天津护理

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肝移植术后患者亲属心理需求的调查分析

  

  1. 天津市第一中心医院,天津   300192
  • 收稿日期:2016-11-04 修回日期:2017-04-26 出版日期:2017-10-28 发布日期:2017-11-03
  • 作者简介:邸梦雪(1992-),女,护师,本科
  • 基金资助:
    国家卫生和计划生育委员会重点专科建设项目(2013-544);天津市卫生行业重点攻关项目(12KG102)

 
Research on psychological needs of the relatives of patients after liver transplantation

  1. Tianjin First Center Hospital, Tianjin 300192
  • Received:2016-11-04 Revised:2017-04-26 Online:2017-10-28 Published:2017-11-03

摘要:  

目的:为保证肝移植术后患者得到优质的家庭支持;了解患者亲属的心理需求,为其提供心理调适及对策。方法:便利抽样法抽取2016年2月至2016年6月在天津市第一中心医院器官移植重症病房(transplantation intensive care unit,ICU)治疗的50例行肝移植手术的患者亲属为对象,采用中文版“危重患者家属需求量表”(critical care family needs inventory, CCFNI)对其进行问卷调查。结果:患者亲属对于五项领域需求排序依次为“病情保证领域”、“获得支持领域”、“获取信息领域”、“接近患者领域”、“自身的舒适度”,平均分排序分别为(3.65±0.27)分、(3.28±0.25) 分、(3.17±0.43) 分、(2.78±0.65) 分、(2.53±0.42)分。患者亲属认为最重要的项目排在前两位的是:“保证患者得到最佳的救治”和“医护人员能如实回答我的问题”,皆属于“病情保证领域”,平均分分别为(3.93±0.37)分、(3.73±0.41)分,差异具有统计学意义(P<0.05)。 结论:医护人员应重视和协调肝移植术后患者亲属的心理需求,减少其身心结构所受损伤,以帮助患者家庭应对移植手术的危机状态,保证顺利移植。

关键词:  , 肝移植, 患者亲属, 心理需求

Abstract:  

Objective: To understand the psychological needs of relatives of liver transplantation patients in order to ensure the high-quality family support for critically ill patients. Methods: By convenience sampling, 50 adult relatives of critically ill patients in organ transplantation intensive care units were enrolled to complete the Chinese version of Critical Care Family Needs Inventory (CCFNI). Results: For both the importance level of the needs of the family members,the score of condition assurance (3.65±0.27) was the highest,The second of the four fields:respectively support area (3.28±0.25) and sufficiency in information (3.17±0.43),access to the patients(2.78±0.65) and comfort (2.53±0.42).Relatives said that some of the most important projects:to ensure that patients receive the best treatment(3.93±0.37)and staff can answer their question(3.73±0.41)(P<0.05).Conclusion: Nursing staff should assess the objective demand of relatives of patients and ensure their mental and physical structure away from damage, create a harmonious doctor-patient relationship and successful transplantation.

Key words:  , Liver transplantation;Patient&rsquo, s relatives;Psychological demand