“共情”护理关怀在门诊肿瘤患者诊疗中的应用
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摘要
目的探讨开展"共情"护理对门诊肿瘤患者心理及依从性等方面的影响。方法采用便利抽样法选取2016年6月至2018年5月重庆市某市属肿瘤医院门诊肿瘤患者107例,随机分为共情护理关怀组和常规护理组,两组患者分别从服务依从性、心理状态、服务满意度三个维度进行评价,其中,依从性分为优秀依从(90～100分)、基本依从(60～90分)和不依从(0～60分),依从率=优秀依从率+基本依从率;心理状态评价采用症状自评量表(symptom check-list 90,SCL-90),从焦虑、抑郁、敌对、偏执等方面进行评价;满意度方面,分别设计了就诊环境、服务态度、护患沟通等调查内容,按非常满意(95～100分)、基本满意(70～95分)和不满意(0～70分)三种结论进行统计,满意率=非常满意率+基本满意率。结果共情护理关怀组的依从率、SCL-90评分、患者就医的满意度均显著高于常规护理组,各指标对比两组有显著差异(P<0.05)。结论在肿瘤患者门诊就诊过程中,引入共情护理关怀,可提高患者门诊服务依从性、调节心理状态、提高服务满意度,有推广价值。
Objective To explore the effect of empathy nursing on psychological and compliance of outpatients with cancer. Methods A total of 107 cancer patients in an outpatient department of Chongqing Cancer Hospital from June 2016 to May 2018 were divided into study group (empathy nursing model) and control group (routine nursing model) selected by convenience sampling method. Compliance,psychological status and satisfaction with medical treatment were evaluated in the two groups. Compliance was divided into excellent compliance (90-100 points). Basic compliance (60-90 points) and non-compliance (0-60 points),compliance rate = excellent compliance rate+basic compliance rate; Symptom Check-list 90 (SCL-90) was used to evaluate the psychological state of patients, including anxiety, depression, hostility, paranoia, etc.Satisfaction degree, the investigation contents of visiting environment, service attitude, nurse-patient communication were designed respectively,according to very full. The three conclusions of meaning (95-100 points),basic satisfaction (70-95 points) and dissatisfaction (0-70 points) were counted. Satisfaction rate =very satisfaction rate+basic satisfaction rate. Results Compliance rate,SCL-90 score and patients' satisfaction with medical treatment in the study group were significantly higher than those in the control group,and there were significant differences between the two groups in each index (P< 0.05). Conclusion In the process of outpatient treatment of cancer patients,the introduction of empathy nursing model is of great significance for improving patients' compliance with diagnosis and treatment,regulating their psychological state and improving their satisfaction with medical treatment,which is worthy of promotion.
Objective To explore the effect of empathy nursing on psychological and compliance of outpatients with cancer. Methods A total of 107 cancer patients in an outpatient department of Chongqing Cancer Hospital from June 2016 to May 2018 were divided into study group (empathy nursing model) and control group (routine nursing model) selected by convenience sampling method. Compliance,psychological status and satisfaction with medical treatment were evaluated in the two groups. Compliance was divided into excellent compliance (90-100 points). Basic compliance (60-90 points) and non-compliance (0-60 points),compliance rate = excellent compliance rate+basic compliance rate; Symptom Check-list 90 (SCL-90) was used to evaluate the psychological state of patients, including anxiety, depression, hostility, paranoia, etc.Satisfaction degree, the investigation contents of visiting environment, service attitude, nurse-patient communication were designed respectively,according to very full. The three conclusions of meaning (95-100 points),basic satisfaction (70-95 points) and dissatisfaction (0-70 points) were counted. Satisfaction rate =very satisfaction rate+basic satisfaction rate. Results Compliance rate,SCL-90 score and patients' satisfaction with medical treatment in the study group were significantly higher than those in the control group,and there were significant differences between the two groups in each index (P< 0.05). Conclusion In the process of outpatient treatment of cancer patients,the introduction of empathy nursing model is of great significance for improving patients' compliance with diagnosis and treatment,regulating their psychological state and improving their satisfaction with medical treatment,which is worthy of promotion.
引文
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5朱宇,栾贝贝,王维利,等.共情动机在护理领域的研究现状[J].解放军护理杂志,2016,33(21):53-55.
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8 Cunico L,Sartori R,Marognolli O,et al.Developing empathy in nursing students:A cohort longitudinal study[J].J Clin Nurs,2012,21(13):2016-2025.
9陶玲.共情护理服务在护患沟通中的应用效果研究[J].护理实践与研究,2012,9(17):40-41.
10张飞艳,宋丽华.乳腺癌患者的心理状况及其心理干预[J].中华肿瘤防治杂志,2017,24(3):212-216.
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12 Gholamzadeh S,Khastavaneh M,Khademian Z,et al.The effects of empathy skills training on nursing students'empathy and attitudes toward elderly people[J].BMC Med Educ,2018,18(1):198.
13王静冉,杨杰敏.共情护理对乳腺癌患者根治手术后希望水平和主观幸福感的影响[J].中国肿瘤临床与康复,2016,23(10):1272-1274.
14杨柠溪,曹英南,王艳丽,等.肿瘤科护士共情对乳腺癌患者心理痛苦和益处发现的影响[J].中华行为医学与脑科学杂志,2018,27(5):444-449.
15郭宏,刘军.共情护理对结直肠癌围化疗期患者生存质量及焦虑情绪的影响[J].实用临床医药杂志,2017,21(12):163-164.
16汪红英,刘茜茜,张国娟,等.肿瘤科护士对患者提供共情护理体验的质性研究[J].中华现代护理杂志,2017,23(20):2653-265.
17李冬眉,王红霞,刘思衡,等.医护联合实施共情式心理护理查房在动脉瘤手术患者中的应用[J].中国现代医生,2018,56(8):153-156.
2 Faller H,Weis J,Koch U,et al.Utilization of professional psychological care in a large German sample of cancer patients[J].Psychooncology,2017,26(4):537-543.
3叶增杰,阮小丽,骆东妹,等.成人肿瘤患者心理韧性及其影响因素的研究进展[J].广东医学,2016,37(12):1889-1891.
4 Gallagher MR,Flint JA.Learning argentine tango to develop nursing student empathy for patients[J].J Nurs Educ,2016,55(5):304.
5朱宇,栾贝贝,王维利,等.共情动机在护理领域的研究现状[J].解放军护理杂志,2016,33(21):53-55.
6陈萍.临床肿瘤诊疗指南[M].世界图书出版广东有限公司,2013:68.
7方必基,谢云天,刘彩霞.近十一年医生症状自评量表(SCL-90)调查结果的Meta分析及常模确定[J].现代预防医学,2017,44(9):1642-1646.
8 Cunico L,Sartori R,Marognolli O,et al.Developing empathy in nursing students:A cohort longitudinal study[J].J Clin Nurs,2012,21(13):2016-2025.
9陶玲.共情护理服务在护患沟通中的应用效果研究[J].护理实践与研究,2012,9(17):40-41.
10张飞艳,宋丽华.乳腺癌患者的心理状况及其心理干预[J].中华肿瘤防治杂志,2017,24(3):212-216.
11胡月珍,蒲博,梁玲,等.心理干预与治疗改善晚期恶性肿瘤患者情绪的效果观察[J].国际精神病学杂志,2016,43(1):162-165.
12 Gholamzadeh S,Khastavaneh M,Khademian Z,et al.The effects of empathy skills training on nursing students'empathy and attitudes toward elderly people[J].BMC Med Educ,2018,18(1):198.
13王静冉,杨杰敏.共情护理对乳腺癌患者根治手术后希望水平和主观幸福感的影响[J].中国肿瘤临床与康复,2016,23(10):1272-1274.
14杨柠溪,曹英南,王艳丽,等.肿瘤科护士共情对乳腺癌患者心理痛苦和益处发现的影响[J].中华行为医学与脑科学杂志,2018,27(5):444-449.
15郭宏,刘军.共情护理对结直肠癌围化疗期患者生存质量及焦虑情绪的影响[J].实用临床医药杂志,2017,21(12):163-164.
16汪红英,刘茜茜,张国娟,等.肿瘤科护士对患者提供共情护理体验的质性研究[J].中华现代护理杂志,2017,23(20):2653-265.
17李冬眉,王红霞,刘思衡,等.医护联合实施共情式心理护理查房在动脉瘤手术患者中的应用[J].中国现代医生,2018,56(8):153-156.