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目的 :评价沟通程序表应用于四肢合并头面烧伤患者的效果。方法 :设计四肢合并头面烧伤患者沟通程序表,确立生命体征、生理需求、舒适度、自身家庭琐事、个人意愿等沟通项目,护理人员根据患者的危急程度、生命体征的变化及年龄、文化程度、经济状况等方面确定评估的优先等级项目,从而确认患者需求,并落实护理干预措施。观察组使用沟通程序表进行沟通和病情评估,对照组采取常规的沟通方法。结果 :实验组较对照组患者满意度提高(93.0%?vs?62.9%),沟通时间缩短[(4.23±1.94)分钟?vs?(11.52±2.43)分钟?],差异均有统计学意义(P<0.01)。结论 :沟通程序表作为烧伤科专科护理管理工具,可提高沟通效率,达到准确获取信息、及时解决患者需求的目的,从而提升病情观察能力和护理问题的解决能力,进一步提高优质护理服务质量,保障医疗安全。
OBJECTIVE: To evaluate the effectiveness of the communication schedule applied to patients with limbs and head burns. Methods: To design a communication program of patients with head and face burns, and to establish communication items such as vital signs, physical requirements, comfort, family affairs and personal wishes of the patients. According to the patient’s urgency, changes of vital signs and their age, education level, Economic conditions and other aspects of the assessment of priority items identified in order to confirm the needs of patients and implement nursing interventions. The observation group used the communication procedure table to communicate and evaluate the condition, while the control group adopted the normal communication method. Results: Compared with the control group, the satisfaction rate of the experimental group was significantly higher (93.0% vs 62.9%) and the communication time was shorter (4.23 ± 1.94 minutes vs 11.52 ± 2.43 minutes). The difference was statistically significant P <0.01). Conclusion: The communication schedule, as a specialist nurse management tool for burn department, can improve communication efficiency, achieve accurate information acquisition and timely resolution of patient needs so as to improve the ability of patient observation and resolution of nursing problems, and further improve the quality of nursing service. Medical safety.