摘要
目的寻找重症监护病房合理的探视制度,实现医、护、患及其家属四者利益共享。方法选取2006年1-12月206例颅脑手术后清醒患者及其家属,采用随机数字表法随机分为对照组和改进组各103例,两组家属分别随患者同时分入对照组和改进组中,其中对照组有115名家属,改进组有108名家属。对照组实行重症监护室谢绝探视制度;改进组实行探视制度,即每日1次固定时间由医护人员帮助打开外走廊的门,允许家属通过监护室与外走廊之间开放的窗户进行探视、交谈(遇有急救患者时除外)。对两组患者满意度、家属满意度、医生和护士每天向家属解答问题的次数、患者医院感染率、重症监护病房居住时间、患者住院时间进行统计学分析。结果两组患者医院感染率、重症监护病房居住时间、患者住院时间分别进行对比,差异均无统计学意义(P>0.05);患者满意度、家属满意度,医生和护士每天向家属解答问题的次数比较,差异有统计学意义(P<0.01)。结论重症监护病房实行探视制度可以实现医、护、患及其家属四者利益共享。
Objectives To explore a reasonable visiting system in ICU and benefit doctors, nurses, patients and their families. Methods 206 patients with craniocerebral operations and their families were randomly divided into control group and improved group from January to December, 2006. The control group had 103 patients and 115 families while the improved group 103 patients and 108 families. The system of no visiting in ICU was applied in control group and reformed visiting was applied in improved group which allowed the families to visit in out porch once a day. The satisfactory rate of patients, the satisfactory rate of families, times of explanation of doctor and nurse, nosocmial infection rate, time in ICU and length of stay were collected and analyzed statistically. Results There was no significant difference in nosocomial infection rate, time in ICU and length of stay between the groups （P〉0.05）. But there was significant difference in satisfactory rate of patients, satisfactory rate of families and times of explanation of doctor and nurse（P〈0.01）. Conclusion The reformed visiting system can benefit doctors, nurses, patients and their families.
出处
《护理学报》
2007年第5期43-44,共2页
Journal of Nursing（China）
