监护设备对重症患者的心理影响及护理对策分析  

Mental Effect of Monitoring Device on Severe Cases and Nursing Strategy

作　　者：朱国宁[1] 付玲霞[1] 薛柏余[1] 

机构地区：[1]解放军总医院南楼外一科二病区,北京100048

出　　处：《中国康复》2010年第1期72-73,共2页Chinese Journal of Rehabilitation

摘　　要：目的:观察监护设备对重症患者的心理影响,探讨心理护理及干预措施。方法:120例ICU病情稳定的重症清醒监护仪多参数监护患者,采用汉密尔顿焦虑量表(HAMA)评分,评分后随机分为对照组及观察组,对照组持续多参数监护,观察组撤除监护仪,24h后对2组患者进行第2次HAMA评分,对比2组患者心理状态变化,并分析撤出监护设备前不同的血压监测时间间隔、血氧浓度监测与否、监护仪警示音开关与否等与HAMA评分的相关关系。结果:第一次HAMA评分2组差异无统计学意义;第2次评分观察组低于对照组(10.9±2.1、17.6±3.2,P<0.05),HAMA评分与血压监测时间间隔、警示音开关与否存在相关关系(均P<0.05),与血氧监测无相关关系。结论:多参数监护仪监护及监护仪警示音、过于频繁的血压测量容易诱发患者焦虑心理,病情稳定患者应及早撤除监护设备,并给予适当的心理干预,可促进患者身心健康。Objective：To observe the mental effect of monitoring device on severe cases, and investigate measures of mental nursing. Methods： 120 conscious patients who received monitoring in ICU to consecutively evaluate psychological condition of convalescence stage with monitoring device were randomly divided into control group and experimental group according to the assessment with Hamilton Anxiety Scale （HAMA）. The monitoring device was withdrawn in experimental group. All patients received the second assessment with HAMA after 24 h, and the mental state of patients in two groups were compared, and dependability of mental state to interval of measuring blood pressure, alarm sound opening and monitoring saturation of blood oxygen was analyzed. Results： The score of HAMA at the first time in the control group and experimental group was 19.4 and 19.9 respectively. The score of HAMA in the experimental group was 17.6 at the second time, significantly higher that that in the control group （10.9, P〈0.05）. The score of HAMA was correlated with interval of measuring blood pressure, alarm sound opening. Conclusion： Monitoring device, alarm sound opening and frequently measuring blood pressure could induce psychic anxiety of patients. The monitoring device should be withdrawn as early as possible in patients whose pathogenetic condition was stable, and mental nursing care can improve physical and mental health of patients.

关 键 词：重症患者 监护设备 心理 焦虑 护理 

分 类 号：R473[医药卫生—护理学]