护士的角色是积极的倾听和咨询技巧,对病人的导向是必不可少的

A. Trupković, A. Šajnić, T. Zovko, Kristina Vuger, Vida John
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摘要

在侵入性和治疗过程中,恐惧会影响患者的精神状态。我们能干预焦虑的发展吗?目的:1)有多少患者在支气管镜检查前存在恐惧和担忧,2)有多少患者在支气管镜检查后存在压力,哪些部分是最害怕的,3)有多少患者表示他们需要更多的口头指导而不是书面指导。方法:收集三个月的数据,目标组为所有在门诊就诊的肺部疾病诊断性支气管镜检查的患者(N=50)。这项匿名调查对50名男女受试者进行了抽样调查。我们使用likert9的压力和恐惧的五个阶段量表,1表示没有压力或恐惧,5表示压力或恐惧的强度最大。结果:1)手术前,被试者的恐惧水平为3=40%,水平4=30%,所有被试者对手术的担忧程度为100% (N=50); 2)手术后,被试者的压力水平为3=54%,水平4=12%,60%的被试者因器械穿过喉咙而感到恐惧(N=50)。3) 92%的受访者认为口头告知手术信息更有用(N=50)。结论:恐惧是支气管镜诊断程序被大量使用的原因。根据研究结果,我们得出了积极倾听和咨询可以减少焦虑的结论。进一步的工作应侧重于与病人的对话,更详细地口头解释程序的原则,学习呼吸练习和监测与病人的谈话中的非语言交流。
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The role of a nurse active listening and counseling skills are imperative orientation toward patient
Introduction: Fear affects the mental state of the patient during invasive and therapeutic procedures. Can we intervene in the development of anxiety? Objective: 1) How many patients had the presence of fear and worry before bronchoscopy, 2) How many patients had the presence of stress after bronchoscopy, which segments were most feared, 3) How many patients reported that they would want more oral than written instructions about the procedure Methods: Data were collected from three months, the target group were all patients who came to the diagnostic bronchoscopy in Clinic for lung disease (N=50). Anonymous survey was conducted on a sample of 50 subjects, both sexes. We used Likert9s five-stage scale for stress and fear where 1 means no stress or fear, and 5 the strongest intensity of stress or fear. Results: 1) Prior to the procedure, respondents reported the level of fear 3=40% and level 4=30%, all participants were concerned about the procedure 100% (N=50), 2) After the procedure, respondents reported the level of stress 3=54% and level 4=12%, 60% of respondents reported fear due to the passage of the instrument through the throat (N=50). 3) 92% respondents find it more useful to have oral information about the procedure (N=50). Conclusion: Fear is the reason for the heavy submission of the diagnostic procedure bronchoscopy. Based on the results we came to the conclusion that active listening and counseling can reduce anxiety. Further work should focus on conversation nurses with the patients, more detail verbally explains the principle of the procedure, learn the breathing exercises and monitor nonverbal communication in conversation with the patients.
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