目的 总结同理心在冠心病重症监护室（CCU）患者家属沟通中的应用及效果。 方法 选择2010年4月－5月入住CCU的患者100例，按入院先后顺序前50例设定为对照组，后50例设定为观察组；对照组采用传统常规方法与患者家属进行沟通，观察组应用同理心理念与患者家属沟通。观察两组患者家属在非探视时间到访次数、纠纷次数和CCU护理工作满意度情况。 结果 观察组患者家属较对照组在非探视时间到访次数、纠纷发生次数少，而满意度较对照组高，两组比较差异有统计学意义（P＜0.05）。 结论 应用同理心与CCU患者家属进行沟通，可增加医患间的理解和信任，减少非探视时间内家属到访次数，有利于维护医院正常的工作秩序，同时减少纠纷的发生，提高了护理服务满意度。
Objective To compare the effect and degree of satisfaction of different analgesic interventions for tubes of pericardium and mediastinum removal after cardiac surgery. Methods From December 2017 to June 2018, 94 patients undergoing open heart cardiac surgery with tubes of pericardium and mediastinum were allocated randomly into three groups including a group A (32 patients), a group B (35 patients), and a group C (27 patients). In the group A, intravenous Dezocine was given as analgesics. In the group B, intravenous Dezocine plus oral ibuprofen were given. In the group C, interventions of group B plus specific nursing guidance were given. With the help of visual analogue scale (VAS), scores of pain during and after the tubes removal were collected. The degree of satisfaction and other adverse effects were also recorded. Results The VAS scores and fading time of pain in the group B were significantly lower than those of the group A (P<0.017). The score of sleeping was better in the group B as well. The VAS scores and fading time of pain in the group C were also significantly lower than those of the group A, and the scores of mood, activity as well as degree of satisfaction were all higher than those in the group A (P<0.017). The scores of activity and degree of satisfaction in the group C were higher compared with the group B (P<0.017). Conclusion Combination of intravenous Dezocine and oral ibuprofen seems to be more effective than each individual. Professional and specific nursing guidance could increase the degree of satisfaction for chest tube removal after cardiac surgery.