摘要
为了探讨"共同决策模式"在ICU医患沟通中的应用价值,分析178例ICU危重症患者医患沟通相关的临床调查数据,其中89例(对照组)采用常规医患沟通,另外89例(干预组)采用"医患共同决策"。结果显示,干预组患者家属沟通满意度良好,ICU住院时间及住院费用、患者家属焦虑抑郁评分、ICU内临终率均显著低于对照组(P<0.05);患者生活质量评分显著高于对照组(P<0.05);两组间90天死亡率差异无统计学意义(P>0.05)。因此,ICU危重症患者采用"共同决策"可以使患者、医院、社会获益,具有良好的应用价值。
To explore the application value of shared decision-making(SDM)on doctor-patient communication in ICU.The clinical survey data related to doctor-patient communication of 178 patients with critical illness in ICU were analyzed,in which 89 patients(the control group)underwent the routine doctor-patient communication mode and 89 patients(the intervention group)underwent the SDM.The results showed that the family members of patients had good communication satisfaction in the intervention group with the length of ICU stay,the hospitalization medical care expenses,the anxiety and depression scale of family members of patients.The rate of death within the ICU in the intervention group were significantly lower than those in the control group(P<0.05).The quality of life scale of patients in the intervention group were significantly higher than those the control group(P<0.05).The difference of 90 dmortality was not statistically significant between the two groups(P>0.05).Therefore,the "SDM" applied in ICU patients was of benefit to patients,hospitals and society and had good application value.
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