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目的:分析高压氧治疗患者不遵医行为的原因,探讨相应的管理对策。方法:对2015年9月~2016年11月在浙江省桐乡市第一人民医院行高压氧治疗的患者进行分析,其中58例患者出现不遵医行为,分析原因,并提出管理对策。结果:心理问题、相关知识缺乏、治疗过程中舒适度改变、治疗时间及治疗疗程太长、经管医生缺乏对高压氧治疗的全面认识,是不遵医行为的主要原因。结论:为提高高压氧治疗患者的遵医行为,要重视心理护理,加强知识宣教,同时规范氧舱操作,减少高压氧治疗时的不舒适感,多渠道增加医务人员高压氧医学专业知识。
Objective: To analyze the causes of non-compliance of patients with hyperbaric oxygen therapy and to explore the corresponding management strategies. Methods: From September 2015 to November 2016, patients undergoing hyperbaric oxygen therapy in the First People’s Hospital of Tongxiang City, Zhejiang Province were analyzed. Among them, 58 patients did not follow the doctor’s behavior, analyzed the causes and proposed management strategies. Results: Psychological problems, lack of relevant knowledge, changes in comfort during the course of treatment, treatment time and course of treatment were too long. The lack of a comprehensive understanding of the hyperbaric oxygen therapy by the supervising doctor was the main reason for non-compliance with medical practice. CONCLUSIONS: In order to improve the compliance behavior of patients undergoing hyperbaric oxygen therapy, attention should be paid to psychological care, knowledge and education, at the same time the operation of oxygen chamber should be regulated, the uncomfortable feeling during hyperbaric oxygen therapy should be reduced, and hyperbaric oxygen medical knowledge should be increased in many ways.