急诊医护人员实施牵手服务的效果研究

2012-10-16陈金芳孙旭晴郑小英

浙江医学教育 2012年6期

关键词：满意度服务

陈金芳，孙旭晴，郑小英

(绍兴县中心医院，浙江绍兴 312030)

·临床护理与管理·

急诊医护人员实施牵手服务的效果研究

陈金芳，孙旭晴，郑小英

(绍兴县中心医院，浙江绍兴 312030)

目的：探讨急诊科医护人员实施牵手和正性语言对患者的影响。方法84例急诊无家属外伤清醒患者，试验组接受医护人员牵手服务和正性语言安慰，对照组接受医务人员常规沟通。结果试验组进急诊半小时内的恐惧程度低于对照组；试验组进急诊室处理后12小时、24小时疼痛强度低于对照组；试验组患者对急诊服务的满意度高于对照组。结论急诊医护人员牵手服务能有效缓解外伤患者进院时恐惧和外伤疼痛，提高患者满意度。

牵手；恐惧；疼痛；患者满意度

Abstract：[Objective]To research the effect of hand in hand service and positive language offered by emergency department medical staff. [Method] 84 clear-headed emergency patients who suffered from trauma and no family members around were divided into two groups, trial group and control group. Patients in trial group were offered the hand in hand service and positive language. Patients in control group were offered pacified language. [Result] After half an hour since being in emergency department, the patients in trial group feel obviously less fear, who also feel less pain intensity 12 hours later and 24 hours after be treated, who also expressed more satisfaction with hand in hand service. [Conclusion] Hand in hand service and positive language offered by emergency department medical staff plays a positive role in releasing patients’ fear and pain as well as improve their satisfaction.

Keywords： give hands; fear; pain; satisfaction from patients

急诊患者由于突然遭受意外伤害或病情急剧恶化等原因就诊，缺乏足够的思想准备，对病情的发展和生命的安危产生不确定感，存在较强的心理应激反应。其中表现为精神紧张、恐惧不安和焦虑的急诊患者约占70%～80%[1]，无家属陪伴的急诊患者恐惧和焦虑程度更高。本研究旨在调查患者进入急诊后，医护人员给予牵手服务，服务内容包括拉住患者的手予以局部按摩，并用正性语言安慰对缓解患者创伤心理应激反应的影响，以便更能针对性地指导急诊科的护理工作。