CAJ | 학술논문

目的了解植入永久起搏器术后24 h内的患者家属的需求,为该特殊人群的护理提供科学依据,为改进医院护理管理和提高护理质量提供参考依据.方法选取149名植入永久起搏器术后24 h内的患者家属为调查对象,采用家属一般情况调查表和危重患者家属需求量表进行调查,包括病情保证、获取信息、接近患者、获得支持和自身舒适5个维度的需求.结果植入永久起搏器的患者家属最重要的需求是病情保证的需求(3.44±0.33)分,其次为接近患者的需求(3.08±0.34)分,获取信息的需求(3.00±0.37)分,自身舒适的需求(2.38±0.50)分和获得支持的需求(2.34±0.43)分.多元回归分析(stepwise法)结果显示家庭月收入是患者家属的总体需求、接近患者需求及获得支持需求的影响因素(P<0.01);此外,患者有无起搏器植入的经历为家属自身舒适需求的影响因素(P<0.05).结论心律失常中心护士应理解和重视植入永久起搏器术后24 h患者家属的不同需求,针对每位家属实行个体化护理,使其更好配合患者的治疗护理,促进患者康复.
목적료해식입영구기박기술후24 h내적환자가속적수구,위해특수인군적호리제공과학의거,위개진의원호리관리화제고호리질량제공삼고의거.방법선취149명식입영구기박기술후24 h내적환자가속위조사대상,채용가속일반정황조사표화위중환자가속수구량표진행조사,포괄병정보증、획취신식、접근환자、획득지지화자신서괄5개유도적수구.결과식입영구기박기적환자가속최중요적수구시병정보증적수구(3.44±0.33)분,기차위접근환자적수구(3.08±0.34)분,획취신식적수구(3.00±0.37)분,자신서괄적수구(2.38±0.50)분화획득지지적수구(2.34±0.43)분.다원회귀분석(stepwise법)결과현시가정월수입시환자가속적총체수구、접근환자수구급획득지지수구적영향인소(P<0.01);차외,환자유무기박기식입적경력위가속자신서괄수구적영향인소(P<0.05).결론심률실상중심호사응리해화중시식입영구기박기술후24 h환자가속적불동수구,침대매위가속실행개체화호리,사기경호배합환자적치료호리,촉진환자강복.
@@@@Objective To explore the needs of family-members of patients with implantation of permanent pacemaker within 24 h. Methods With Critical Cases Family-members Needs Inventory (CCFNI) and a general information questionnaire, 149 family-members of patients with implantation of permanent pacemaker were investigated. Results The most important needs was the assurance of patient’s condition (3.44±0.33), and then the needs of getting close to patients (3.08±0.34), treatment information (3.00± 0.37), self comfort (2.38±0.50) and support acquisition (2.34±0.43). Multiple regression analyses indicated that family income was the influencing factor of total needs, getting close to patients and support acquisition (P<0.01). And whether patients experienced implantation of pacemaker or not was the influencing factor of self comfort (P<0.05). Conclusion Nurses should make efforts to satisfy different family-members’ needs and improve quality of nursing.