同理心在冠心病重症监护室患者家属沟通中的应用

目的总结同理心在冠心病重症监护室（CCU）患者家属沟通中的应用及效果。方法选择2010年4月-5月入住CCU的患者100例,按入院先后顺序前50例设定为对照组,后50例设定为观察组;对照组采用传统常规方法与患者家属进行沟通,观察组应用同理心理念与患者家属沟通。观察两组患者家属在非探视时间到访次数、纠纷次数和CCU护理工作满意度情况。结果观察组患者家属较对照组在非探视时间到访次数、纠纷发生次数少,而满意度较对照组高,两组比较差异有统计学意义（P〈0.05）。结论应用同理心与CCU患者家属进行沟通,可增加医患间的理解和信任,减少非探视时间内家属到访次数,有利于维护医院正常的工作秩序,同时减少纠纷的发生,提高了护理服务满意度。

Application of Empathy Concept in Communication with Family Members of Patients in Coronary Care Unit

Objective To investigate the application and effectiveness of empathy in communication with family members of patients in coronary care unit （CCU）. Methods One hundred patients were admitted to the CCU of our hospital from April to May 2010. The first 50 patients admitted were set as the control group, and the following 50 were set as the observation group. The control group was administrated with conventional methods in communication with the family members, while the observation group was administrated with empathy concept in communication with family members of the patients. The frequency of non-visiting hour attendance, the number of medical disputes and the satisfaction of nursing practice were observed in these two groups. Results Compared with the control group, the frequency of non-visiting hour attendance and medical disputes occurrences in the observation group were less, and the satisfaction of nursing practice in the observation group was higher. The differences between groups were statistically significant （P 〈 0.05）. Conclusions To communicate with empathy concept with family members of patients in CCU can increase the understanding and confidence between physicians and patients, and reduce the frequency of non-visiting hour attendance. It is conducive to maintain the normal working order of coronary care unit. It can also reduce the occurrence of medical disputes, and improve the satisfaction of nursing practice.