目的:本研究旨在根据医疗机构认证联合委员会(JCI)的指南,探讨以患者为中心的护理(PCC)在急性蛛网膜下腔出血(SAH)患者中的可行性和有效性。
方法:选取我院收治的180例SAH患者作为前瞻性研究对象,按方便抽样分为研究组(n=90)和对照组(n=90)。对照组患者接受常规SAH针对性护理,研究组患者在常规SAH针对性护理的基础上,加用PCC进行护理.一般指标,包括干预前后的简易精神状态检查(MMSE)分数,日常生活活动(ADL),精神状态,一般自我效能感量表(GSES),健康知识,比较两组患者的并发症发生率。
结果:住院时间,在床上的时间,研究组住院费用低于对照组(P<0.05)。MMSE的分数,ADL,GSES,研究组健康知识水平高于对照组(P<0.05),研究组症状自评量表(SCL-90)各维度评分及并发症发生率均低于对照组(P<0.05)。
结论:基于JCI指南的SAH患者PCC不仅可以改善预后,认知功能,自我效能感,患者的负面情绪和ADL,而且还有助于提高他们对疾病的认识,减少并发症的发生。
OBJECTIVE: This study was designed to explore the feasibility and effectiveness of patient-centered care (PCC) on basis of
guidelines of Joint Commission on Accreditation of Healthcare Organizations (JCI) in patients with acute subarachnoid hemorrhage (SAH).
METHODS: A total of 180 SAH patients who received treatment in our hospital were selected as prospective research objects, and were divided into a study group (n=90) and a control group (n=90) by convenience sampling. Patients in the control group received conventional SAH-targeted care, and patients in the study group were additionally nursed with PCC on the basis of conventional SAH-targeted care. The general indicators, including Mini-Mental State Exam (MMSE) scores before and after intervention, activities of daily living (ADL), mental state, general self-efficacy scale (GSES), health knowledge, and incidence of complications were compared between the two groups.
RESULTS: The length of hospital stay, the time in bed, and the expenses of hospitalization in the study group were lower than those of the control group (P<0.05). The scores of MMSE, ADL, GSES, and health knowledge in the study group were higher than those in the control group (P<0.05), and the scores of each dimension of Symptom Checklist-90 (SCL-90) and the incidence of complications in the study group were lower than those in the control group (P<0.05).
CONCLUSIONS: PCC for SAH patients based on the
guidelines of JCI can not only improve the outcomes, cognitive function, self-efficacy, negative emotions and ADL of patients, but also help enhance their awareness of the disease and reduce the incidence of complications.