文档介绍：中国护理管理
争鸣 Dispute
改进ICU患者家属探视管理的探讨
◆ 苏晓光巴明吴海苗
[ 摘要] ICU 传统封闭的管理模式,在护理实践中存在着护士与患者及家属沟通不利, ICU 是抢救和治疗危重患者的场所,
影响患者及家属的知情权、选择权,护患关系紧张,不利于患者身心康复等一系列问题。文是为了抢救、预防感染、保护患者安全
章从医学模式转变和发展需要、预防医疗纠纷、改善医患关系等方面探讨 ICU 向患者家属而设立的,实行封闭管理的模式,家属
开放的必要性及存在的问题,论证了 ICU 向患者家属开放的可行性。不能随意进入。在医疗、护理行为的过
[ 关键词] ICU; 开放管理
程中常因医生、护士与患者家属沟通的
The managemend of ICU patient's family member / SU Xiao-guang, BA Ming, WU 缺如而引发医疗纠纷,影响了患者对服
Hai-miao // 261 Hospital of PLA Neurosurgery, Beijing, 100094 China /// Chinese Nursing 务的满意度,也不利于患者身心健康恢
Management-2011,11(2):93-94
复。因此在科学的管理下,ICU 适当向
[Abstract] Under the traditional model of ICU, in nursing practice there were series of
issues raised by munication between nurses and patients or their family members 患者家属开放值得探讨和尝试。
which affected patients and their family members the rights to know and to choose and the
1 开放管理的必要性
relationship between nurses and patients. This condition was not conducive to physical and
psychological rehabilitation of patients. The author probed into the necessity of opening 是伦理学的需要
ICU to patient's family member and the existing problems from aspects of transformation of 伦理学在新医学模式的转变下越来
the medical model, future development needs, preventing medical disputes and improving
越受到医学领域的重视,而且伦理关怀
relationship between medical staff and the patients. At the same time the author proved the
feasibilit