急诊护士与自杀未遂患者沟通能力的培训和效果

目的 制订急诊护理人员与自杀未遂患者的沟通培训方案,并探讨其应用效果。方法 在美国自杀预防资源中心指南和动机性访谈技术的指导下,构建了急诊护理人员与自杀未遂患者的沟通培训方案,对40名急诊护理人员进行三次沟通培训。采用护患语言与社会交往问卷和护士沟通培训反馈调查问卷评价培训效果。结果 培训后急诊护理人员的沟通频率和重要性得分上升,难度得分下降,差异具有统计学意义（t₁=9.591,t₂=5.124,t₃=-4.494,P<0.05）,患者和医生对护理工作的认可度较培训前提高。结论 沟通培训能提高急诊护理人员与自杀未遂患者的沟通能力,改善患者和医生对护理工作的认可度,降低患者的自杀意念,增加患者对生活的希望。

Study on capacity training and its effects of emergency nurses for communication with patients with attempted suicide

Objective To develop the communication training scheme for emergency nurses to respond to patients with attempted suicide,and to explore the effects of application. Method Under the guidance of American Suicide Prevention Resource Center’s guideline and incentive interview techniques,40 emergency nurses were selected to receive three sessions of communication training. The effectiveness of the training was evaluated by the verbal and social interaction questionnaire and nurses communication training feedback questionnaire. Results After training,communication frequency and importance scores of emergency nurses increased;difficulty scores decreased.The differences were statistically significant（t₁=9.591,t₂=5.124,t₃=-4.494,P<0.05）. The approval degree to nursing from patients and doctors approval was higher than before. Conclusion Communication training can enhance communication ability of emergency nurses to respond to patients with suicide attempt,improve recognition of patients and doctors towards nursing,reduce suicidal ideation of patients and promote the hope of life.