人性化护理对于脑卒中康复相关因子影响的调查研究

论文编号:HL109  论文字数:10508.页数:18

论文题目：人性化护理对于脑卒中康复相关因子影响的调查研究

 摘 要

 目的  探讨人性化护理，其本质就是“以病人为中心”，与现代医学模式的视病人为一个生物、心理、社会的完整的人相符合护理理念，稳定和调动患者积极有益的情绪，帮助患者从失落、痛苦、不安、孤独等消极情绪中解脱出来，缩短住院时间，提高患者的满意度。方法  将我科2008年10月至2009年4月住院患者，符合1995年第四届脑血管病学术会议通过的脑血管病诊断标准，并经头颅CT或MRI确诊。随机分为对照组和观察组各40例。分别给予常规护理方法及外加人性化护理方法，对两组护理前后有效率进行比较，并比较分析两组的住院时间及患者满意度,根据评分标准分型情况判断疗效，如分型减轻则为有效，分型不变甚或加重则为无效。结果  人性化护理，它让我们转变了“以我为中心”的惯性思维模式，将“以病人为中心”作为了我们整个护理工作的中心。它让我们改变了以往的护理工作程序，在细微之处来处处体现人性化护理对生命健康的关爱，体现人性化护理在我们临床护理工作中的真实意义。通过人性化护理使治疗的有效率达到85%，较对照组65%显著提高 (P＜0.05)、住院时间也比对照组明显缩短（30.9±3.7 VS 35.4±4.3,P＜0.05）;患者非常满意和满意的均高于对照组（30% vs 5%,47.5% vs 35%,P均＜0.05）。结论 我们要把“以人为本”的服务理念和实践贯穿于整个临床护理工作中，用爱心和责任心去关爱每一位患者，使患者感到了人性关怀的温暖与人性的回复，获得了满足感和安全感，通过人性化的护理服务，不断推进和提高整体护理质量，提高了患者的生存质量，促进患者恢复健康；有利于护患关系的协调与沟通，减少医疗纠纷。它让我们改变了以往的护理工作程序，在细微之处来处处体现人性化护理对生命健康的关爱。
 
 【关键词】人性化护理；脑卒中; 调查研究
 
   论文类型：应用研究 

 Title: Human care and rehabilitation for stroke-related factors affect the investigation and research
                          ABSTRACT

    Human care and rehabilitation for stroke-related factors affect the investigation and research
Purpose: Expore the human care since that is the essence of “Patient-Centered”, with the morden medical model as the patient as a biological、psychological、social person with a complete ideal of the care。Stability and mobility in patients with positive and useful emotion, to help patients from the loss、pain、anxiety、loneliness and other negative emotions out to shorten the length of stay, improve the patient satisfaction。Methods：patients from October 2008 to April 2009，in line with the 1995 Fourth Symposium on Cerebrovascular disease through diagnostic criteria of Cerebrovascular disease，and by head CTor MRI confirmed。Divided into control group (n=40)and observation group(n=40)，randomly。40 cases were given in addition to conventional care and human care，care of the two groups before and after comparison of the efficiency and comparative analysis of two sets of in-patient time and patient satisfaction。According to criteria determine the effect of sub-type situations，such as sub-type to reduce the effective，or even add to the same type would be invalid。Results:Human care and let us change it a “self-centered” mode of thinking of inertia will be “patient-centered” as the care of our entire work.。It let us change the care of previous procedures, the subtleties of human nature to reflect on the life and health of nursing care in our work, the true significance。There are two sets of efficency、length of stay and patients satisfaction were significant differences exist。Conclusions：“People-Oriented”service philosophy and practice of clinical care throughout the work，the concept of love and sense of responsibility to love each and every patient，feeing the warmth of human caring and human response、satisfaction and a sense of security gained。through human care services，Promoting and improving the quality of care、life and the health of patients，continously。Nurse-Patient relationship conductive to communicateon and coordination，reducing medical disputes。Changing the care of working procedures of the part，the subtleties of human nature to reflect on the life and health of nursing care in our work。

 [Key words]:  humanistic nursing care； stroke；study
 
 Thesis Type:   Applied Research