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日间手术护患流程化沟通模式应用 被引量:11

Application Effects of CICARE in Nurse-Patient Communication during Day Surgery
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摘要 目的探讨流程化沟通方式(CICARE)在日间手术护患沟通中的应用效果。方法选取2019年1—5月在某院外科择期日间手术184例患者为观察组,2018年7—12月186例患者为对照组。对照组行常规护患沟通模式,观察组在常规沟通模式的基础上行CICARE沟通模式,比较两组患者SAS评分、住院总体满意度和日间手术知晓率。结果术前两组患者SAS得分无差别(P>0.05),但进入手术间后5 min,观察组SAS评分显著低于对照组,差异有统计学意义(P<0.001)。对照组术后患者总体满意度为90.86%,观察组为97.28%,差异有统计学意义。对照组日间手术知晓率方面偏低,观察组知晓率均有所提升。对照组各条目的知晓率分别为82.26%、86.56%、82.80%、77.42%、80.11%和83.33%,观察组分别达94.57%、96.74%、94.02%、91.30%、95.11%和92.39%,两组数据差异均有统计学意义(P<0.05)。结论运用CICARE沟通模式后,护患沟通更加规范化、流程化,有利于建立良好的、有效的护患沟通机制,从而提高患者满意度。 Objective To explore the application effects of CICARE in nurse-patient communication during day surgery.Methods A total of 184 patients in the hospital during the elective period of day surgery from January to May 2019 were selected as observation group,While another group of 186 patients from July to December 2018 were selected as the control group.The control group had a routine nurse-patient communication model,while the observation group undertook the CICARE communication model based on the regular communication mode.The SAS score,overall hospitalization satisfaction,and day-to-day surgery awareness rate were compared between the two groups.Results There was no difference in SAS score between the two groups before operation(P>0.05),but the SAS score of the observation group was significantly lower than that of the control group 5 minutes after entering the operation room(P<0.001).The overall satisfaction rate of the control group was 90.86%,while that of the observation group was 97.28%,and the difference was statistically significant.The awareness rate of day surgery in the control group was low but was improved in the observation group.The awareness rates of the control group were 82.26%,86.56%,82.80%,77.42%,80.11%and 83.33%,respectively,while those of the observation group reached 94.57%,96.74%,94.02%,91.30%,95.11%and 92.39%,respectively.Group data differences were statistically significant.Conclusion After adopting the CICARE communication model,nurse-patient communication is more standardized and streamlined,which is conducive to sound and effective nurse-patient communication,thus improving patient satisfaction.
作者 王萍 陈程 WANG Ping;CHEN Cheng(Department of Radiology,People's Hospital of Shiyan City(People's Hospital Affiliated to Hubei University of Medicine),Shiyan 442000;Health Management Center,People's Hospital of Shiyan City(People's Hospital Affiliated to Hubei University of Medicine),Shiyan 442000)
出处 《解放军医院管理杂志》 2021年第1期82-85,共4页 Hospital Administration Journal of Chinese People's Liberation Army
关键词 CICARE沟通模式 日间手术 护患沟通 患者满意度 CICARE communication model day surgery nurse-patient communication patient satisfaction
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