"共情"护理关怀在门诊肿瘤患者诊疗中的应用

目的探讨开展"共情"护理对门诊肿瘤患者心理及依从性等方面的影响。 方法采用便利抽样法选取2016年6月至2018年5月重庆市某市属肿瘤医院门诊肿瘤患者107例,随机分为共情护理关怀组和常规护理组,两组患者分别从服务依从性、心理状态、服务满意度三个维度进行评价,其中,依从性分为优秀依从(90～100分)、基本依从(60～90分)和不依从(0～60分),依从率＝优秀依从率＋基本依从率;心理状态评价采用症状自评量表(symptom check-list 90, SCL-90),从焦虑、抑郁、敌对、偏执等方面进行评价;满意度方面,分别设计了就诊环境、服务态度、护患沟通等调查内容,按非常满意(95～100分)、基本满意(70～95分)和不满意(0～70分)三种结论进行统计,满意率＝非常满意率＋基本满意率。 结果共情护理关怀组的依从率、SCL-90评分、患者就医的满意度均显著高于常规护理组,各指标对比两组有显著差异(P<0.05)。 结论在肿瘤患者门诊就诊过程中,引入共情护理关怀,可提高患者门诊服务依从性、调节心理状态、提高服务满意度,有推广价值。

Application of empathy nursing care in the diagnosis and treatment of outpatient cancer patients

ObjectiveTo explore the effect of empathy nursing on psychological and compliance of outpatients with cancer. MethodsA total of 107 cancer patients in an outpatient department of Chongqing Cancer Hospital from June 2016 to May 2018 were divided into study group (empathy nursing model) and control group (routine nursing model) selected by convenience sampling method. Compliance, psychological status and satisfaction with medical treatment were evaluated in the two groups. Compliance was divided into excellent compliance (90-100 points). Basic compliance (60-90 points) and non-compliance (0-60 points), compliance rate=excellent compliance rate+ basic compliance rate; Symptom Check-list 90 (SCL-90) was used to evaluate the psychological state of patients, including anxiety, depression, hostility, paranoia, etc. Satisfaction degree, the investigation contents of visiting environment, service attitude, nurse-patient communication were designed respectively, according to very full. The three conclusions of meaning (95-100 points), basic satisfaction (70-95 points) and dissatisfaction (0-70 points) were counted. Satisfaction rate=very satisfaction rate+ basic satisfaction rate. ResultsCompliance rate, SCL-90 score and patients′satisfaction with medical treatment in the study group were significantly higher than those in the control group, and there were significant differences between the two groups in each index (P<0.05). ConclusionIn the process of outpatient treatment of cancer patients, the introduction of empathy nursing model is of great significance for improving patients' compliance with diagnosis and treatment, regulating their psychological state and improving their satisfaction with medical treatment, which is worthy of promotion.