护患沟通应用在脑外科护理中的效果评价

白蒙

[摘要] 目的 对神经外科护理工作中护患沟通的应用方法与效果进行探讨。方法 方便选取83例2016年3月—2017年3月在该院脑外科接受治疗的患者分成两组，接受常规脑外科护理的40例为常规组，在常规护理上对护患沟通进行强化的43例为沟通组，对照两组护理效果、护患纠纷事件出现情况。 结果 护理后，沟通组SAS、SDS评分明显比常规组低，沟通组护理满意度达到了97.7%，对照于常规组的77.5%明显较高，且沟通组护患纠纷明显较常规组少（P<0.05）。结论 对脑外科护理工作进行开展时，合理对护患沟通进行应用可实现患者负性情绪的有效改善，使患者满意度提升，进而实现护患纠纷的有效防范。

[关键词] 脑外科；护理；护患沟通

[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2017）07（c）-0128-03

[Abstract] Objective To study the method and effect of nurse-patient communication in the nursing in the department of cerebral surgery. Methods 83 cases of patients in the department of cerebral surgery in our hospital from March 2016 to March 2017 were convenient selected and divided into two groups， the routine group with 40 cases adopted the routine nursing， while the communication group with 43 cases enhanced the medical communication on the basis of the routine nursing， and the nursing effect and nursing disputes were compared between the two groups. Results After nursing， the SAS and SDS scores in the communication group were lower than those in the routine group， and the nursing satisfactory degree in the communication group was obviously lower than that in the routine group（97.7% vs 77.5%）， and the nursing disputes in the communication group were fewer than those in the routine group（P<0.05）. Conclusion The rational nurse-patient communication in the development of nursing work in the department of cerebral surgery can effectively improve the negative emotions and improve the satisfactory degree thus realizing the effective prevention of medical disputes.

[Key words] Department of cerebral surgery； Nursing； Nurse-patient communication

脑外科疾病有一定特殊性，在病情影响下，患者大多有躁动、兴奋等存在，对治疗、护理工作的配合度不高，严重者甚至会有攻击性行为，不仅会对病情康复造成影响，而且可引发医患纠纷[1]。近年来公众健康意识、法律意识不断增强，对医疗服务提出了更高层次的要求，临床医疗服务稍有不慎，就可能致使护患纠纷出现。而大量研究及实践证实，医护患纠纷发生最为主要的一个原因是医患、护患之间未进行到位的沟通，尤其是在脑外科这一较为特殊的科室中，护患纠纷极为关键[2]。为进一步对脑外科护理工作中护患沟通的实施方法与效果进行探讨，该次研究把2016年3月—2017年3月在该院接受治疗的83例患者分成两组，一组行常规护理，一组在常规护理基础上对护患纠纷进行强化，现报道如下。

1 资料与方法

1.1 一般资料

在2016年3月—2017年3月间进入该院脑外科中接受治疗的……