face medical market has become increasingly fierce competition, the competition among hospitals has not only limited to the medical technology, equipment and management level of competition, the hospital humanistic service in competition weight also will more and more heavy. My courtyard in the dean 's initiative, make strict inpatient hospital discharge hospital reception, reception, nursing and health education of humane care in the process flow, the humanities concern as a system routine execution. The research on the two groups of patients in Department of respiratory medicine practice different nursing methods, research of humanistic care systematic nursing intervention on the anxiety of patients in Department of respiratory medicine. subjects for this study in 2006 January to April 26, 2007 selection without a history of psychosis and the Hamilton Anxiety Rating Scale for the assessment of anxiety after respiratory medicine newly admitted 424 patients with anxiety patients (ICU except). Were randomly divided into two groups. The experimental group ( humanistic care system group) in 198 cases and control group ( traditional holistic nursing group) in 226 cases. The test group and the control group is the same ward on two floors, the floor is divided into the experiment group and control group, mainly according to the nurses to divided into the experiment group and control group. General general ward nurses were randomly divided into experimental group and control group, and after the middle of the nurse on the floor. The test group and the control group of patients with baseline data (sex, age, cultural level and occupation ) the difference was not statistically significant. Control group patients traditional holistic nursing. Test group during the hospitalization patient admission and discharge reception, in hospital nursing and health education of the standardized service processes using the humanities concern of institutionalized care, and as a care routine to complete. Statistical test group and control group in anxiety patients on admission and at discharge anxiety scores, as well as the analysis of the two groups of patients in the hospital admission and discharge when the anxiety level changes of humanistic nursing care for hospitalized patients of institutionalization on anxiety emotion. with Hamilton anxiety scale for the assessment of patients with anxiety. The Hamilton anxiety scale by Hammill developed in 1959, is a psychiatric clinical commonly used in scale. the scale consists of 14 items, mainly used for evaluation of neurosis and other patients with anxiety symptom severity. The HAMA scores can reflect the anxiety symptom severity, and can be used to evaluate anxiety in patients with anxiety symptom severity and to various drugs, psychological intervention effect evaluation. According to our country scale cooperative group of the information provided. Questionnaire by the researcher or through specialized training of nursing staff to the research object, the instructions were unified. Questionnaires were completed once. Application of SAS 9 statistical software input all the data, and carries on the analysis, uses the two factor repeated measurement of variance analysis and the corresponding two two comparison method. From table 3 of the time, P < 0.0001 and table 2 in the experimental group and the control group on admission and discharge anxiety scores differences, two groups of anxiety in patients after admission in the intervention of anxiety scores decreased trend. From table 4, group of two anxiety patients at the time of admission to the anxiety scores showed no difference, but when discharged has the difference. From table 3, the anxiety scores among groups have difference, from table 2, the experimental group anxiety scores at admission ( before intervention) by 53.49 points to before discharge ( after the intervention ) 50.16 points, an average reduction of 3.33, while the control group by admission ( before intervention) to 53.76 points before discharge ( after the intervention ) 51.12 points, an average reduction of 2.64 points, visible to the intervention in the experimental group than in the control group results more efficiently. Humanistic care in nursing work of rich connotation "humanistic care" is people-oriented, concerned about people's various and multi-level needs, not just concerned about the basic physiological needs, care more about the spiritual needs. In nursing practice, "humanistic care" is required to take the patient as the center, take care of patients. Nursing theorist Watson [1 : the goal of care is to help patients achieve physical, mental and spiritual higher degree of coordination, and the target of meeting the need of people caring and caring expression. The nurse-patient relationship is a special service relationship, emotional relationship, emotional transformation is to improve the quality of care, to provide quality services to the key. As the practice of humanistic concern service main body, only the skilled nursing technology and humanistic care of the perfect combination, in clinical practice to make unremitting efforts to reflect nursing values [2 ]. Various diseases of patients at admission prevalence of anxiety anxiety as negative emotions exist widely in somatic disease patients, at the same time in the course of the disease in each stage can produce anxiety. Wu Wenyuan [3] and other studies show that somatic diseases may be associated with different levels of depressive and anxiety symptoms, and in different diseases with step change trend; Yu Zhanfei [4 ] on the hematopoietic system malignant tumor patient disability survey of anxiety depression for 68%, 70%, and the other patient and tumor medicine compared to normal subjects, there are significant differences. And that the hematopoietic system malignant tumor patients there was a significant physical and mental disorders, on the hematopoietic system malignant tumor patient occurrence, development and prognosis may play a role. Ren Guiying Beijing [5] and other research shows that more than 70% of diabetic patients treated with insulin and diet control in 40 ~ 50% have different levels of depression and anxiety, while the control group was only 2.7%, that diabetic patients with depression and anxiety symptoms occurs at a higher rate. Severe depression is also significantly affects 15 to 22% of patients with coronary heart disease, myocardial infarction patients after about 45% accompanied by light or heavy depression, significantly increases the severity of coronary heart disease and mortality [6 ]. Cassem and Hackett random statistical CCU ward patients with heart disease, about 80% of anxiety, 58% occurrence of depressive symptoms [7 ]. Chronic illness and somatic dysfunction leads to self-care ability decrease or loss of long-term treatment, disease does not heal so that the decline in the quality of life, prone to depression or anxiety [8 ]. Clinical studies have pointed out: be completely bedridden elderly patients with anxiety and depression of the probability and severity, significantly higher than be completely bedridden elderly patients, and be completely bedridden extent more serious, depressive mood more outstanding [9 ]. In conclusion, in somatic disease are different degrees of anxiety and depressive symptoms. While the depressive and anxiety symptoms distribution characteristic also reflects the different somatic diseases because of their characteristics and have a different unique emotional disorders, therefore must cause the medical care personnel highly attention. In nursing work in the implementation of humanistic care system can effectively relieve patients' anxiety patients produce anxiety factors including biological, psychological, social and environmental aspects of disease as a source of stress will produce psychogenic anxiety. Table 2 shows the control group patients after admission in the intervention of anxiety scores tended to decrease, this shows the traditional finishing nursing to alleviate patients' anxiety is effective. The patient anxiety may be associated with disease severity, treatment for a long time, the prognosis is poor and the various screening after an inconclusive diagnosis result or economic burden and many factors, in the hospital, the implementation of the traditional arrangement of nursing based on patient's condition to develop care plans and measures, pay more attention to the patient's medication, treatment effect, from certain extent to meet the needs of patients, and solve some problems. the results in Table 2 and table 3, table 4 shows : the humanistic care of institutionalized patients in the experimental group were significantly decreased anxiety scores at admission, more significant effect. A disease, knowledge level, occupation, economic situation of different needs of different Li Zhong [10 ] for lung cancer patients in the diagnostic process of humanistic care expectations of patients presenting to the emotion, access to information and the medical care expectations. Humanistic care in patients admitted to hospital, institutionalized during hospitalization and at discharge in different periods of targeted to the institutionalization of humanistic concern and care station in patients angle, attentively for patient care, pay attention to individualized care. Humanistic spirit is the nursing work theory and guiding, so the patients according to different diseases, psychological and social status of the implementation of a targeted humanistic care is necessary, and can effectively alleviate the anxiety of patients with mood. How in the nursing practice of humanistic care for institutionalized training nurses with humanity concern basic service quality, through lectures, study and other forms of increasing reasonably ( such as: nursing psychology, nursing ethics, nursing aesthetics, interpersonal communication and humanities learning, universal ) humanistic knowledge. to set their own admission patients discharged patients reception process, service process, service process and the venous transfusion puncture, morning and evening care service process, evaluation on implementing health education records, patient satisfaction questionnaire, patient nursing complaint registration form, and uniform standard, please expert review, revise and prediction of its reliability. in daily nursing work to implement the eight sound service : the patient to be a welcome sound ( for example : according to the title, job title), meeting called voice, before the operation and explanation of sound, operation has the greeting, operation errors apology, after the completion of the operation to Xie Sheng, holiday congratulations, patients with has discharged off sound ( I wish you an early health). Three before the service: walk in the light before the call, to patient needs before, do in patients before speaking. Four heart four heart: using our responsibility for patient confidence, we care for the patient rest assured that the use of our patient for patient comfort, with our love for patient comfort. Five services : a warm reception, and careful, careful nursing, explain the patience, solicit opinions with an open mind. Health education contents table format. requires nurses to understand their own image, language skills, legal consciousness, nurse-patient communication skills and ability of health education in clinical nursing standardized service process effectively in the appropriate application.
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face medical market has become increasingly fierce competition, the competition among hospitals has not only limited to the medical technology, equipment and management level of competition, the hospital humanistic service in competition weight also will more and more heavy. My courtyard in the dean 's initiative, make strict inpatient hospital discharge hospital reception, reception, nursing and health education of humane care in the process flow, the humanities concern as a system routine execution. The research on the two groups of patients in Department of respiratory medicine practice different nursing methods, research of humanistic care systematic nursing intervention on the anxiety of patients in Department of respiratory medicine. subjects for this study in 2006 January to April 26, 2007 selection without a history of psychosis and the Hamilton Anxiety Rating Scale for the assessment of anxiety after respiratory medicine newly admitted 424 patients with anxiety patients (ICU except). Were randomly divided into two groups. The experimental group ( humanistic care system group) in 198 cases and control group ( traditional holistic nursing group) in 226 cases. The test group and the control group is the same ward on two floors, the floor is divided into the experiment group and control group, mainly according to the nurses to divided into the experiment group and control group. General general ward nurses were randomly divided into experimental group and control group, and after the middle of the nurse on the floor. The test group and the control group of patients with baseline data (sex, age, cultural level and occupation ) the difference was not statistically significant. Control group patients traditional holistic nursing. Test group during the hospitalization patient admission and discharge reception, in hospital nursing and health education of the standardized service processes using the humanities concern of institutionalized care, and as a care routine to complete. Statistical test group and control group in anxiety patients on admission and at discharge anxiety scores, as well as the analysis of the two groups of patients in the hospital admission and discharge when the anxiety level changes of humanistic nursing care for hospitalized patients of institutionalization on anxiety emotion. with Hamilton anxiety scale for the assessment of patients with anxiety. The Hamilton anxiety scale by Hammill developed in 1959, is a psychiatric clinical commonly used in scale. the scale consists of 14 items, mainly used for evaluation of neurosis and other patients with anxiety symptom severity. The HAMA scores can reflect the anxiety symptom severity, and can be used to evaluate anxiety in patients with anxiety symptom severity and to various drugs, psychological intervention effect evaluation. According to our country scale cooperative group of the information provided. Questionnaire by the researcher or through specialized training of nursing staff to the research object, the instructions were unified. Questionnaires were completed once. Application of SAS 9 statistical software input all the data, and carries on the analysis, uses the two factor repeated measurement of variance analysis and the corresponding two two comparison method. From table 3 of the time, P < 0.0001 and table 2 in the experimental group and the control group on admission and discharge anxiety scores differences, two groups of anxiety in patients after admission in the intervention of anxiety scores decreased trend. From table 4, group of two anxiety patients at the time of admission to the anxiety scores showed no difference, but when discharged has the difference. From table 3, the anxiety scores among groups have difference, from table 2, the experimental group anxiety scores at admission ( before intervention) by 53.49 points to before discharge ( after the intervention ) 50.16 points, an average reduction of 3.33, while the control group by admission ( before intervention) to 53.76 points before discharge ( after the intervention ) 51.12 points, an average reduction of 2.64 points, visible to the intervention in the experimental group than in the control group results more efficiently. Humanistic care in nursing work of rich connotation "humanistic care" is people-oriented, concerned about people's various and multi-level needs, not just concerned about the basic physiological needs, care more about the spiritual needs. In nursing practice, "humanistic care" is required to take the patient as the center, take care of patients. Nursing theorist Watson [1 : the goal of care is to help patients achieve physical, mental and spiritual higher degree of coordination, and the target of meeting the need of people caring and caring expression. The nurse-patient relationship is a special service relationship, emotional relationship, emotional transformation is to improve the quality of care, to provide quality services to the key. As the practice of humanistic concern service main body, only the skilled nursing technology and humanistic care of the perfect combination, in clinical practice to make unremitting efforts to reflect nursing values [2 ]. Various diseases of patients at admission prevalence of anxiety anxiety as negative emotions exist widely in somatic disease patients, at the same time in the course of the disease in each stage can produce anxiety. Wu Wenyuan [3] and other studies show that somatic diseases may be associated with different levels of depressive and anxiety symptoms, and in different diseases with step change trend; Yu Zhanfei [4 ] on the hematopoietic system malignant tumor patient disability survey of anxiety depression for 68%, 70%, and the other patient and tumor medicine compared to normal subjects, there are significant differences. And that the hematopoietic system malignant tumor patients there was a significant physical and mental disorders, on the hematopoietic system malignant tumor patient occurrence, development and prognosis may play a role. Ren Guiying Beijing [5] and other research shows that more than 70% of diabetic patients treated with insulin and diet control in 40 ~ 50% have different levels of depression and anxiety, while the control group was only 2.7%, that diabetic patients with depression and anxiety symptoms occurs at a higher rate. Severe depression is also significantly affects 15 to 22% of patients with coronary heart disease, myocardial infarction patients after about 45% accompanied by light or heavy depression, significantly increases the severity of coronary heart disease and mortality [6 ]. Cassem and Hackett random statistical CCU ward patients with heart disease, about 80% of anxiety, 58% occurrence of depressive symptoms [7 ]. Chronic illness and somatic dysfunction leads to self-care ability decrease or loss of long-term treatment, disease does not heal so that the decline in the quality of life, prone to depression or anxiety [8 ]. Clinical studies have pointed out: be completely bedridden elderly patients with anxiety and depression of the probability and severity, significantly higher than be completely bedridden elderly patients, and be completely bedridden extent more serious, depressive mood more outstanding [9 ]. In conclusion, in somatic disease are different degrees of anxiety and depressive symptoms. While the depressive and anxiety symptoms distribution characteristic also reflects the different somatic diseases because of their characteristics and have a different unique emotional disorders, therefore must cause the medical care personnel highly attention. In nursing work in the implementation of humanistic care system can effectively relieve patients' anxiety patients produce anxiety factors including biological, psychological, social and environmental aspects of disease as a source of stress will produce psychogenic anxiety. Table 2 shows the control group patients after admission in the intervention of anxiety scores tended to decrease, this shows the traditional finishing nursing to alleviate patients' anxiety is effective. The patient anxiety may be associated with disease severity, treatment for a long time, the prognosis is poor and the various screening after an inconclusive diagnosis result or economic burden and many factors, in the hospital, the implementation of the traditional arrangement of nursing based on patient's condition to develop care plans and measures, pay more attention to the patient's medication, treatment effect, from certain extent to meet the needs of patients, and solve some problems. the results in Table 2 and table 3, table 4 shows : the humanistic care of institutionalized patients in the experimental group were significantly decreased anxiety scores at admission, more significant effect. A disease, knowledge level, occupation, economic situation of different needs of different Li Zhong [10 ] for lung cancer patients in the diagnostic process of humanistic care expectations of patients presenting to the emotion, access to information and the medical care expectations. Humanistic care in patients admitted to hospital, institutionalized during hospitalization and at discharge in different periods of targeted to the institutionalization of humanistic concern and care station in patients angle, attentively for patient care, pay attention to individualized care. Humanistic spirit is the nursing work theory and guiding, so the patients according to different diseases, psychological and social status of the implementation of a targeted humanistic care is necessary, and can effectively alleviate the anxiety of patients with mood. How in the nursing practice of humanistic care for institutionalized training nurses with humanity concern basic service quality, through lectures, study and other forms of increasing reasonably ( such as: nursing psychology, nursing ethics, nursing aesthetics, interpersonal communication and humanities learning, universal ) humanistic knowledge. to set their own admission patients discharged patients reception process, service process, service process and the venous transfusion puncture, morning and evening care service process, evaluation on implementing health education records, patient satisfaction questionnaire, patient nursing complaint registration form, and uniform standard, please expert review, revise and prediction of its reliability. in daily nursing work to implement the eight sound service : the patient to be a welcome sound ( for example : according to the title, job title), meeting called voice, before the operation and explanation of sound, operation has the greeting, operation errors apology, after the completion of the operation to Xie Sheng, holiday congratulations, patients with has discharged off sound ( I wish you an early health). Three before the service: walk in the light before the call, to patient needs before, do in patients before speaking. Four heart four heart: using our responsibility for patient confidence, we care for the patient rest assured that the use of our patient for patient comfort, with our love for patient comfort. Five services : a warm reception, and careful, careful nursing, explain the patience, solicit opinions with an open mind. Health education contents table format. requires nurses to understand their own image, language skills, legal consciousness, nurse-patient communication skills and ability of health education in clinical nursing standardized service process effectively in the appropriate application.