颅骨修补手术患者术前共情沟通的效果观察

目的探讨共情沟通方式在颅骨修补手术患者中的应用效果。方法选取2012年2月—2014年3月在黑龙江某三级甲等医院行颅骨修补手术患者100例,2012年2月—2013年2月行颅骨修补手术的50例患者为对照组,2013年3月—2014年3月行颅骨修补手术的50例患者为观察组,对照组采取手术常规沟通,观察组在此基础上实施共情沟通。比较两组患者焦虑评分及对护理工作满意度。结果术后第2天观察组焦虑评分低于对照组,差异有统计学意义(P0.05);术后第2天观察组对护理工作满意度高于对照组,差异有统计学意义(P0.05)。结论实施共情沟通能减轻颅骨修补手术患者的焦虑情绪,并提高患者对护理工作的满意度。     

共情在护患沟通中的作用研究进展

随着现代医学模式的转变和整体护理的实施,护患沟通越来越重要。这要求护士必须掌握一定的沟通技巧,而共情是近年公认的一种良好沟通技巧。共情能力的增强,使护士有能力真正理解病人,促进良好护患关系的建立和发展。共情是良好护患关系的切入点,是所有护患沟通的精髓。共情在临床的应用被称为临床共情,即医务人员具备识别病人情绪状态、     

共情在护患沟通中的应用

介绍共情的概念和内涵,分析共情在护患沟通中的作用,探讨在护患沟通中的应用,从而加强护患关系,提高护理工作质量.     

影响护士临床共情的因素及对策

共情（empathy）是一种能体验别人内心世界的能力,是指交际双方通过对方的言语和非言语暗示,觉察、认识其情感和情绪状态,并在此基础上对情感、情绪状态做出正确的反映和反馈,在感情上产生共鸣,将自己投射到对方所处的境遇中体验其情感和情绪,做到设身处地、将心比心。护理是与人沟通的艺术,通过恰当的交流以达到相互理解、相互尊重、情感互动和促进康复的目的。护士的临床共情能力已成为构建良好护患关系的重要条件。     

共情在ICU护患沟通中的应用

护理工作者的工作对象是病人,人是生理、心理、社会和精神文化的综合体。当人患病时,不仅生理上发生改变,在心理上同样受到刺激和伤害,希望得到医护人员的同情、理解和爱护。护患关系是指护士与病人之间的相互作用,是在临床护理过程中形成和建立起来的人际关系。良好的护患关系可以促进相互之间的理解,消除病人的不良刺激,促进病人的身心康复。共情是所有护患沟通的精髓。ICU是抢救危重病人的场所,其收治的病人起病急,病情重,普遍存在急躁、忧虑、恐惧心理,因而更不易建立良好的护患关系。     

基于共情机会-共情反应模式的护生共情技能特点分析

目的：基于共情机会-共情反应理论,通过分析护生角色扮演视频,了解护生识别共情机会、进行共情反应的特点。方法：收集护生角色扮演的视频,采用内容分析法,编码角色扮演视频中“病人”提供的共情机会类型、“护士”的共情反应类型。结果：共收集10个护患沟通角色视频,识别69个共情机会-共情反应的对话组合,所有的角色扮演视频中的沟通均分为冲突发生与冲突解决两部分。在冲突解决部分,护生共情反应类型前3位的为证实（43.33%）、隐性识别（23.33%）、识别且追问（20.00%）;“情绪”类共情机会能得到护生较高级别的共情反应。结论：基于共情机会-共情反应理论,对角色扮演中的护生识别共情机会、共情反应类型进行分析,有助于更为深入地了解护生对共情技能的理解、掌握情况,可为提升护生共情技能培训效果提供借鉴。     

护理硕士研究生共情和沟通能力的相关性研究

目的:探讨护理学硕士研究生共情和沟通能力的现状,并分析两者之间的相关性。方法:采用杰弗逊共情量表和支持性沟通量表,对137名护理学在读硕士研究生进行问卷调查。采用Pearson相关分析法探讨护理研究生共情和沟通能力的相关性。结果:护理研究生共情总分为(111.79±15.34)分,沟通能力得分为(71.41±7.90)分。共情与沟通能力总分相关系数为0.370(P<0.01)。结论:护理研究生共情和沟通能力处于中上等水平,共情和沟通能力呈低中度正相关。教育者可通过多种途径有针对性地提高护理研究生的共情水平,进而提高其沟通能力。     

共情在护患沟通中的应用

护理工作者的工作对象是患者，人是生理、心理、社会和精神文化的综合体。当人患病时，不仅生理上发生改变，在心理上同样受到刺激和伤害，希望得到医护人员的同情、理解和爱护。护士和患者之间发展起来的关系即护患关系，是护理实践的基础。良好的沟通可以促进护患之间的理解，消除患者的不良刺激，促进患者的身心康复。     

慢阻肺老年病例共情护理与治疗性沟通联用研究

目的：探讨于慢阻肺老年病例中引入共情护理与治疗性沟通联用机制所取得的成效。方法：选择2021年1月至2022年12月于我院就治的慢阻肺老年病例60例为观察样本,以随机数字表法将60例慢阻肺老年病例划归为两个组别,对照组观察组各为30例,对照组遵慢阻肺常规护理法施护,观察组于对照组基础之上增加共情护理与治疗性沟通联用干预,对两组护理后的各相关指标做出观察比较。结果：观察组医学应对评分优于对照组,SAS、SDS、自我感受负担评分低于对照组,护理认可度达标率高于对照组,差异有统计学意义,( P <0.05 )。 结论 于慢阻肺老年病例中引入共情护理与治疗性沟通联用机制,可优化慢阻肺老年病例所持有的医学应对行为倾向模式,纾解其负性心境与自我感受负担,促升其护理认可度。     

术前共情沟通对结肠镜检查患者心理状况及治疗配合度的影响

目的:观察术前共情沟通对结肠镜检查患者的心理状况以及治疗配合度的影响,为临床相关诊疗及研究提供参考。方法:选取2016年10月至2018年10月于中山市南朗医院门诊行结肠镜检查的170例患者为观察对象,随机分组,对照组85例,给予患者常规措施指导,研究组85例,在常规措施基础上给予患者共情沟通模式进行干预,观察比较两组...     

病房整体护理规范对职业病患者的影响

目的:探讨病房整体护理规范对职业病患者的影响.方法:对住院的90例职业病患者随机分为观察组和对照组各45例,对照组进行常规护理,观察组进行整体护理干预,比较两组患者的住院时间、住院费用及护理满意度.结果:观察组住院时间短、住院费用低、护理满意度高于对照组(P＜0.05).结论:对职业病患者进行规范性整体护理干预,能明显提高患者的临床疗效,降低医疗纠纷的发生,提高护理满意度.     

职业病患者抑郁情绪与生活质量相关性的研究

目的 探讨职业病患者抑郁情绪与生活质量的相关性.方法 选择88例职业病患者,同时进行抑郁自评量表(SDS),生活质量量表(MOS SF-36)和匹兹堡睡眠质量指数量表(PSQI)评定.结果 88例职业病患者中21例患者出现抑郁症状,占23.9%,非抑郁组职业病患者的生活质量明显高于抑郁组(P<0.01).结论 职业病患者生活质量与抑郁情绪之间具有相关性.医护人员要为患者营造一个个性化的护理文化氛围,加上护理疏导,情感支持,以满足患者的心理需求,并对患者及家属对抑郁的认知和健康进行宣传教育,对提高职业病患者生活质量有着重要意义.     

职业病患者抑郁情绪与生活质量相关性的研究

目的 探讨职业病患者抑郁情绪与生活质量的相关性.方法 选择88例职业病患者,同时进行抑郁自评量表(SDS),生活质量量表(MOS SF-36)和匹兹堡睡眠质量指数量表(PSQI)评定.结果 88例职业病患者中21例患者出现抑郁症状,占23.9%,非抑郁组职业病患者的生活质量明显高于抑郁组(P<0.01).结论 职业病患者生活质量与抑郁情绪之间具有相关性.医护人员要为患者营造一个个性化的护理文化氛围,加上护理疏导,情感支持,以满足患者的心理需求,并对患者及家属对抑郁的认知和健康进行宣传教育,对提高职业病患者生活质量有着重要意义.     

护士情绪智力和沟通满意度对共情影响的路径分析

目的 探讨护士情绪智力、沟通满意度对共情的影响路径和关系效应.方法 2019年9月—12月,采用一般资料问卷、Jefferson共情量表、 情绪智力量表及人际沟通满意度量表对河南省某三级甲等医院的1475名护士进行调查,采用AMOS 21.0软件建立模型并进行路径分析.结果 护士沟通满意度与共情呈正相关(r=0.519...     

Acceptability and efficacy of a communication skills training for nursing students: Building empathy and discussing complex situations

Nurses must demonstrate effective communication across complex interpersonal domains, as emphasized by numerous professional healthcare organizations. However, formal communication skills training has been only modestly integrated into baccalaureate nursing programs, and of those studied systematically, there are notable methodological concerns. The current study focused on application of a well-researched communication program (Comskil) to student nurses completing summer internships at a comprehensive cancer center as part of their clinical education. The Comskil training program for student nurses is an in-person, day-long training that includes three sections: responding empathically to patients; discussing death, dying, and end-of-life goals of care; and responding to challenging family interactions. Student nurse participants provided strongly favorable perceptions of the program, with 90% indicating that they agreed or strongly agreed with all perception items. A significant pre-to post-training improvement in self-reported confidence was observed (p < .01). Additionally, pre- and post-training observational coding of standardized patient assessments indicated significant improvements in usage of the following skill categories: total skill use, information organization, and empathic communication (p < .001). Overall, these results suggest that communication skills training for student nurses is a feasible, acceptable, and effective way of increasing confidence and skills usage in complex clinical scenarios.     

Patient-nurse interactions: relationships between person characteristics, empathy, content of communication, and patients' emotional reactions

Relationships between antecedent person variables (sex and age), empathic understanding, content of communication, and patients' emotional reactions were studied in 3200 patient-assistant nurse dyadic interactions. The sample consisted of 32 psychiatric patients (20 males and 12 females, mean age: 61 years) and eight female assistant nurses at a nursing-home in Sweden. Four assistant nurses were younger (25 years old or less) and four were older (45 years old or more). All interactions were regular morning meetings at which the patient's activity plans for the day were discussed. These meetings were held in each patient's private room, and lasted for about 15 min. High empathic understanding on part of the helper covaried with more communication of "everyday character" and communication dealing with "personal and emotional qualities", with less communication dealing with "facts and practical issues", and with a more cheerful emotional state among the patients during the encounters. Male patients were more cheerful during encounters with younger assistant nurses while female patients were more cheerful when interacting with older assistant nurses. Helpers with higher scores on empathic understanding seemed to have a higher awareness of relational history.     

医务人员艾滋病病毒职业暴露后预防措施的探讨

目的对我院医务人员艾滋病病毒(HIV/AIDS)职业暴露发生的经过、上报流程、危险程度评估和处理措施做初步分析,探讨暴露后如何实施最佳的预防和处理措施。方法根据卫生部制定的《医务人员艾滋病病毒职业暴露防护工作指导原则》,对我院某科发生的医务人员HIV/AIDS职业暴露的资料进行回顾性分析。结果医务人员在发生HIV/AIDS职业暴露后心理都比较恐慌,担心与害怕被感染。上报院感科后及时给予有效的指导及使用抗病毒转录暴露后预防措施(post-exposure prophylaxis,PEP)的实施,跟踪3个月至1年的临床医学观察后,未发现1例感染者。结论临床医务人员属高风险职业,在医疗护理操作中极易发生HIV/AIDS职业暴露,医院感染管理部门应制定一系列完善的上报程序及防护措施,提高医务人员的防控意识及加强相关知识的教育和培训。     

心理护理干预对煤工尘肺合并肺心病病人的影响

[目的]探讨心理护理干预对煤工尘肺合并肺心病病人的影响。[方法]选取40例煤工尘肺合并肺心病病人为研究对象,将其随机分成对照组与观察组各20例,对照组病人给予常规护理,观察组病人在常规治疗基础上给予心理护理,观察两组临床效果。[结果]对照组病人治疗总有效率为70.0%,观察组病人治疗总有效率为90.0%,观察组病人有效率明显较对照组高,差异有统计学意义(P0.05)。[结论]对煤工尘肺合并肺心病病人进行心理护理干预能够有效改善病人心理状态,利于及时调整心态,收到较好的治疗效果。     

Attitudes and behaviors of chiropractic interns toward occupational history taking

ObjectiveThis study uses a pre- and post-training program evaluation of chiropractic interns to (1) describe changes in their frequency of occupational history taking before and after a 1-hour training and (2) to document the attitudes and beliefs regarding occupational health and history taking.MethodsAll chiropractic interns at 1 clinic location completed questionnaires assessing their attitudes and perceptions regarding documenting the occupational history of their patients each trimester they were enrolled in the study. Each intern enrolled in the study for 2 or more trimesters participated in a 1-hour-long training session on taking an occupational history. The supervising clinician independently evaluated charting behaviors of interns for the duration of the study.ResultsThe supervising clinician assessed 20 interns'' level of documenting occupational history for 202 new patient or reexamination visits. A majority of interns (85% at baseline) were interested in occupational health, and 80% believed that occupational history taking was “very important.” Intern charting behaviors increased after training related to documentation of past occupation (62.9% from 32.4%) and relating the chief complaint to work (59.7% from 30.0%). Detailed occupational history taking remained low throughout the study but demonstrated a doubling in documentation after training (16.1% from 8.6%).ConclusionChiropractic interns and clinicians should be adequately trained in occupational health history documentation practices as they are likely to care for work-related injuries. Short training modules appear to be effective in demonstrating small changes in documentation related to occupational history taking.