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目的:探究神经外科急危重症患者家属心理需求,并评价针对性护理干预的实施效果。方法:研究对象选取为2015年浙江省宁波市鄞州人民医院神经外科危重症患者100例,每位患者抽取1名直系家属进行调查,调查问卷自拟,内容主要包括患者家属的期望、病情了解、探视需求等各方面的心理需求,根据调查结果拟定护理干预对策,通过实施护理干预前后的患者家属满意度,来评价护理干预的价值。方法:患者家属的心理需求前3位分别为希望最大程度保障患者的生命安全、希望患者能够实施最佳救治方案、希望能够客观了解患者病情。实施护理干预前患者家属的满意度为88.00%,实施护理干预后患者家属的满意度提升为99.00%,差异显著(P<0.05)。结论:神经外科急危重症患者家属迫切希望了解患者的真实病情,并希望患者得到最好的救治措施,了解患者家属的心理需求,并针对性的实施护理干预,能够有效提高患者家属的护理满意度。
Objective: To investigate the psychological needs of family members of patients with acute critical illness in neurosurgery and to evaluate the effect of targeted nursing interventions. Methods: The subjects were selected as 100 critically ill patients in Department of Neurosurgery, Yinzhou People’s Hospital, Ningbo City, Zhejiang Province in 2015. One direct family member was drawn from each patient for investigation. The survey questionnaire was self-contained. The content mainly included the expectation of the family members, Visit needs and other aspects of psychological needs, according to the survey results to formulate nursing intervention strategies, through the implementation of nursing interventions before and after the satisfaction of family members to evaluate the value of nursing interventions. Methods: The first three psychological needs of patients and their families were hoping to maximize the safety of patients’ lives, hoping that patients could implement the best treatment plan and hoping to understand the patient’s condition objectively. The satisfaction of family members before nursing intervention was 88.00%, satisfaction of family members after nursing intervention was improved to 99.00%, the difference was significant (P <0.05). Conclusion: The families of neurosurgical critically ill patients are anxious to know the actual condition of the patients and hope that the patients get the best treatment, understand the psychological needs of their families, and targeted nursing interventions, which can effectively improve the nursing satisfaction of the patients’ families degree.