CONCLUSIONS: Patient-physician communication during medical visits differs among African American versus White patients. Interventions that increase physicians' patient-centeredness and awareness of affective cues with African Americans patients and that activate African American patients to participate in their health care are important strategies for addressing racial/ethnic disparities in health care.     

家属探视对重症监测治疗病房环境质量的影响

重症监测病房(ICU)的住院患者病情危重,免疫力低下,易遭受获得性感染.因此,ICU对环境质量要求较高,而患者家属探视对ICU环境质量影响较大.为了解家属探视行为对ICU环境质量的影响,我们进行调查,结果报告如下.     

应用品管圈活动提升医院ICU护工洗手依从性

目的探讨品管圈活动(QCC)在提升ICU护工洗手依从性中的作用。方法成立品管圈、选定活动主题,拟定活动计划,现状把握,影响因素解析,圈员共同拟定对策并按计划实施,比较活动前后ICU护工对手卫生的认知率、洗手依从性和准确性,从而确认活动效果。结果实行QCC后,ICU护工对手卫生知识的掌握、洗手依从性以及正确性有明显提高,其中接触患者前洗手依从性提高幅度达到251.8%,现场洗手考核评分>50分的由活动前的15%提高到75%。结论 QCC不仅提升了ICU护工洗手的依从性和正确性,并且培养了科室成员解决问题的能力,增强了科室的凝聚力。     

Nurse-physician communication and quality of drug use in Swedish nursing homes

The objective was to explore the impact of the quality of nurse-physician communication on the quality of psychotropic drug use in Swedish nursing homes, while controlling for resident mix and other nursing home characteristics. Data were collected from a sample of 36 Swedish nursing homes providing care for 1645 residents. Drug use data, along with residents' demographic characteristics, were obtained from residents' medication administration lists. Ward nurses reported other residents' characteristics (e.g. diagnosis and frequency of behavioral problems), and facility characteristics were obtained from head nurses. The quality of drug use was assessed and cross-sectional relationships among study variables were compared. Outcome measures included two drug use quality scores reflecting selection of drug and polymedicine. To assess behavioral problems, a list of the most commonly observed problems was created through a number of steps, including focus groups in the target population. Furthermore, a valid and reliable scale for assessing communication quality was developed. This measure was included in a survey administrated to nurses in the 36 facilities. There was a remarkable variation in the quality of drug use according to the two drug measures. As predicted, the quality of drug use was positively associated with the quality of nurse-physician communication and with regular multidisciplinary team discussions addressing drug therapy and negatively associated with prevalence of behavioral disturbances among residents. Facility size, level of staffing, resident's diagnostic mix, and demographic mix were unrelated to the two drug quality measures. Future efforts to improve the quality of drug use in long term facilities should consider ways of improving communication skills and communication routines among health care professionals.