摘要
目的观察集束化管理对急诊危急重症患者分诊后等候时间及情绪状态的影响。方法选择2022年1月至12月在温州医科大学附属第一医院急诊科就诊的急危重症患者300例作为研究对象。将患者随机分为研究组和对照组,每组150例。对照组给予急诊常规护理方案;研究组在常规护理方案的基础上采用急诊集束化管理护理流程。采用情绪量表评估两组患者干预前后的情绪状态;记录两组患者的候诊时间和确诊时间;采用本院自制的调查问卷评估患者家属的护理满意度。结果干预后,两组患者的负性情绪评分均较干预前明显降低,且研究组干预后心理状态评分明显低于对照组〔焦虑自评量表(SAS)评分(分):34.02±6.90比37.81±7.05,抑郁自评量表(SDS)评分(分):31.36±7.72比35.03±7.06,均P<0.05〕;研究组平均候诊时间、确诊时间均较对照组明显缩短(h:0.34±0.23比0.50±0.25和1.88±0.35比2.59±0.33,均P<0.05),护理满意度较对照组明显升高〔96.67%(145/150)比86.00%(129/150),P<0.05〕。结论集束化管理护理流程能明显缩短急诊危急重症患者的候诊时间和确诊时间,有效改善患者的情绪状态,提高护理满意度,有较高的临床应用价值。
Objective To observe the impact of cluster management on the waiting time and emotional state of emergency critically ill patients after triage.Methods A total of 300 critically ill patients who visited the department of emergency of the First Affiliated Hospital of Wenzhou Medical University from January to December 2022 were selected as the study subjects.The patients were randomly divided into a study group and a control group,with 150 cases in each group.The control group was given routine emergency care plans,and the study group adopted emergency cluster management nursing process based on conventional nursing plans.The emotional scale was used to evaluate the emotional state of two groups of patients before and after intervention;The waiting time and diagnosis time of two groups of patients were recorded;The self-made patient family satisfaction survey questionnaire from our hospital was used to evaluate the nursing satisfaction of patient family members.Results After the intervention,the negative emotional scores of both groups of patients were significantly reduced compared to before intervention,and the psychological state scores of the study group were significantly lower than those of the control group after intervention[self-rating anxiety scale(SAS)score:34.02±6.90 vs.37.81±7.05,self-rating depression scale(SDS)score:31.36±7.72 vs.35.03±7.06,both P<0.05].The average waiting time and diagnosis time of the study group were significantly shorter than those of the control group(hours:0.34±0.23 vs.0.50±0.25 and 1.88±0.35 vs.2.59±0.33,both P<0.05),nursing satisfaction significantly increased compared to the control group[96.67%(145/150)vs.86.00%(129/150),P<0.05].Conclusion The bundled management nursing process can significantly shorten the waiting time and diagnosis time of emergency critically ill patients,effectively improve their emotional state,improve nursing satisfaction,and have good clinical application value.
作者
戴政杰
雷步怀
胡颖颖
何春雷
林碎钗
Dai Zhengjie;Lei Buhuai;Hu Yingying;He Chunlei;Lin Suichai(Department of Emergency,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,Zhejiang,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2023年第3期364-367,共4页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
浙江省温州市科研项目(Y20210589)。
关键词
急诊
集束化管理
危急重症
情绪状态
Emergency
Cluster management
Critical and severe
Emotional state
