情志护理在急诊科监护病房探视管理中应用.docVIP

情志护理在急诊科监护病房探视管理中应用 　　[摘要] 通过应用礼宾式迎送、主动式告知、温馨式交流和人本式心理维护等“情志护理”中人文关怀的措施和管理。得以最大限度地减轻患者痛苦及其家属探视时的各种复杂心理和不良情绪，使患者能在最佳心理状态下接受治疗和护理，并达到早期康复，使患者家属对现实满意。护患关系的满意度得到大幅度提高，病房的日常管理及探视井然有序。从更高层次上深化了管理中的服务职能，满足了患者及其家属在护理中的生理、心理、社会、文化等多方面的需求。 　　[关键词] 情志护理；探视；管理；交流 　　[中图分类号] R000 [文献标识码] A [文章编号] 1673-7210（2016）10（b）-0157-04 　　[Abstract] By the application of concierge-style meet and see-off， and proactive initiative information， and warm communication， and people oriented psychological management of emotional care nursing services humanistic care measures and management， emotional care nursing services have been maximized reduced ailments of patients and the variety of complex psychological and the negative emotional suffering of patients and their family members visitation time， patients could be received medical treatment and nursing care in the best mental state， so as to achieve an early recovery from their illness， which their family members face reality satisfaction. Satisfaction with nurse-patient relationship has been greatly improved， and the daily ward management and visitation have been presented on order. The development and implementation of emotional care nursing services have satisfied the needs of patients and their families dependents of the physiological， psychological， social， cultural and other aspects in the nursing care， along with deepening the management of the nursing service functions date from a higher level. 　　[Key wards] Emotional care nursing services； Visitation； Management； Communication 　　急诊科监护病房不同于综合重症监护病房，属于相对封闭式和半开放式病区，收治多为急危重症的中老年患者，其中相当一部分是长期卧床、生活不能自理的患者。且在就诊急诊科期间，常常为多系统多器官疾病的危重症患者，通常临床各专科很难收住，这样往往成为医患、护患矛盾高发区，医疗纠纷的隐患时有发生；急诊医学工作中任何失误和差错都会给患者及其家属造成严重危害，甚至直接危及生命，易产生医疗纠纷[1]。患者家属往往因为医疗、护理的不满意，招来投诉和辱骂等[2]。因此，以往普遍实施定点、限时、限人的探视方法，这种程式化探视，往往缺少人文关怀，难以体现爱心，少有温馨氛围，还时常发生一些护患间的不愉快。为了真正体现对患者的优质服务和护患“零距离”、服务“零缺陷”、护理“零投诉”的目的，在监护病房探视中运用了“情志护理”。情志，即人的情绪、情感的变化。所谓情志护理，主要是通过护理人员的语言、表情、姿势、态度、行为及气质等来影响和改善患者及其家属的情绪，解除其顾虑和烦恼，从而增强战胜疾病的意志力、树立康复的信心、减轻患者痛苦、消除不良情绪