现代医药卫生2025，Vol.41Issue(4)：912-915,4.DOI:10.3969/j.issn.1009-5519.2025.04.021
综合医院急性药物中毒患者"医健心管"模式探索
Exploration of the"Medical-Education-Psychology-Health"model for acute drug poisoning patients in comprehensive hospitals
摘要
Abstract
Objective To implement the closed-loop model of"Medical-Education-Psychology-Health"for acute poisoning patients and explore the application effect,so as to provide important basis for drug poi-soning prevention and treatment.Methods A total of 200 patients with acute self-administered drug poisoning from January 2022 to June 2023 were randomly divided into the control group and the observation group.All the patients in both groups were given standard treatment such as gastric lavage,the control group was given routine nursing,and the observation group was managed by"Medical-Education-Psychology-Health"in a fully closed-loop model.All the patients were followed up within 24 h after admission and 90 d after dis-charge,and were evaluated with Somatic Symptom Scale-China(SSS-CN),Generalized Anxiety Disorder7(GAD-7)and Patient Health Questionnaire-9(PHQ-9).The length of hospital stay,psychological status and satisfaction of the patients at admission and discharge were analyzed.Results The average length of hospital stay in the observation group[(3.01±2.88)d]was significantly shorter than that in the control group[(5.11±2.26)d],and the difference was statistically significant(P＜0.05).During follow-up,the SSS-CN score[(35.38±10.12)points]of the observation group was lower than that of the control group[(40.22±15.49)points],and the GAD-7 score[(6.44±5.16)points]of the control group was lower than that of the control group[(8.40±6.48)points],and the differences were statistically significant(P＜0.05);there was no statistically significant difference in PHQ-9 scores between the two groups at follow up(P＞0.05).The satis-faction rate of the observation group[97.0％(97/100)]was higher than that of the control group[77.0％(77/100)],and the difference was statistically significant(P＜0.05).Conclusion Adopting the model of"Medical-Education-Psychology-Health"for acute drug poisoning patients can provide patients with all-round and multi-level medical services,meet the diversified and personalized needs of patients,shorten the length of hospital stay,improve the treatment effect,and significantly improve the sense of medical experience.关键词
急性药物中毒/"医健心管"模式/综合治疗/健康宣教/心理护理Key words
Acute drug poisoning/Medical-education-psychology-healthmodel/Comprehensive treatment/Health education/Psychological nursing分类
临床医学引用本文复制引用
谭凤玲,张帅,吴祥超,夏红,田露..综合医院急性药物中毒患者"医健心管"模式探索[J].现代医药卫生,2025,41(4):912-915,4.基金项目
重庆市卫生健康委员会医学科研项目(2023WSJK092) （2023WSJK092）
济南市卫生健康委员会科技发展计划项目(2024301029). （2024301029）
