主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (2): 210-214.doi: 10.3969/j.issn.1672-1756.2023.02.011

• 论著 • 上一篇    下一篇

基于“避风港”模式的ICU患者人文关怀方案的构建

盖玉彪 张宇辰 邢金燕 郭小靖 辛晨 张梦 魏丽丽   

  1. 青岛大学附属医院重症医学科,266003 山东省青岛市(盖玉彪,张宇辰,邢金燕,郭小靖,辛晨,张梦);院长办公室(魏丽丽)
  • 出版日期:2023-02-15 发布日期:2023-02-15
  • 通讯作者: 魏丽丽,博士,主任护师,院长助理,E-mail:weilili@qduhospital.cn
  • 作者简介:盖玉彪,硕士,副主任护师,护士长
  • 基金资助:
    青岛市2022年度医药卫生科研指导项目(2022-WJZD193)

Development of a humanistic care program for patients in ICU based on HAVENS model

GAI Yubiao, ZHANG Yuchen, XING Jinyan, GUO Xiaojing, XIN Chen, ZHANG Meng, WEI Lili   

  1. Intensive Care Unit, Qingdao University Affiliated Hospital, Qingdao, Shandong province, 266003, China
  • Online:2023-02-15 Published:2023-02-15
  • Contact: E-mail:weilili@qduhospital.cn

摘要: 目的:构建基于“避风港”模式的ICU患者人文关怀方案,为开展人文关怀提供借鉴。方法:基于前期研究构建的HAVENS人文关怀框架,采用文献回顾初步形成ICU患者人文关怀方案;通过德尔菲法对21名专家进行2轮函询,最终确立ICU患者人文关怀方案。结果:2轮专家函询的权威系数分别为0.791和0.813,均>0.75,重要性和可行性的专家协调系数分别为0.279、0.311和0.331、0.354(P<0.05)。最终构建了涵盖家庭、活动、访视、环境、护理和安全共6个一级条目、16个二级条目、48个三级条目的ICU患者人文关怀方案。结论:本研究构建的ICU患者人文关怀方案有较强的科学性和可靠性,结合临床情境可进行实践推广,以提高患者和家属的就医体验。

关键词: ICU;人文关怀;德尔菲法

Abstract: Objective: To develop a humanistic care program for ICU patients based on HAVENS model. Methods: Based on the HAVENS humanistic care framework constructed in the previous study, we developed the initial humanistic care program for ICU patients by literature review. A total of twenty-one experts were invited to participate in a two-round consultation to finalize the program. Results: The humanistic care program consisted of 6 first-level items (family, activities, visits, environment, nursing and safety), 16 second-level items and 48 third-level items. The expert authority scores of two rounds were 0.791 and 0.813, respectively. The expert coordination coefficients in importance of two rounds were 0.279 and 0.311 (P<0.05). The expert coordination coefficient in operability of two rounds were 0.331 and 0.354 (P<0.05). Conclusion: The humanistic care program is developed with high reliability for ICU patients. It can be used to improve the medical experience of patients and their families.

Key words: ICU; humanistic concern; Delphi method

中图分类号:  R47;R197